{"id":1713,"date":"2022-08-05T18:22:33","date_gmt":"2022-08-05T16:22:33","guid":{"rendered":"https:\/\/neurocirugialmeria.com\/?p=1713"},"modified":"2022-08-05T18:22:33","modified_gmt":"2022-08-05T16:22:33","slug":"papel-de-la-craniectomia-descompresiva-en-el-tratamiento-de-la-hipertension-intracraneal-tras-traumatismo-craneoencefalico","status":"publish","type":"post","link":"https:\/\/neurocirugialmeria.com\/en\/2022\/08\/05\/papel-de-la-craniectomia-descompresiva-en-el-tratamiento-de-la-hipertension-intracraneal-tras-traumatismo-craneoencefalico\/","title":{"rendered":"Papel de la craniectom\u00eda descompresiva en el tratamiento de la hipertensi\u00f3n intracraneal tras traumatismo craneoencef\u00e1lico:"},"content":{"rendered":"

Resutados secundarios a 24 meses del Ensayo Cl\u00ednico Rescue ICP<\/h2>\n\n\n\n

La revista JAMA Neurology<\/a> ha publicado nuevos resultados de un an\u00e1lisis secundario llevado a cabo sobre el conocido Ensayo Cl\u00ednico Rescue ICP<\/a> encargado de evaluar el papel de la craniectom\u00eda descompresiva frente al tratamiento m\u00e9dico en el manejo de la hipertensi\u00f3n intracraneal derivada del edema cerebral difuso postraum\u00e1tico. En el presente trabajo ha sido publicado el an\u00e1lisis de los resultados transcurridos 24 meses del seguimiento de los pacientes.<\/p>\n\n\n\n

Fueron incluidos en total 408 pacientes, de los cuales 206 recibieron tratamiento quir\u00fargico mientras que en los 202 restantes se llev\u00f3 a cabo tratamiento m\u00e9dico. Se consider\u00f3 la presencia de hipertensi\u00f3n intracraneal a partir d de 25 mmHg. El objetivo principal fue evaluar la situaci\u00f3n neurol\u00f3gica a los 24 meses mediante la escala GOS. Se evalu\u00f3 tambi\u00e9n la presencia de cambios en dicha situaci\u00f3n en el intervalo entre los 6 y los 24 meses del tratamiento.<\/p>\n\n\n\n

Los autores de apreciaron c\u00f3mo los pacientes operados presentaban mayor supervivencia. Sin embargo, ello se acompa\u00f1aba de un mayor n\u00famero de casos de estado vegetativo y da\u00f1o neurol\u00f3gico altamente incapacitante entre los pacientes intervenidos. Se observ\u00f3 adem\u00e1s una mayor tendencia a experiementar mejor\u00eda ( definida como ascenso de al menos  un punto en la escala GOS) en el intervalo entre los 6 y 24 meses dentro del subgrupo de pacientes operados.<\/p>\n\n\n\n

Fuente<\/span><\/strong>: Kolias AG, Adams H, Timofeev IS, et al. Evaluation of Outcomes Among Patients With Traumatic Intracranial Hypertension Treated With Decompressive Craniectomy vs Standard Medical Care at 24 Months:\u00a0A Secondary Analysis of the RESCUEicp Randomized Clinical Trial.\u00a0JAMA Neurol.<\/em>\u00a02022;79(7):664\u2013671.<\/a><\/p>","protected":false},"excerpt":{"rendered":"

Resutados secundarios a 24 meses del Ensayo Cl\u00ednico Rescue ICP La revista JAMA Neurology ha publicado nuevos resultados de un an\u00e1lisis secundario llevado a cabo sobre el conocido Ensayo Cl\u00ednico Rescue ICP encargado de evaluar el papel de la craniectom\u00eda descompresiva frente al tratamiento m\u00e9dico en el manejo de la hipertensi\u00f3n intracraneal derivada del edema…<\/p>","protected":false},"author":183523340,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","advanced_seo_description":"","jetpack_seo_html_title":"","jetpack_seo_noindex":false,"_kadence_starter_templates_imported_post":false,"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false,"jetpack_post_was_ever_published":false},"categories":[706700519,706700523,706700521,706700514,86215848,15936531,1771,706700522,706700517],"tags":[],"class_list":["post-1713","post","type-post","status-publish","format-standard","hentry","category-almeria","category-bionica","category-futurismo","category-neurocirugia","category-neuromodulacion","category-neurooncologia","category-sin-categoria","category-transhumanismo","category-zerotohero"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_likes_enabled":true,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pbS7CP-rD","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/1713","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/users\/183523340"}],"replies":[{"embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/comments?post=1713"}],"version-history":[{"count":2,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/1713\/revisions"}],"predecessor-version":[{"id":1715,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/posts\/1713\/revisions\/1715"}],"wp:attachment":[{"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/media?parent=1713"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/categories?post=1713"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/neurocirugialmeria.com\/en\/wp-json\/wp\/v2\/tags?post=1713"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}