September 2016 PMID 27602507

Trial of Decompressive Craniectomy for Traumatic Intracranial Hypertension.

Peter J Hutchinson, Angelos G Kolias, Ivan S Timofeev, Elizabeth A Corteen, Marek Czosnyka, Jake Timothy, Ian Anderson, Diederik O Bulters, Antonio Belli, C Andrew Eynon, John Wadley, A David Mendelow, Patrick M Mitchell, Mark H Wilson, Giles Critchley

Mentions

109
Peak: 8 in May 2020
across 6 sources since Jan 2019

Extended reach

248,592
potential audience

Total likes

66

Video views

141

Mentions per month

Jan 2019 – Sep 2025

Where it's discussed

  • X / Twitter44 posts
  • News29 articles
  • Facebook21 posts
  • Blogs11 articles
  • YouTube2 videos
  • Reddit2 posts

AI synopsis

What people are saying

The overall tone reflects balanced interest and engagement, with examples such as references to long-term follow-up data and ongoing journal club discussions. Words like 'good study,' 'more recent data,' and mentions of clinical implications suggest that participants view this publication as meaningful, though opinions recognize the complexity and need for further research.

AgreementModerate agreement

Most discussions acknowledge the mixed outcomes of the study, with some emphasizing that the results support cautious optimism, reflecting a moderate level of support.

InterestModerate interest

The posts show consistent interest, with multiple references to journal clubs, ongoing discussions, and calls for further study, indicating engagement with the topic.

EngagementModerate engagement

Posts reference various aspects of the study, including follow-up data, long-term outcomes, and clinical implications, demonstrating active engagement with the research findings.

ImpactModerate impact

The discussions highlight the importance of the study in shaping neurosurgical practices and understanding traumatic brain injury treatments, indicating a moderate impact.

Abstract in brief

  • This study compared the effects of decompressive craniectomy versus medical care in patients with severe traumatic brain injury and high intracranial pressure, measuring outcomes up to 6 and 12 months post-treatment.
  • The results showed that patients who underwent surgery had a different distribution of recovery outcomes, with fewer deaths and more cases of severe disability compared to those receiving medical care, but the overall difference was complex and varied over time.
  • Despite the surgical group experiencing shorter durations of high intracranial pressure, their overall recovery outcomes were mixed, indicating that the benefits of decompressive craniectomy in such cases remain uncertain and require careful consideration.

Top posts

Most liked on X and Bluesky
SCCM Neuroscience Section
@SCCM_Neuro · X

Join us for our monthly journal club on August 21 at 3PM CST. This month we'll be discussing the RESCUE-ICP trial: https://t.co/jpFNDiSv3N For more information, log on to @SCCM Connect>Neuroscience Section!

Aug 12, 2025 · 10 likes · 6 shares · 1,242 followers View post →
NANSIG (Neurology and Neurosurgery Interest Group)
@NANSIG1 · X

@The_SBNS is hosting an online journal club tomorrow evening with special access for NANSIG members. 6pm 13th May (tomorrow!) Topic: Rescue ICP Prof P Hutchinson, Addenbrookes Hospital, Cambridge Paper: https://t.co/RzT1y3dUM3 Sign up https://t.co/tZtEI7Zntv

May 12, 2020 · 9 likes · 3 shares · 3,634 followers View post →
CNS
@CNS_Update · X

Neurosurgery Watch: Classic reviews key points of selected journal papers from the past that have changed the landscape of neurosurgical practice and science. Check out this one: Trial of Decompressive Craniectomy for Traumatic Intracranial Hypertension: https://t.co/MRwWOYuOFX https://t.co/hucZZE32Sv

Sep 18, 2022 · 8 likes · 4 shares · 29,184 followers View post →
NANSIG (Neurology and Neurosurgery Interest Group)
@NANSIG1 · X

(Tweet 2) ONLINE JOURNAL CLUB, 17th June 6pm The full paper can be found here: https://t.co/xejkAWHqKm More info on how to sign up for the talk can be found on our fb event page https://t.co/QAaE6MwvNJ

May 18, 2020 · 7 likes · 3 shares · 3,634 followers View post →
NANSIG (Neurology and Neurosurgery Interest Group)
@NANSIG1 · X

Our next online event will be our 3rd Journal Club: The RESCUEicp Trial, with @pja_hutch ! 17th June @ 6pm (UK) To find out more/sign up, head to the facebook event! https://t.co/rHMkERBCOr The full paper can be found here: https://t.co/xejkAWHqKm #medtwitter #neurosurgery

Jun 9, 2020 · 6 likes · 1 share · 3,634 followers View post →
W David Freeman, MD, FNCS, FAAN
@freemanwd · X

RESCUE ICP: Trial of Decompressive Craniectomy for Traumatic Intracranial Hypertension 1.

