ABSTRACT:
Background: Controversies still occur regarding risk and outcomes obtained from follow-up craniectomy decompressive (DC) as a management of brain injury. Aim: Study outcome of patients with brain injury after decompression craniectomy at a tertiary referral hospital in East Java, Indonesia. Method: This prospective study included 38 patients who were treated with decompression craniectomy with complete medical record data during the period September to December 2016. The study was conducted through direct observation and communication with the patient’s family for the measurement of the Glascow Outcome Score. The data obtained were analyzed descriptively. Result: The majority of patients with brain injury came from the age group 50-59 years, male sex and had a job. Road traffic accidents are a major cause of brain injury (79%), 14 people (37%) among them had GOS 0 scores and severe brain injuries (47%). Nearly half the number of patients (31, 6%) had combined intracranial bleeding and had GOS 0. 25 patients (66%) did not have other diseases while undergoing a craniectomy decompression procedure. Therapeutic results showed that patients who had GOS 0 score dominated with a total of 18 people (47%), but as many as 53% of patients lived after receiving decompression craniectomy. Conclusion: Post-decompression craniectomy shows that patients have good results even though they can show different results at follow-up.