About this trial
To compare the neurological recovery and complication rate of autogenous cranioplasty(CP) within 6 weeks after decompressive craniectomy (DC) with that of autogenous cranioplasty within 3\~6 months after DC.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Decompressive craniectomy due to craniocerebral trauma, cerebral ischemia and cerebral hemorrhage.
Age 18 - 80 years.
The first time for cranial repair.
unilateral skull defect.
Disqualifiers
Poor healing of skin flap (active infection, non-healing, necrosis, sinus, thin or poor blood supply, etc.).
Fracture of bone flap ≥2 pieces, partial open fracture
Intracranial infection before operation.
Severe bone metabolic diseases.
Trial design
Parallel
Treatments tested in this trial
operation opportunity-within 6 weeks after the DC operation.
Procedure/SurgeryThe autologous skull repair surgery will be completed within 6 weeks after the DC operation.
operation opportunity-within 90 to 180 days after the DC operation.
Procedure/SurgeryThe autologous skull repair surgery should be completed within 90 to 180 days after DC.
Treatment groups
Trial outcomes
Primary outcomes
modified Rankin Scale (mRS) 0-2
The proportion of patients with a modified Rankin Scale (mRS) score of ≤ 2
Secondary outcomes
mRS≤2 and mRS ≤3
Proportion of mRS≤2 and proportion of mRS ≤3
mRS ≤3
Proportion of mRS≤2 and proportion of mRS ≤3
Mini-Mental State Examination (MMSE) score
Minimum score 0 and maximum score 30 with higher score being better outcome
Glasgow Outcome Score (GOS)
Minimum score 1 and maximum score 8 with higher number being better outcome
Other outcomes
Overall mortality rate
All etiology of mortality
Sponsors and contacts
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