Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Mar 7:13:e50647.
doi: 10.2196/50647.

Innovative Solutions for Patients Who Undergo Craniectomy: Protocol for a Scoping Review

Affiliations

Innovative Solutions for Patients Who Undergo Craniectomy: Protocol for a Scoping Review

Laura L Fernandez et al. JMIR Res Protoc. .

Abstract

Background: Decompressive craniectomy (DC) is a widely used procedure to alleviate high intracranial pressure. Multidisciplinary teams have designed and implemented external medical prototypes to improve patient life quality and avoid complications following DC in patients awaiting cranioplasty (CP), including 3D printing and plaster prototypes when available.

Objective: This scoping review aims to understand the extent and type of evidence about innovative external prototypes for patients who undergo DC while awaiting CP.

Methods: This scoping review will use the Joanna Briggs Institute methodology for scoping reviews. This scoping review will include noninvasive medical devices for adult patients who undergo DC while waiting for CP. The search strategy will be implemented in MEDLINE, Embase, Web of Science, Scielo, Scopus, and the World Health Organization (WHO) Global Health Index Medicus. Patent documents were also allocated in Espacenet, Google Patents, and the World Intellectual Property Organization (WIPO) database.

Results: This scoping review is not subject to ethical approval as there will be no involvement of patients. The dissemination plan includes publishing the review findings in a peer-reviewed journal and presenting results at conferences that engage the most pertinent stakeholders in innovation and neurosurgery.

Conclusions: This scoping review will serve as a baseline to provide evidence for multidisciplinary teams currently designing these noninvasive innovations to reduce the risk of associated complications after DC, hoping that more cost-effective models can be implemented, especially in low- and middle-income countries.

International registered report identifier (irrid): DERR1-10.2196/50647.

Keywords: craniectomy; cranioplasty; decompressive craniectomy; global neurosurgery; increased intracranial pressure; innovative; innovative solutions; intellectual property; intracranial pressure; low-income countries; medical devices; middle-income countries; noninvasive; prototypes; stroke; traumatic brain injury.

PubMed Disclaimer

Conflict of interest statement

Conflicts of Interest: None declared.

Figures

Figure 1
Figure 1
Summary of the search strategy process. WHO: World Health Organization; WIPO: World Intellectual Property Organization.

References

    1. Dewan MC, Rattani A, Gupta S, Baticulon RE, Hung YC, Punchak M, Agrawal A, Adeleye AO, Shrime MG, Rubiano AM, Rosenfeld JV, Park KB. Estimating the global incidence of traumatic brain injury. J Neurosurg. 2018;130(4):1080–1097. doi: 10.3171/2017.10.JNS17352. https://thejns.org/view/journals/j-neurosurg/130/4/article-p1080.xml?tab... 2017.10.JNS17352 - DOI - PubMed
    1. Mee H, Anwar F, Timofeev I, Owens N, Grieve K, Whiting G, Alexander K, Kendrick K, Helmy A, Hutchinson P, Kolias A. Cranioplasty: a multidisciplinary approach. Front Surg. 2022;9:864385. doi: 10.3389/fsurg.2022.864385. https://europepmc.org/abstract/MED/35656088 - DOI - PMC - PubMed
    1. Yang XF, Wen L, Shen F, Li G, Lou R, Liu WG, Zhan RY. Surgical complications secondary to decompressive craniectomy in patients with a head injury: a series of 108 consecutive cases. Acta Neurochir (Wien) 2008 Dec;150(12):1241–7; discussion 1248. doi: 10.1007/s00701-008-0145-9. https://link.springer.com/article/10.1007/s00701-008-0145-9 - DOI - DOI - PubMed
    1. Gopalakrishnan MS, Shanbhag NC, Shukla DP, Konar SK, Bhat DI, Devi BI. Complications of decompressive craniectomy. Front Neurol. 2018;9:977. doi: 10.3389/fneur.2018.00977. https://europepmc.org/abstract/MED/30524359 - DOI - PMC - PubMed
    1. Kurland DB, Khaladj-Ghom A, Stokum JA, Carusillo B, Karimy JK, Gerzanich V, Sahuquillo J, Simard JM. Complications associated with decompressive craniectomy: a systematic review. Neurocrit Care. 2015;23(2):292–304. doi: 10.1007/s12028-015-0144-7. https://europepmc.org/abstract/MED/26032808 - DOI - PMC - PubMed