Decompressive craniectomy at the National Hospital of Niamey: Prospective study of the epidemioclinical profile, indications, surgical techniques, and results in a context of limited resources.

n low-to-middle-income countries, where 75% of cases and two-thirds of deaths are concentrated, mainly in the working population, placing a considerable burden on the health-care system.[ 41 ] In Niger, where this working population represents 47.8% of the 23,591,981 inhabitants in 2022, we infer a fairly significant impact on the country’s economy, despite the absence of studies to corroborate this impact.[ 35 ] The epidemioclinical profile of patients with TBI in Niamey mirrors that of the population in most studies conducted in low-to-middle-income countries.

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