High Pressure Research Articles

Investigating adsorption properties of CO2 and CH4 in subbituminous coals from Mamu and Nsukka formations: a molecular simulation approach

AbstractThe study aimed to investigate the adsorption properties of methane (CH4) and carbon dioxide (CO2) in subbituminous coals from the Mamu and Nsukka formations, focusing on the CO2-Enhanced Coalbed Methane (ECBM) method. Proximate, ultimate, and FT-IR analyses determined the quality, age, and functional categories of these coals, confirming their subbituminous nature. Using molecular dynamics (MD) simulations, a unique amorphous subbituminous coal model was developed to study adsorption phenomena. Isosteric heat and adsorption isotherms for pure CO2 and CH4 were analyzed, alongside Grand Canonical Monte Carlo (GCMC) simulations to assess CO2 adsorption selectivity in a binary CO2 and CH4 mixture. Results showed that CO2 required more isosteric heat than CH4 in single-component scenarios and demonstrated stronger electrostatic interactions with heteroatom groups in the coal model, explaining its higher adsorption preference. In binary adsorption experiments, CO2 exhibited a higher affinity under specific conditions, particularly influenced by pressure variations. At lower pressures, CO2 selectivity decreased rapidly with increasing temperature, while at higher pressures, the influence of temperature diminished. These findings have established a theoretical and practical basis for optimizing CO2-ECBM extraction in Nigeria, highlighting the preferential adsorption of CO2 over CH4 in subbituminous coals from the Mamu and Nsukka formations under varying pressure and temperature conditions. Implementing CO2-ECBM extraction and storage in Nigeria could boost economic viability and help achieve net-zero goals, using insights from this study to guide policy development. Graphical Abstract

Relationship between perceived stress and levels of blood pressure: single center study

<p><strong>Introduction. </strong>High blood pressure (HBP) is a significant cardiovascular risk factor, with hypertension recognized as a leading cause of global mortality. This study aims to investigate the correlation between perceived stress and <br />blood pressure levels among patients diagnosed with hypertension. <br /><strong>Methods.</strong> A cross-sectional study was conducted involving 80 hypertensive patients at the Institute for Cardiovascular Diseases “Dedinje”. Comprehensive clinical examinations, including 24-hour ambulatory blood pressure monitoring (ABPM) and Perceived Stress Scale (PSS) assessments were performed. <br /><strong>Results.</strong> The results revealed a significant positive correlation between PSS scores and blood pressure levels (r = 0.65, p < 0.001), indicating that higher perceived stress is associated with elevated blood pressure. Furthermore, no statistically significant difference was found between stress levels and sex or smoking status. <br /><strong>Conclusion.</strong> These findings underscore the importance of stress management interventions in hypertension treatment, suggesting that addressing perceived stress could enhance therapeutic outcomes for patients.</p>

Prevalence of Chronic Kidney Disease among diagnosed and undiagnosed hypertensive individuals in the general population of the northern region of Senegal

Introduction: Chronic kidney disease (CKD) is closely linked to high blood pressure (HBP) which is its leading cause in developing countries. Hypertension affect 1.2 billion people worldwide. However, a significant portion of individuals with HBP are undiagnosed and their kidney function is even less known. The objective of this study was to determine the prevalence and associated factors of chronic kidney disease among three sub-groups of blood pressure status (normotensive, diagnosed hypertension and undiagnosed hypertension) individuals. Patients and Methods: We conducted a cross-sectional study in the general population of three northern regions in Senegal using a two-level cluster sampling method. The sample was constituted with a precision of 5% and a power of 80%, with an additional 10% attrition margin. Individuals aged 18 – 80 years were included in the study after consent. Pregnant women, hospitalized persons within the past three months, patients with general or urinary symptoms within the past seven days and individuals undergoing renal replacement therapy were excluded. Investigators collected Clinical and biological data at participants' homes using a modified version of the WHO's STEPwise questionnaire. Samples were collected for biochemical analysis (serum creatinine, lipid profile and blood sugar). Estimated GFR was calculated using the CKD-EPI 2021 formula. Results: A total of 2441 participants were included in the study with a mean age of 45.4 +/- 16.0 years and a sex ratio M/F of 0.4. The Overall prevalence of HBP and CKD were respectively 52.0% and 17.8%. Three out of every five hypertensive patients were undiagnosed. Chronic kidney disease was more frequent among known hypertensive patients (30.5%) compared to individuals with undiagnosed hypertension (19.1%) and normotensive individuals (10.9%). Multivariate analysis showed that CKD was associated with older age and female sex. Conclusion: Undiagnosed hypertension is common among populations in northern Senegal. A high prevalence of CKD was found among both diagnosed and undiagnosed individuals with hypertension. Extending strategies for early detection and management in the general population could help prevent or reduce morbidity and mortality associated with CKD.

