Trial reportArchives of pediatrics & adolescent medicine2012
Variation in intracranial pressure monitoring and outcomes in pediatric traumatic brain injury.
Trial report in Archives of pediatrics & adolescent medicine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 2 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
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
50 citing papers in PubMed, 2 syntheses or guidelines pooled it, 91 citations in OpenAlex.
- Effects of intracranial pressure monitoring in pediatric severe traumatic brain injury: a meta-analysis of cohort studies.Frontiers in neurology · 2025Pooled it
- Routine intracranial pressure monitoring in acute coma.The Cochrane database of systematic reviews · 2015Pooled it
- Predicting intracranial pressure monitor placement in children with traumatic brain injury: a prospective cohort study to develop a clinical decision support tool.Journal of the American Medical Informatics Association : JAMIA · 2026Observational
- Long-term neurological outcomes of severe traumatic brain injury in the intensive care unit.Frontiers in pediatrics · 2025Article
- Intracranial pressure monitoring in patients with geriatric trauma may not improve outcome but is associated with increases in resource utilization.Trauma surgery & acute care open · 2025Article
- Identifying Clinical Predictors of Raised Intracranial Pressure in Pediatric Traumatic Brain Injury-A Multinational Initiative.Neurotrauma reports · 2025Article
- Neuromonitoring in Children with Traumatic Brain Injury.Neurocritical care · 2024Review
- Utility of intracranial pressure monitoring in patients with traumatic brain injuries: a propensity score matching analysis of TQIP data.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Intracranial Pressure and Its Related Parameters in the Management of Severe Pediatric Traumatic Brain Injury.Advances in neurobiology · 2024Review
- Article
- Global traumatic brain injury intracranial pressure: from monitoring to surgical decision.Frontiers in neurology · 2024Review
- Predicting inpatient mortality in pediatric traumatic brain injury: insights from a national database.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2023Article
- A multicenter observational study on outcomes of moderate and severe pediatric traumatic brain injuries-time to reappraise thresholds for treatment.Acta neurochirurgica · 2023Observational
- Invasive Neuromonitoring Modalities in the Pediatric Population.Neurocritical care · 2023Review
- Non-invasive monitoring of intracranial pressure changes: healthy volunteers study.Frontiers in physiology · 2023Article
- Pediatric Severe Traumatic Brain Injury : Updated Management.Journal of Korean Neurosurgical Society · 2022Article
- Variation in neurosurgical intervention for severe traumatic brain injury: The challenge of measuring quality in trauma center verification.The journal of trauma and acute care surgery · 2021Article
- Optic nerve sheath diameter does not correlate with intracranial pressure in pediatric neurocritical care patients.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2021Article
- Non-invasive estimation of cerebral perfusion pressure using transcranial Doppler ultrasonography in children with severe traumatic brain injury.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2020Article
- Ability of the PILOT score to predict 6-month functional outcome in pediatric patients with moderate-severe traumatic brain injury.Journal of pediatric surgery · 2020Observational
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
objectivesTo describe between-hospital and patient-level variation in intracranial pressure (ICP) monitoring and to evaluate ICP monitoring in association with hospital features and outcome in children with traumatic brain injury (TBI).
designRetrospective cohort study. SETTING Children's hospitals participating in the Pediatric Health Information System database (January 2001 to June 2011).
participantsChildren (aged <18 years) with TBI and head Abbreviated Injury Scale scores of at least 3 who were ventilated for at least 96 consecutive hours or who died in the first 4 days after hospital admission.
main outcome measuresMonitoring of ICP.
resultsA total of 4667 children met the study criteria. Hospital mortality was 41% (n = 1919). Overall, 55% of patients (n = 2586) received ICP monitoring. Expected hospital ICP monitoring rates after adjustment for patient age, cardiac arrest, inflicted injury, craniotomy or craniectomy, head Abbreviated Injury Scale score, and Injury Severity Score were 47% to 60%. Observed hospital ICP monitoring rates were 14% to 83%. Hospitals with more observed ICP monitoring, relative to expected, and hospitals with higher patient volumes had lower rates of mortality or severe disability. After adjustment for between-hospital variation and patient severity of injury, ICP monitoring was independently associated with age 1 year and older (odds ratio, 3.1; 95% CI, 2.5-3.8) vs age younger than 1 year.
conclusionsThere was significant between-hospital variation in ICP monitoring that cannot be attributed solely to differences in case mix. Hospitals that monitor ICP more frequently and hospitals with higher patient volumes had better patient outcomes. Infants with TBI are less likely to receive ICP monitoring than are older children.
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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.