ArticleWorld journal of emergency surgery : WJES2015
Prediction of neurosurgical intervention after mild traumatic brain injury using the national trauma data bank.
Article in World journal of emergency surgery : WJES, 2015. 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
- Does the Integration of Inflammatory Markers with Clinical Scoring Systems Improve the Prediction of Neurosurgical Intervention in Emergency Department Patients Diagnosed with Traumatic Subarachnoid Hemorrhage?Diagnostics (Basel, Switzerland) · 2026Article
- Sex and Age Differences in Outcomes of Traumatic Brain Injury: Findings from the Japan Neurotrauma Data Bank.Journal of clinical medicine · 2026Article
- An Interpretable Machine Learning Model for Predicting Early Neurological Deterioration Following Posttraumatic Acute Diffuse Brain Swelling.Neurocritical care · 2025Article
- National survey of current practices and attitudes regarding discharge disposition for older adults with mild traumatic brain injury and traumatic intracranial hemorrhage.Acta neurologica Belgica · 2025Article
- Hospital admission of older patients with mild traumatic brain injury and traumatic intracranial hemorrhage: is it always necessary?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Development of chronic subdural haematoma from mild head injury: A case report and review of current Malaysian guidelines on traumatic brain injury.Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia · 2025Article
- Traumatic Brain Injury: Contemporary Challenges and the Path to Progress.Journal of clinical medicine · 2023Article
- Characterizing Interhospital Variability in Neurosurgical Interventions for Patients with Mild Traumatic Brain Injury and Intracranial Hemorrhage.Neurotrauma reports · 2023Article
- Significant National Declines in Neurosurgical Intervention for Mild Traumatic Brain Injury with Intracranial Hemorrhage: A 13-Year Review of the National Trauma Data Bank.Neurotrauma reports · 2023Article
- Endoscopic-assisted removal of bilateral traumatic intracerebral hemorrhage: A case report.Surgical neurology international · 2023Article
- A proposed amendment to the current guidelines for mild traumatic brain injury: reducing computerized tomographies while maintaining safety.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021Article
- 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
- Correlation of Blood Biomarkers and Biomarker Panels with Traumatic Findings on Computed Tomography after Traumatic Brain Injury.Journal of neurotrauma · 2019 · on this mapArticle
- Physical Performance and Fall Risk in Persons With Traumatic Brain Injury.Perceptual and motor skills · 2019Article
- The profile of blunt traumatic infratentorial cranial bleed types.Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia · 2019Article
- The clinical significance of small subarachnoid hemorrhages.Emergency radiology · 2016Article
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Authors and funding
5 authors.
Funding
Abstract
introductionPatients with mild traumatic brain injury (TBI) as defined by an admission Glasgow Coma Score (GCS) of 14-15 often do not require neurosurgical interventions, but which patients will go on to require neurosurgical care has been difficult to predict. We hypothesized that injury patterns would be associated with need for eventual neurosurgical intervention in mild TBI.
methodsThe National Trauma Databank (2007-2012) was queried for patients with blunt injury and a diagnosis of TBI with an emergency department GCS of 14-15. Patients were stratified by age and injury type. Multiple logistic regression for neurosurgical intervention was run with patient demographics, physiologic variables, and injury diagnoses as dependent variables.
resultsThe study included 50,496 patients, with an overall 8.8 % rate of neurosurgical intervention. Neurosurgical intervention rates varied markedly according to injury type, and were only correlated with age for patients with epidural and subdural hemorrhage. In multiple logistic regression, TBI diagnoses were predictive of need for neurosurgical interventions; moreover, after controlling for injury type and severity score, age was not significantly associated with requiring neurosurgical intervention.
conclusionsWe found that in mild TBI, injury pattern is associated with eventual need for neurosurgical intervention. Patients with cerebral contusion or subarachnoid hemorrhage are much less likely to require neurosurgical intervention, and the effects of age are not significant after controlling for other patient factors. Prospective studies should validate this finding so that treatment guidelines can be updated to better allocate ICU resources.
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