Integrating Mixed Livestock Systems to Optimize Forage Utilization and Modify Woody Species Composition in Semi-Arid Communal Rangelands

Communally owned rangelands serve as critical grazing areas for mixed livestock species such as cattle and goats, particularly in the arid and semi-arid regions of Southern Africa. This study aimed to evaluate the nutritional composition and woody species composition of communal rangelands where cattle and goat flocks graze together and to investigate the influence of grazing intensity on vegetation dynamics. Vegetation surveys were conducted across varying grazing intensities to assess species richness, biomass, and dietary preferences, while soil properties were analyzed to determine their interaction with vegetation attributes. Stepwise regression and path analyses were used to explore the relationships between soil characteristics, vegetation structure, and livestock dietary choices. The results revealed that high grazing pressure significantly reduced grass biomass (p = 0.003) and woody species density (p = 0.007) while increasing shrub cover (p = 0.018). Nutritional analysis indicated that goats preferred woody shrubs, which contributed 42.1% of their diet compared to 27.8% for cattle (p = 0.008). Regression analysis further showed that soil organic carbon (p = 0.002) and tree height (p = 0.041) were strong predictors of shrub cover. Seasonal variation significantly affected forage availability and nutritional content, with higher crude protein levels recorded during the wet season (p = 0.007). These findings suggest that grazing management strategies should be tailored to the distinct forage needs of cattle and goats to maintain the productivity and ecological stability of communal rangelands. A holistic approach that considers livestock dietary preferences, vegetation composition, and soil health is essential for sustainable rangeland management in mixed-species grazing systems.

Impact of a Physical Exercise and Health Education Program on Metabolic Syndrome and Quality of Life in Postmenopausal Breast Cancer Women Undergoing Adjuvant Treatment with Aromatase Inhibitors

Background and Objectives: Adjuvant treatment with aromatase inhibitors (AIs) in breast cancer (BC) survivors can cause adverse effects such as metabolic syndrome (MS) (insulin resistance, central obesity, atherogenic dyslipidemia, and hypertension) associated with morbidity and premature mortality. We evaluate the effect of a multimodal program based on physical exercise and health education on MS and health-related quality of life (QoL) in postmenopausal women with BC under AIs. Methods: A total of 56 postmenopausal women, diagnosed with BC, aged 60 years or older (mean age 67.2 years) and on hormonal treatment with AIs, were included in the multimodal physical exercise and health education program, and evaluated before and after their participation. The assessment of the five criteria of the MS included the following: waist circumference, high blood pressure, fasting glucose, triglycerides, and high-density lipoprotein cholesterol. Two main instruments were used to evaluate the impact of the intervention on QoL: the EORTC QLQ C30 (questionnaire for cancers in general) and the EORTC QLQ BR23 (specifically for breast cancer patients). The EuroQol 5D (EQ-5D) was also used to compare these results. Results: The percentage of women meeting the MS criteria was 37.7% at baseline and fell to 15.1% at 3 months after the intervention (p = 0.02). The intervention significantly reduced hypertension (p < 0.001), central obesity (p < 0.001), and the concentration of triglycerides (p = 0.016). No significant changes were observed in fasting glucose and HDL concentration. A statistically significant improvement was found in QoL (on both the QLQ30 and BR23 scales). A multivariate regression model analysis identified marital status (being married) (95% CI: 1.728–131.615, p = 0.014), and percentage of attendance at health education sessions (95% CI: 1.010–1.211, p = 0.029) as positive predictive variables of improvement in MS. Conclusions: The implementation of multimodal, community-based programs of physical exercise and health education improve the prevalence of MS and specific criteria of MS and QoL in postmenopausal women with breast cancer receiving AI treatment.