Aug 31, 2025 · 6 likes · 2 shares · 2,447 followers View post →

All mentions

ong beng hooi
@ongbenghooi1 · X

RT @freemanwd: RESCUE ICP: Trial of Decompressive Craniectomy for Traumatic Intracranial Hypertension 1.

Sep 1, 2025 · 2 shares · 551 followers View post →
W David Freeman, MD, FNCS, FAAN
@freemanwd · X

RESCUE ICP: Trial of Decompressive Craniectomy for Traumatic Intracranial Hypertension 1.

Aug 31, 2025 · 6 likes · 2 shares · 2,447 followers View post →
Kiruba Dharaneeswaran
@kiruba34 · X

RT @SCCM_Neuro: Join us for our monthly journal club on August 21 at 3PM CST. This month we'll be discussing the RESCUE-ICP trial: https:…

Aug 13, 2025 · 6 shares · 157 followers View post →
Aarti Sarwal, FNCS, FAAN, FCCM, RPNI, Professor
@aartisarwal · X

RT @SCCM_Neuro: Join us for our monthly journal club on August 21 at 3PM CST. This month we'll be discussing the RESCUE-ICP trial: https:…

Aug 13, 2025 · 6 shares · 4,827 followers View post →
Richard Choi, DO, FNCS
@rkchoi · X

RT @SCCM_Neuro: Join us for our monthly journal club on August 21 at 3PM CST. This month we'll be discussing the RESCUE-ICP trial: https:…

Aug 12, 2025 · 6 shares · 3,815 followers View post →
Rebecca Hay
@RebeccaEHay · X

RT @SCCM_Neuro: Join us for our monthly journal club on August 21 at 3PM CST. This month we'll be discussing the RESCUE-ICP trial: https:…

Aug 12, 2025 · 6 shares · 389 followers View post →
Sarah Nelson, MD, MPH, FAAN, FNCS
@senelson13 · X

RT @SCCM_Neuro: Join us for our monthly journal club on August 21 at 3PM CST. This month we'll be discussing the RESCUE-ICP trial: https:…

Aug 12, 2025 · 6 shares · 1,195 followers View post →
SCCM Neuroscience Section
@SCCM_Neuro · X

Join us for our monthly journal club on August 21 at 3PM CST. This month we'll be discussing the RESCUE-ICP trial: https://t.co/jpFNDiSv3N For more information, log on to @SCCM Connect>Neuroscience Section!

Aug 12, 2025 · 10 likes · 6 shares · 1,242 followers View post →
Junaid Ansari
@juneuromd · X

RescueICP: At 6 months, decompressive craniectomy in patients w TBI & refractory ICP resulted in lower mortality/higher rates of vegetative state, lower severe disability, upper severe disability than medical care | NEJM-2016 https://t.co/JU9iznGO5I

Jan 25, 2024 · 2 likes · 8,386 followers View post →
Louis Ng
@SgLouisNg · X

https://t.co/FSJ1WxsMtd

Jul 11, 2023 · 30 followers View post →
Hold Your Head Up
@HYHUTriangle · X

RT @CNS_Update: Neurosurgery Watch: Classic reviews key points of selected journal papers from the past that have changed the landscape of…

Sep 30, 2022 · 4 shares · 6,237 followers View post →
Neurosurgery
@neurosurgery · X

RT @CNS_Update: Neurosurgery Watch: Classic reviews key points of selected journal papers from the past that have changed the landscape of…

Sep 19, 2022 · 4 shares · 58,157 followers View post →
Andrei Joaquim, MD, PhD
@AndreiFJoaquim · X

RT @CNS_Update: Neurosurgery Watch: Classic reviews key points of selected journal papers from the past that have changed the landscape of…

Sep 19, 2022 · 4 shares · 178 followers View post →
Christopher Adereti, MD
@adereti_md · X

RT @CNS_Update: Neurosurgery Watch: Classic reviews key points of selected journal papers from the past that have changed the landscape of…

Sep 19, 2022 · 4 shares · 90 followers View post →
CNS
@CNS_Update · X

Neurosurgery Watch: Classic reviews key points of selected journal papers from the past that have changed the landscape of neurosurgical practice and science. Check out this one: Trial of Decompressive Craniectomy for Traumatic Intracranial Hypertension: https://t.co/MRwWOYuOFX https://t.co/hucZZE32Sv

