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7%), the mean time of surgery was 2 hours and 27 minutes, the skull flap was preserved in the subcutaneous layer in 29 cases (87.8%), the mean of blood loss was 636.36 mL,and in-hospital mortality was 12%. Univariate analysis found differences between the APD diameter (120.3 mm vs. 85.3 mm; p = 0.003) and the presence of midline shift 5 mm ( p = 0.033). Conclusion The size of the skull flap and the presence of midline shift 5 mm were predictors of mortality. In the absence of intercranial pressure (ICP) monitoring, clinical and