Hearing health literacy among professional and amateur musicians

AbstractMusicians create sound that is enjoyable to themselves and their audience, but this same sound also threatens their hearing health due to high sound pressure levels generated by their own and their fellow musicians’ instruments. Here we seek to identify musicians’ hearing health awareness in relation to their coping strategies. 370 professional and 401 amateur musicians in total responded to a questionnaire on hearing health, which included quantitative elements and open-ended questions. Findings reveal that musicians are generally aware of hearing health risks but also indicate a lack of discussion on that topic. However, inasmuch as respondents consider hearing protection as necessary, they articulate justified concerns about its potential impact on quality of performance and musical communication. In sum, musicians show literacy regarding their hearing health, but more guidance and training is needed to ensure effective protective measures.

NMI, POLR3G and APIP are the key molecules connecting glaucoma with high intraocular pressure: a clue for early diagnostic biomarker candidates

AIM: To understand the molecular connectivity between the intraocular pressure (IOP) and glaucoma which will provide possible clues for biomarker candidates. METHODS: The current study uncovers the important genes connecting IOP with the core functional modules of glaucoma. An integrated analysis was performed using glaucoma and IOP microarray datasets to screen for differentially expressed genes (DEGs) in both conditions. To the selected DEGs, the protein interaction network was constructed and dissected to determine the core functional clusters of glaucoma. For the clusters, the connectivity of IOP DEGs was determined. Further, enrichment analyses were performed to assess the functional annotation and potential pathways of the crucial clusters. RESULTS: The gene expression analysis of glaucoma and IOP with normal control showed that 408 DEGs (277 glaucoma and 131 IOP genes) were discovered from two GEO datasets. The 290 DEGs of glaucoma were extended to form a network containing 1495 proteins with 9462 edges. Using ClusterONE, the network was dissected to have 12 clusters. Among them, three clusters were linked with three IOP DEGs [N-Myc and STAT Interactor (NMI), POLR3G (RNA Polymerase III Subunit G), and APAF1-interacting protein (APIP)]. In the clusters, ontology analysis revealed that RNA processing and transport, p53 class mediators resulting in cell cycle arrest, cellular response to cytokine stimulus, regulation of phosphorylation, regulation of type I interferon production, DNA deamination, and cellular response to hypoxia were significantly enriched to be implicated in the development of glaucoma. Finally, NMI, POLR3G, and APIP may have roles that were noticed altered in glaucoma and IOP conditions. CONCLUSION: Our findings could help to discover new potential biomarkers, elucidate the underlying pathophysiology, and identify new therapeutic targets for glaucoma.

Evaluation of Different Swab Wetting Chemicals Affecting the Yield of DNA Obtained From Biological Evidence on Cartridge Casings

Cartridge casings made from transition metals can be examined ballistically and also serve as significant evidence by containing touch DNA. However, the success rate of profiles obtained from this type of evidence is generally low. To enhance the success of DNA profiling from suspects' biological evidence, using swabs moistened with chemicals can be beneficial. Swabs are typically moistened with water, whose hypotonic nature disrupts cell integrity, causing the release of DNA. However, water is not the only agent used for moistening swabs; various buffer solutions are also utilized. The ability of swabs to transfer touch DNA depends on the type of buffer solution used. Sodium dodecyl sulfate (SDS), a strong anionic detergent, denatures non-covalently linked secondary and tertiary structures to increase the release of bound DNA. Another buffer solution used for swab moistening is Te+4 buffer, which contains EDTA and Tris. EDTA chelates metal ions, inactivating enzymes that could potentially damage DNA, while Tris adjusts the pH to an optimal level. This study aims to compare the effectiveness of microfibre and cotton swabs moistened with SDS, Te+4 buffer, and water in recovering genetic material from blood and epithelial cells deposited on brass cartridge casings. The study also evaluates the impact of firing on the quality of DNA profiles. Among the profiles obtained, the swabs moistened with SDS produced the highest rate of complete profiles at 44%, while the lowest rate of complete profiles at 22% was observed with swabs moistened with Te+4 buffer. SDS is particularly advantageous over water when used on casings with epithelial cells. Microfibre swabs are more effective in eliminating degradative factors caused by firing, thus enhancing profiling success. Comparisons of the RFU values indicate that casings yield lower values compared to cartridges, supporting the negative impact of the high heat, pressure, and residues generated during firearm discharge.

High blood pressure in the emergency department as an opportunistic screening tool for detection of hypertension.