Sep 18, 2022 · 8 likes · 4 shares · 29,184 followers View post →
Dr. Euclides Cavalcanti
@Links_Medicus · X

Long-term follow-up of RCT: Decompressive craniectomy vs. standard medical care in patients with traumatic intracranial hypertension. – via @JAMANeuro https://t.co/iSnJfP8ivh Original study: https://t.co/aehtDmpsTN

Jun 10, 2022 · 1 like · 29,366 followers View post →
小谷祐樹 Yuki Kotani|ICU × 臨床研究 × Podcast
@YukiKotani5 · X

The original publication is here @NEJM @RESCUEicp https://t.co/raWlekkejr

Jun 7, 2022 · 8,119 followers View post →
Ben Rodgers
@DrBenRodgers · X

@tjelle13 @PulmCrit @NeurosurgeryCNS https://t.co/fQWF0iOqzM

Jun 9, 2021 · 1,679 followers View post →
NeurosurgeryBot
@NeurosurgeryBot · X

RT @SurgJC: Today’s paper for discussion

Apr 11, 2021 · 1 share · 1,915 followers View post →
Surgical Journal Club
@SurgJC · X

Today’s paper for discussion

Apr 11, 2021 · 1 like · 1 share · 656 followers View post →
Kevin Tsang
@drtintin99 · X

RT @realbrainbook: 87. If you’d like to know more, check out the DECRA (https://t.co/IqR8OJQPzW) and RESCUEicp trials (https://t.co/GKEoLTq…

Feb 11, 2021 · 1 share · 5,575 followers View post →
Brainbook
@realbrainbook · X

87. If you’d like to know more, check out the DECRA (https://t.co/IqR8OJQPzW) and RESCUEicp trials (https://t.co/GKEoLTqNko) which have examined the outcomes of craniectomy in TBI.

Feb 11, 2021 · 4 likes · 1 share · 8,719 followers View post →
University of Utah PICU
@UofUpedsICU · X

#WhatWeAreReading in fellow-led Journal Club today: Trial of Decompressive Craniectomy for Traumatic Intracranial Hypertension @NEJM https://t.co/S81VwEd28K Always a pertinent discussion with our high trauma volume.

Oct 12, 2020 · 100 followers View post →
InciSioN UK
@InciSioNUK · X

Research Papers: 1. Trial of Decompressive Craniectomy for Traumatic Intracranial Hypertension, Hutchinson PJ, et al, 2016.

Jun 21, 2020 · 3,428 followers View post →
NeurosurgeryBot
@NeurosurgeryBot · X

RT @NANSIG1: Our next online event will be our 3rd Journal Club: The RESCUEicp Trial, with @pja_hutch ! 17th June @ 6pm (UK) To find out…

Jun 9, 2020 · 1 share · 1,915 followers View post →
NANSIG (Neurology and Neurosurgery Interest Group)
@NANSIG1 · X

Our next online event will be our 3rd Journal Club: The RESCUEicp Trial, with @pja_hutch ! 17th June @ 6pm (UK) To find out more/sign up, head to the facebook event! https://t.co/rHMkERBCOr The full paper can be found here: https://t.co/xejkAWHqKm #medtwitter #neurosurgery

Jun 9, 2020 · 6 likes · 1 share · 3,634 followers View post →
Soham Bandyopadhyay
@SohamBGlobal · X

RT @NANSIG1: (Tweet 2) ONLINE JOURNAL CLUB, 17th June 6pm The full paper can be found here: https://t.co/xejkAWHqKm More info on how to s…

May 19, 2020 · 3 shares · 1,232 followers View post →
Plymouth Undergrad Neuro Soc
@PlymouthNeuro · X

RT @NANSIG1: (Tweet 2) ONLINE JOURNAL CLUB, 17th June 6pm The full paper can be found here: https://t.co/xejkAWHqKm More info on how to s…

May 19, 2020 · 3 shares · 35 followers View post →
Paul May
@PaulMay11 · X

RT @NANSIG1: (Tweet 2) ONLINE JOURNAL CLUB, 17th June 6pm The full paper can be found here: https://t.co/xejkAWHqKm More info on how to s…

May 19, 2020 · 3 shares · 1,476 followers View post →
NANSIG (Neurology and Neurosurgery Interest Group)
@NANSIG1 · X

(Tweet 2) ONLINE JOURNAL CLUB, 17th June 6pm The full paper can be found here: https://t.co/xejkAWHqKm More info on how to sign up for the talk can be found on our fb event page https://t.co/QAaE6MwvNJ

