ArticleIntensive care medicine2008
Monitoring of intracranial pressure in patients with severe traumatic brain injury: an Austrian prospective multicenter study.
Article in Intensive care medicine, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 5 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
24 citing papers in PubMed, 5 syntheses or guidelines pooled it, 80 citations in OpenAlex.
- Impacts of intracranial pressure monitoring on mortality and length of stay in severe traumatic brain injury: a systematic review and meta-analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Pooled it
- The Significance of Intracranial Pressure Monitoring for Reducing Mortality in Patients with Traumatic Brain Injury: A Systematic Review and Meta-Analysis.Computational and mathematical methods in medicine · 2022Pooled it
- Pooled it
- Effects of Intracranial Pressure Monitoring on Mortality in Patients with Severe Traumatic Brain Injury: A Meta-Analysis.PloS one · 2016Pooled it
- The effects of intracranial pressure monitoring in patients with traumatic brain injury.PloS one · 2014Pooled it
- A Method of Managing Severe Traumatic Brain Injury in the Absence of Intracranial Pressure Monitoring: The Imaging and Clinical Examination Protocol.Journal of neurotrauma · 2018Trial
- Impact of Invasive Intracranial Pressure Monitoring on Outcomes in Older Adults with Severe Traumatic Brain Injury: A Systematic Review and Meta-Analysis.Neurocritical care · 2026Article
- Favourable outcome in a subset of ultra-severe traumatic brain injury patients - a single-centre retrospective study.Brain & spine · 2026Article
- Neurosurgical intervention in ultra-severe closed traumatic brain injury: Is it worth the effort?Brain & spine · 2024Review
- Global traumatic brain injury intracranial pressure: from monitoring to surgical decision.Frontiers in neurology · 2024Review
- Intracranial Pressure Monitoring in the Intensive Care Unit for Patients with Severe Traumatic Brain Injury: Analysis of the CENTER-TBI China Registry.Neurocritical care · 2022Article
- Factors associated with receipt of intracranial pressure monitoring in older adults with traumatic brain injury.Trauma surgery & acute care open · 2021Article
- Adherence to brain trauma foundation guidelines for intracranial pressure monitoring in severe traumatic brain injury and the effect on outcome: A population-based study.Surgical neurology international · 2020Article
- Tracheostomy is associated with decreased hospital mortality after moderate or severe isolated traumatic brain injury.Wiener klinische Wochenschrift · 2016Article
- Intracranial pressure monitoring during adult spinal deformity correction in a patient with critical venous occlusive disease and superior vena cava syndrome: A technical note.Surgical neurology international · 2016Article
- Intracranial pressure monitoring: fundamental considerations and rationale for monitoring.Neurocritical care · 2014Review
- Intracranial pressure monitoring in severe traumatic brain injury: results from the American College of Surgeons Trauma Quality Improvement Program.Journal of neurotrauma · 2013Observational
- Impact of concomitant injuries on outcomes after traumatic brain injury.Archives of orthopaedic and trauma surgery · 2013Article
- Intensive care for pediatric traumatic brain injury.Intensive care medicine · 2013Article
- Critical care management of severe traumatic brain injury in adults.Scandinavian journal of trauma, resuscitation and emergency medicine · 2012Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe goals of this study were to elucidate reasons why patients did or did not receive intracranial pressure (ICP) monitoring and to describe factors influencing hospital mortality after severe traumatic brain injury (TBI).
designProspective multicenter cohort study. PATIENTS AND
participants88,274 patients consecutively admitted to 32 medical, surgical and mixed Austrian ICUs between 1998 and 2004.
interventionsNone. MEASUREMENTS AND
results1,856 patients (2.1% of all ICU admissions) exhibited severe TBI (GCS < 9); of these, 1,031 (56%) had ICP monitoring. The "worst" and the "best" cases were both less likely to receive ICP monitoring. Younger patients, female patients, and patients with isolated TBI were more likely to receive ICP monitoring. Compared with large centers ICP was monitored more frequently [odds ratio (OR) 3.09, CI 2.42-3.94] in medium-sized centers. The 20% of patients with the highest likelihood to receive ICP monitoring were monitored in 91% of cases, and had the lowest hospital mortality (31%, OR 0.78, CI 0.37-1.64). Multivariate analysis revealed that severity of illness, TBI severity, isolated TBI, and the number of cases treated per year were associated with hospital outcome. Compared with the large centers, ORs for hospital mortality were 1.85 (CI 1.42-2.40) for patients from medium-sized centers and 1.91 (CI 1.24-2.93) for patients from small centers.
conclusionsICP monitoring may possibly have some beneficial effects, but this needs further evaluation. Patients with severe TBI should be admitted to experienced centers with high patient volumes since this might improve hospital mortality rates.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.