Hypertension is the most preventable cause of morbidity and mortality, but many individuals are underdiagnosed and lack treatment control. High blood pressure (BP) in the emergency department (ED) is commonly observed, but mostly used for short-term evaluation. We aimed to study the usefulness of high BP in the ED as a screening tool for undiagnosed hypertension. We used the electronic medical record system to identify all patients that had attended the ED at a university hospital from 2018-01-01 to 2018-03-31 and from 2018-07-01 to 2018-09-30 with an obtained systolic BP ≥ 160 and/or diastolic BP ≥ 100 mmHg measured at the ED. We excluded patients with previously diagnosed hypertension and patients on BP-lowering medication. All patients identified where contacted two years after attending the ED, with a letter of consent and a questionnaire regarding diagnosis of hypertension and current medication. 5424 patients attended the ED during the 6-months-period. 271 patients met the inclusion criteria and were asked to participate. 167 individuals (62%) agreed to participate and responded to the questionnaire. Mean age of participants were 63.1 years and 51% were women. 134 patients (80%) had measured their BP after the ED-visit, and 48 (36%) of those had been diagnosed with hypertension. 96% of patients diagnosed with hypertension were on BP-lowering medication. To follow-up BP ≥ 160/100 mmHg after an ED visit can reveal undiagnosed hypertension in one third of the patients. Given the amount of undiagnosed hypertension, an ED-measured BP might provide an important tool to detect and start treatment of hypertension.

Mediatization of medicine and health: dysfunctional aspects

In this article, based on the results of empirical research conducted by employees of the Faculty of Sociology, Doctor of Sociological Sciences, Associate Professor T.V. Semina and graduate student A.A. Belov, the destructive influence of electronic and digital media on the health of Russian citizens is considered. In fact, we are talking about the “mediatization of medicine”, which is understood as “the process caused by the emergence of digital communication tools, as a result of which the masses have free access to medical information, and all issues related to human and social health are somehow mediated by electronic media”. The author emphasizes that quite often the media practices uncontrolled submission of quasi-medical information, signs of economic bias present in the media are expressed in the fact that the main source of income for the media is advertising, especially medicines and pharmaceuticals. At the same time, commercials advertising medicines on television are the most effective in influencing the audience. In 2019, T.V. Semina, Doctor of Sociology, Associate Professor of the Faculty of Sociology at Lomonosov Moscow State University, proved the destructive role of the media in the genesis of social conflict in the doctor–patient system. In April–July 2024, the author also undertook an empirical sociological study on the problems of constructing public health in the Russian Federation, in particular, the effectiveness of the impact of advertising materials placed in the media on the health-saving attitudes of Russians, he results of which are presented in the article. In general, the results of empirical studies conducted by T.V. Semina and confirmed by the author’s research convincingly prove the dysfunctionality of the media in relation to the health of Russian citizens, their negative impact on the consciousness of both healthy and sick people. The author emphasizes that it is not so difficult to protect health, but, unfortunately, many people do not even try to do this, guided by certain stereotypes imposed by the media. For example, that after a certain age, absolutely everyone has high blood pressure, overweight, hormonal and other disorders and should regularly take appropriate (widely advertised) medications or dietary supplements, the benefits of which have not been scientifically proven. Most importantly, the author notes, changes are needed in the development of self-preservation behavior among the population. The main task of the state is not only to develop an effective health care system, but also to promote a responsible attitude of citizens to their own health, which implies regular medical examinations, giving up bad habits, leading a healthy lifestyle involving “life on the move”, full sleep and cognitive activity.

Evaluating Pressure‐dependent Discharge Behavior of Foil Versus In situ Plated Lithium Metal Anodes in Solid‐State Batteries

AbstractAnode‐free manufacturing of solid‐state batteries (SSBs) shows promise to maximize energy density by eliminating excess lithium (Li) and simplifying battery production. However, high reversibility during discharge (stripping of Li) is necessary for long‐lifetime SSBs with a limited Li reservoir. Further, the plastic flow of Li changes depending on the Li thickness, leading to possible differences in discharge performance under stack pressure. This work investigates the pressure‐dependent discharge performance of anode‐free manufactured SSBs with in situ plated Li and compares the performance to that of conventional thick Li foil cells. Distinct stripping behavior is observed at low pressures (0–1 MPa), where Li diffusivity and initial interfacial contact may control accessible capacity, compared to high pressures (3–10 MPa) where mechanical deformation of Li likely governs stripping behavior. Analysis of impedance spectra collected during stripping shows that additional stack pressure delays the formation of deep, as opposed to lateral, voids in the Li anode. These results provide insights to guide the transition from thick Li foil anodes to anode‐free manufactured SSBs.

