ArticleThe Journal of trauma2011
Identification of low-risk patients with traumatic brain injury and intracranial hemorrhage who do not need intensive care unit admission.
Article in The Journal of trauma, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Risk of Deterioration in GCS13-15 Patients with Traumatic Brain Injury Identified by Computed Tomography Imaging: A Systematic Review and Meta-Analysis.Journal of neurotrauma · 2018Pooled it
- Comparison of the predictive value of two international guidelines for safe discharge of patients with mild traumatic brain injuries and associated intracranial pathology.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Neurological deteriorations in mild brain injuries: the strategy of evaluation and management.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Antithrombotic regimens and need for critical care interventions among patients with subdural hematomas.The American journal of emergency medicine · 2021Article
- Characteristics of traumatic brain injury patients with abnormal neuroimaging in Southeast Norway.Injury epidemiology · 2020Article
- Emergency department observation of mild traumatic brain injury with minor radiographic findings: shorter stays, less expensive, and no increased risk compared to hospital admission.Journal of the American College of Emergency Physicians open · 2020Article
- Older Adults With Isolated Rib Fractures Do Not Require Routine Intensive Care Unit Admission.The Journal of surgical research · 2020Article
- Concurrent Types of Intracranial Hemorrhage are Associated with a Higher Mortality Rate in Adult Patients with Traumatic Subarachnoid Hemorrhage: A Cross-Sectional Retrospective Study.International journal of environmental research and public health · 2019Article
- Traumatic Minor Intracranial Hemorrhage: Management by Non-neurosurgeon Consultants in a Regional Trauma Center is Safe and Effective.World journal of surgery · 2019Article
- Factors associated with adverse outcomes in patients with traumatic intracranial hemorrhage and Glasgow Coma Scale of 15.The American journal of emergency medicine · 2017Article
- Risk factors for delayed neuro-surgical intervention in patients with acute mild traumatic brain injury and intracranial hemorrhage.World journal of emergency surgery : WJES · 2016Article
- Delineation of Criteria for Admission to Step Down in the Mild Traumatic Brain Injury Patient.The American surgeon · 2016Article
- Patient Admission Preferences and Perceptions.The western journal of emergency medicine · 2015Article
- Prediction of neurosurgical intervention after mild traumatic brain injury using the national trauma data bank.World journal of emergency surgery : WJES · 2015Article
- ED disposition of the Glasgow Coma Scale 13 to 15 traumatic brain injury patient: analysis of the Transforming Research and Clinical Knowledge in TBI study.The American journal of emergency medicine · 2014Article
- Derivation of a clinical decision instrument to identify adult patients with mild traumatic intracranial hemorrhage at low risk for requiring ICU admission.Annals of emergency medicine · 2014Observational
- Variability of ICU use in adult patients with minor traumatic intracranial hemorrhage.Annals of emergency medicine · 2013Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
backgroundPatients with traumatic brain injury (TBI) and traumatic intracranial hemorrhage are frequently admitted to the intensive care unit (ICU) but never require critical care interventions. Improved ICU triage in this patient population can improve resource utilization and decrease health care costs. We sought to identify a low-risk group of patients with TBI who do not require admission to an ICU.
methodsThis is a retrospective cohort study of adult patients with TBI and traumatic intracranial hemorrhage. The need for ICU admission was defined as the presence of a critical care intervention. Patients were considered low risk if there was no critical care intervention before hospital admission. Measured outcomes included delayed critical care interventions at 48 hours and during hospitalization, mortality, and emergency surgery.
resultsA total of 187 of 320 patients were considered low risk. In the low-risk group, two patients (1.1%; 95% confidence interval [CI], 0.1-3.8) had a delayed critical care intervention within 48 hours of admission and four patients (2.1%; 95% CI, 0.6-5.4) after 48 hours of admission. Two patients (1.1%; 95% CI, 0-3.8) in the low-risk group died. No patients in the low-risk group required neurosurgical intervention.
conclusionPatients with TBI without a critical care intervention before admission are at low risk for requiring future critical care interventions. Future studies are required to validate if this low-risk criteria can serve as a safe, cost-effective triage tool for ICU admission.
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