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What do systematic reviews say?

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Evidence found and GRADE certainty

1,388 questions · 1,444 findings · 167 reviews

No studies found 336 · 23.3%GRADE not reported 67 · 4.6%Very low 419 · 29%Low 395 · 27.4%Moderate 188 · 13%High 39 · 2.7%

Decompressive craniectomy vs medical treatment

Changes in ICP from randomization up to 48 h · patients > 12 months of age with a severe traumatic brain injury and in a coma (post‐resuscitation GOS score ≤ 8 points) with raised,…

Decompressive craniectomy showed no clear difference in changes in ICP from randomization up to 48 h compared with medical treatment only (moderate certainty).

1 finding from 1 review