Mechanical properties of hcp Fe at high pressures and temperatures from large-scale molecular dynamics simulations

We study the elastic behavior of hexagonal close-packed (hcp) Fe at the high temperature and pressure conditions of the Earth Core, using an embedded-atom method interatomic potential adjusted to those conditions. We calculate diffusivity, elastic constants, density, bulk modulus, shear modulus, and sound velocities vs temperature. We obtain reasonable agreement with ab initio simulations and with other empirical potential simulations. Our densities and shear modulus are slightly higher than those in the preliminary reference earth model for the core. Phase stability is discussed in terms of the Born criteria and free energies, finding that hcp is mechanically stable and that the free energy difference between hcp and body-centered cubic (bcc) is very small compared to the thermal energy. We compare our simulated shear modulus G to several analytical models, obtaining excellent agreement with the Atom in Jelium model by Swift and co-workers. Assuming that the yield strength Y is equal to the shear modulus G, Y=G/30, we find reasonable agreement with a recent parametrization of the Steinberg–Guinan model. These results can lead to future large-scale, multi-million simulations of Fe under core conditions for samples with microstructure like grain boundaries and twins, which might be present under those conditions.

Phase transition and metallization of semiconductor GeSe at high pressure

Over the past few decades, semiconductor materials of the group IV-VI monochalcogenides have attracted considerable interest from researchers due to their rich structural characteristics and excellent physical properties. Among them, GeS, GeSe, SnS, and SnSe crystallize in an orthorhombic structure (Pbnm) at ambient conditions. It has been reported that GeS, SnS, and SnSe transform into a higher symmetry orthorhombic structure (Cmcm) at high pressure, while the phase transformation route of GeSe at high pressure remains controversial. As an IV-VI monochalcogenide, GeSe possesses excellent application prospects and has been extensively studied in the fields of optoelectronic and thermoelectric. Here we systematically investigate the structural behavior, optical and electrical properties of GeSe at high pressure. GeSe undergoes a phase transition from thePbnmtoCmcmphase at 33.5 GPa, like isostructural GeS, SnS, and SnSe. The optical bandgap of GeSe decreases gradually as pressure increases and undergoes a semiconducting to metallic transition above 12 GPa. This study exhibits a high-pressure strategy for modulating structural behavior, optical and electrical properties of the group IV-VI monochalcogenides to expand its prospects in optoelectronic and thermoelectric properties.

Molecular Aggregations in Crystals of Butene Isomers Determined at High Pressure

Molecular Aggregations in Crystals of Butene Isomers Determined at High Pressure

Enhancement of friction and wear performance of polytetrafluoroethylene composites through the synergistic effect of hard fillers

AbstractThe Stirling engine is a high‐efficiency externally heating piston engine. The self‐lubricating properties of polytetrafluoroethylene (PTFE) are crucial for the operation of Stirling engines. Three PTFE composites filled with different contents of carbon fiber (CF), polyimide (PI) and nano‐zirconia (nano‐ZrO2) were prepared and their mechanical, friction and wear properties were investigated. The results showed that the density of CF‐containing PTFE composites was significantly reduced by 1.46% to 6.9% compared to neat PTFE. Meanwhile, the incorporation of fillers greatly enhanced the hardness by more than 21.4% over the hardness of neat PTFE. In addition, the friction coefficients of three PTFE composites were lower than those of neat PTFE, and the wear rate of these composites was three orders of magnitude lower than that of neat PTFE. In particular, the wear rate of PTFE filled with CF and PI at high pressure (2 MPa) and high velocity (4 m/s) was only 1.24 × 10–6 mm3/Nm. The wear morphology was also analyzed by scanning electron microscopy and energy‐dispersive x‐ray spectroscopy. It was found that the addition of CF and PI in PTFE has the most pronounced improvement on tribological performances. The synergistic effect of CF's mechanical reinforcement and PI's adhesive properties reduces the wear of the matrix, resulting in excellent wear resistance of PTFE composites.Highlights The compressive strength of PTFE was reinforced by CF and nano‐ZrO2. CF can lower the density and significantly enhance hardness of PTFE. Synergistic CF and PI enhance PTFE composites' friction & wear performance. Adhesive fillers & debris size key to forming uniform continuous transfer films.

