Observational studyRevista Brasileira de terapia intensiva
Measurement of intracranial pressure and short-term outcomes of patients with traumatic brain injury: a propensity-matched analysis.
Observational study in Revista Brasileira de terapia intensiva. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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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.
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Who cites it
6 citing papers in PubMed.
- Transfusion requirements after head trauma: a randomized feasibility controlled trial.Critical care (London, England) · 2019Trial
- A Novel Noninvasive Technique for Intracranial Pressure Waveform Monitoring in Critical Care.Journal of personalized medicine · 2021Article
- Intracranial pressure monitoring in diffuse brain injury-why the developing world needs it more?Acta neurochirurgica · 2018Article
- To: Measurement of intracranial pressure and short-term outcomes of patients with traumatic brain injury: a propensity-matched analysis.Revista Brasileira de terapia intensiva · 2016Article
- Reply to: Measurement of intracranial pressure and short-term outcomes of patients with traumatic brain injury: a propensity-matched analysis.Revista Brasileira de terapia intensiva · 2016Article
- Intracranial pressure monitoring in the torture chambre.Revista Brasileira de terapia intensivaArticle
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the impact of intracranial pressure monitoring on the short-term outcomes of traumatic brain injury patients.
methodsRetrospective observational study including 299 consecutive patients admitted due to traumatic brain injury from January 2011 through July 2012 at a Level 1 trauma center in São Paulo, Brazil. Patients were categorized in two groups according to the measurement of intracranial pressure (measured intracranial pressure and non-measured intracranial pressure groups). We applied a propensity-matched analysis to adjust for possible confounders (variables contained in the Crash Score prognostic algorithm).
resultsGlobal mortality at 14 days (16%) was equal to that observed in high-income countries in the CRASH Study and was better than expected based on the CRASH calculator score (20.6%), with a standardized mortality ratio of 0.77. A total of 28 patients received intracranial pressure monitoring (measured intracranial pressure group), of whom 26 were paired in a 1:1 fashion with patients from the non-measured intracranial pressure group. There was no improvement in the measured intracranial pressure group compared to the non-measured intracranial pressure group regarding hospital mortality, 14-day mortality, or combined hospital and chronic care facility mortality. Survival up to 14 days was also similar between groups.
conclusionPatients receiving intracranial pressure monitoring tend to have more severe traumatic brain injuries. However, after adjusting for multiple confounders using propensity scoring, no benefits in terms of survival were observed among intracranial pressure-monitored patients and those managed with a systematic clinical protocol.
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