Survey answers per respondents’ specialty.
| Character | Physician Specialty | ||
|---|---|---|---|
| Neurology n=41 | Intensive Care n=14 | Neurosurgery n=32 | |
| (%) | |||
| Number of DC cases referred per year | |||
| 0-5 | (56.1) | (57.1) | (37.5) |
| 6-10 | (14.6) | (7.2) | (21.9) |
| >10 | (24.4) | (35.7) | (40.6) |
| Number of DC cases performed per year at your center | |||
| 0-5 | (73.2) | (50) | (43.8) |
| 6-10 | (14.6) | (21.4) | (31.3) |
| >10 | (12.2) | (28.6) | (25) |
| Preferred time for case referral to neurosurgery | |||
| Immediate | (53.7) | (57.1) | (50) |
| Clinical Trigger | (9.8) | (7.2) | (12.5) |
| Imaging Trigger | (36.5) | (35.7) | (38.1) |
| Role of ICP monitoring in malignant MCA syndrome cases | |||
| No role | (29.3) | (0) | (6.3) |
| Somewhat helpful | (51.2) | (50) | (56.3) |
| Very helpful | (19.5) | (50) | (37.5) |
| Most important trigger for referral for DC | |||
| Clinical | (61.1) | (76.9) | (51.9) |
| Radiological | (16.7) | (0) | (11.1) |
| ICP increase | (2.8) | (7.7) | (18.5) |
| Neurosurgeon suggestion | (19.4) | (15.4) | (18.5) |
| Timing of referral to neurosurgery in the absence of a trigger | |||
| Not specific | (37.1) | (38.5) | (29.6) |
| Within 6 hours | (2.9) | (15.4) | (18.5) |
| 12 | (5.7) | (0) | (7.4) |
| 24 | (28.6) | (7.7) | (7.4) |
| Prophylactic is not offered | (25.7) | (38.5) | (37.1) |
| What constitutes a good functional outcome (mRS score) | |||
| 3 | (75) | (76.9) | (70.4) |
| 4 | (18.8) | (23.1) | (22.2) |
| 5 | (6.6) | (0) | (7.4) |
| Effect of DC in your practice | |||
| Same as natural history | (6.1) | (30.8) | (11.1) |
| Improves functional recovery | (33.3) | (15.4) | (14.8) |
| Improves survival | (60.6) | (53.4) | (74.1) |
| What constitutes a contraindication to DC | |||
| Age>60, or multiple territories | (60.6) | (53.9) | (80.8) |
| Dominant hemisphere | (15.2) | (15.4) | (7.7) |
| Pupillary changes | (24.2) | (30.7) | (11.5) |
DC - Decompressive Craniectomy, ICP - Intracranial Pressure, MCA - middle cerebral artery, mRS - modified Rankin’s Scale