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Decompressive hemicraniectomy after malignant middle cerebral artery infarction: does hospital of origin matter?
Author(s) -
Smyth Duncan,
Weatherall Mark,
Rosemergy Ian,
Woon Kelvin,
Lanford Jeremy
Publication year - 2018
Publication title -
internal medicine journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.596
H-Index - 70
eISSN - 1445-5994
pISSN - 1444-0903
DOI - 10.1111/imj.14050
Subject(s) - medicine , middle cerebral artery , infarction , referral , retrospective cohort study , cerebral infarction , tertiary referral hospital , surgery , medical record , myocardial infarction , cardiology , ischemia , family medicine
Decompressive hemicraniectomy (DHC) has been shown to reduce mortality in malignant middle cerebral artery (MCA) infarction. Our primary objective was to compare 1‐year mortality between patients receiving DHC for malignant MCA infarction at our institution based on hospital of origin. We retrospectively reviewed the medical records of all patients treated for malignant MCA infarction with DHC at our institution over a 3‐year period. One‐year mortality rates and time to surgery were comparable regardless of whether the patient first attended the tertiary referral centre or a peripheral centre.