H$_{3}$Se in the $Im\overline{3}m$ Phase: A High-Pressure Superconductor with $T_{\text{c}}$ Reaching 200 K at 64 GPa Mediated by Anharmonic Phonons

Abstract Hydrogen-based compounds have attracted significant attention in recent years due to the discovery of conventional superconductivity with high critical temperature under high pressure, rekindling hopes for searching room temperature superconductor. In this work, we investigated systematically the vibrational and superconducting properties of H$_{3}$Se in $Im\overline{3}m$ phase under pressures ranging from 50 to 200 GPa. Our approach combines the stochastic self-consistent harmonic approximation with first-principles calculations to address effects from the quantum and anharmonic vibrations of ions. It turns out that these effects significantly modify the crystal structure, increasing the inner pressure by about 8 GPa compared to situations where they are ignored. The phonon spectra suggest that with these effects included, the crystal can be stabilized at pressures as low as about 61 GPa, much lower than the previously predicted value of over 100 GPa. Our calculations also highlight the critical role of quantum and anharmonic effects on the electron-phonon coupling properties. Neglecting these factors could result in a substantial overestimation of the superconducting critical temperature $T_{\text{c}}$, by approximately 25 K at 125 GPa, for example. With anharmonic phonons, the $T_{\text{c}}$ derived from the Migdal-Eliashberg equations, reaches 200 K ($\mu^\star=0.1, \lambda$=4.1) as the pressure decreases to 64 GPa, making the crystal a rare high-$T_{\text{c}}$ superconductor at moderate pressures.

The Influence of Graft Rigidity on the Dynamical Behavior of PMMS-Based Polymer Brushes at Ambient and High Pressures

The Influence of Graft Rigidity on the Dynamical Behavior of PMMS-Based Polymer Brushes at Ambient and High Pressures

AC Bridge Pressure Sensor With Temperature Compensation for High Temperature and Pressure Composite Environment

AC Bridge Pressure Sensor With Temperature Compensation for High Temperature and Pressure Composite Environment

Diabetes mellitus and comorbidities in elderly people from the Lugu community: A critical-reflective analysis

Ageing has a close relationship with chronic non-communicable diseases, such as diabetes mellitus and high blood pressure. These pathologies are often associated with changes in eating habits and promote crucial physiological changes which act silently in the long term in the elderly population. Due to the speed of urban development and technological advances, there has been an increase in the population's life expectancy. However, it is essential to know the socio-demographic profile and prevalent comorbidities of the elderly population, which can provide a reliable and broad database to enable the outline of strategies and the promotion of efficient health policies. In this sense, the purpose of this editorial is to contribute to the debate surrounding the article that analysed epidemiological data from the Lugu community. Diabetes mellitus, hypertension and cardiovascular pathologies and their comorbidities were the most prevalent conditions in this community. Such data could contribute to develop public policies constructively and assertively, allowing investments in the prevention and treatment of these pathologies.

Cisternostomy associated with decompressive craniectomy for traumatic brain injury: a systematic review and meta-analysis.

Decompressive craniectomy (DC) has been the main surgical treatment of refractory high intracranial pressure (ICP) in traumatic brain injury (TBI) for decades. Basal cisternostomy emerged as a novel option in brain trauma, with results still unclear. We performed a systematic review and meta-analysis comparing cisternostomy added to conventional DC versus DC alone for the treatment of TBI. This study was designed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guideline. Three databases were systematically searched for studies comparing cisternostomy + DC versus DC alone. Primary outcomes were overall mortality, length of stay in ICU care, duration of mechanical ventilation. Review Manager was used for statistical analysis and I2 measured heterogeneity. A total of seven studies and 980 patients were included in this meta-analysis, 473 in the cisternostomy + DC group and 507 in the DC group. Age ranged from 14 to 69 years old, with 76% male patients. Overall mortality was significantly lower in the cisternostomy + DC group (OR 0.70; 95% CI 0.53-0.92; p = 0.01; I2 = 31%). Length of stay in ICU care was significantly reduced in the patients submitted to cisternostomy + DC (OR -4.58; CI -6.78, -2.37); p < 0.0001; I2 = 35%). The mean duration in mechanical ventilation was significantly lower in the group submitted to cisternostomy + DC (-3.49; 95% CI-6.79, -0.20; p = 0.04; I2 = 86%). Regarding functional outcomes, the scarce and heterogeneous data were not sufficient to make any conclusion about the effect of cisternostomy on functional outcomes, but tends to favor patients who underwent cisternostomy combined with DC. In this meta-analysis, the implementation of cisternostomy added to conventional DC was associated with lower mortality, days in mechanical ventilation and length of stay in ICU care. Larger prospective and randomized cohorts are necessary to recommend this procedure on a large scale.