Methods

Results

Discussion

Conclusions

References

DISCUSSION

TBI is one of the most common causes of death and disability in young people. In a recent meta-analysis including adult and pediatric patients, it was reported that PTH in patients undergoing DC was 17.7%. Our results demonstrate that the incidence of PTH after DC was 21% in pediatric patients, which is smaller when compared with 37.6% reported by the meta-analysis by Fattahian et al, when only the pediatric population was included. Others have reported a pediatric incidence of PTH in 29%
۴۲% of the patients with DC.

CONCLUSIONS

Late cranioplasty was associated with an increased likelihood of PTH. We recommend performing cranioplasty as soon as possible to reduce hydrocephalus development. Our medical center is the only trauma center in Puerto Rico for the pediatric and adult population; therefore our study serves as a framework for further research to obtain knowledge of this pathology. It is a significant problem that needs to be identified because it carries tremendous financial, emotional, and social burden. Future studies with larger population delineating the risk factors are necessary for prompt and proper management.