May 18, 2020 · 7 likes · 3 shares · 3,634 followers View post →
Giles Critchley
@GilesCritchley · X

RT @NANSIG1: @The_SBNS is hosting an online journal club tomorrow evening with special access for NANSIG members. 6pm 13th May (tomorrow!)…

May 12, 2020 · 3 shares · 292 followers View post →
Kevin Tsang
@drtintin99 · X

RT @NANSIG1: @The_SBNS is hosting an online journal club tomorrow evening with special access for NANSIG members. 6pm 13th May (tomorrow!)…

May 12, 2020 · 3 shares · 5,575 followers View post →
SBNS
@The_SBNS · X

RT @NANSIG1: @The_SBNS is hosting an online journal club tomorrow evening with special access for NANSIG members. 6pm 13th May (tomorrow!)…

May 12, 2020 · 3 shares · 4,871 followers View post →
NANSIG (Neurology and Neurosurgery Interest Group)
@NANSIG1 · X

@The_SBNS is hosting an online journal club tomorrow evening with special access for NANSIG members. 6pm 13th May (tomorrow!) Topic: Rescue ICP Prof P Hutchinson, Addenbrookes Hospital, Cambridge Paper: https://t.co/RzT1y3dUM3 Sign up https://t.co/tZtEI7Zntv

May 12, 2020 · 9 likes · 3 shares · 3,634 followers View post →
Michael Cearns
@MDCearns · X

@yilong_zxc @realbrainbook https://t.co/uZCh0DZIZS

Feb 19, 2020 · 2 likes · 5,149 followers View post →
UCI de Trauma y Emergencias. Hospital 12 Octubre
@ucite12 · X

Dec 23, 2019 · 3 likes · 10,840 followers View post →
Aberdeen ICU
@AberdeenICUEdu · X

Journal Club Wed 8am: Trial of Decompressive Craniectomy for Traumatic Intracranial Hypertension https://t.co/P4l42zFjZ6

Jun 25, 2019 · 1 like · 1,080 followers View post →
Dr.ゆーき
@yuuki8484884 · X

RT @kazuki24_: 内科的治療を行っても(一部制限あり)、頭蓋内圧亢進が持続する患者に対して、外減圧と内科的治療の継続を行った場合、外減圧を行ったほうが死亡率は下がるし予後がいい人も増えるけども、寝たきりや予後悪い人も同時に増やすと。 https://t.co/ZAp…

May 13, 2019 · 1 share · 327 followers View post →
かずき
@kazuki24_ · X

内科的治療を行っても(一部制限あり)、頭蓋内圧亢進が持続する患者に対して、外減圧と内科的治療の継続を行った場合、外減圧を行ったほうが死亡率は下がるし予後がいい人も増えるけども、寝たきりや予後悪い人も同時に増やすと。 https://t.co/ZAp7Vmd1KB https://t.co/mHhkF2DmNT

May 13, 2019 · 1 like · 1 share · 2,291 followers View post →
P. David Adelson, MD
@PDavidAdelson · X

@jemartinmd DECRA was a good study but more recent data by Hutchinson et al. shows good long term follow up with decompression. Penetrating injury needs more study but military experience has lead the way in our understanding. https://t.co/qKIdq1s8Ap https://t.co/APQ08LxFfx

May 3, 2019 · 2,464 followers View post →
Sapna Kudchadkar, MD, PhD
@SapnaKmd · X

RT @UVA_PICU: #whatwearereading for #PedsICU #JournalClub Trial of Decompressive Craniectomy for Traumatic Intracranial Hypertension in @NE…

Feb 11, 2019 · 2 shares · 16,828 followers View post →
Mauricio Cantillano
@CantillMauricio · X

RT @UVA_PICU: #whatwearereading for #PedsICU #JournalClub Trial of Decompressive Craniectomy for Traumatic Intracranial Hypertension in @NE…

Feb 11, 2019 · 2 shares · 3,591 followers View post →
UVA PICU
@UVA_PICU · X

#whatwearereading for #PedsICU #JournalClub Trial of Decompressive Craniectomy for Traumatic Intracranial Hypertension in @NEJM https://t.co/DQ0SpVEHHg

Feb 11, 2019 · 2 likes · 2 shares · 2,634 followers View post →
Eleni Maratos
@eleni_maratos · X

Trial of Decompressive Craniectomy for Traumatic Intracranial Hypertension | NEJM https://t.co/8pH0a1dSGC

Jan 30, 2019 · 1 like · 311 followers View post →