Evidence map›Paper›PMID 29127440›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2018

Is a stepdown unit safe for patients with mild traumatic intracranial hemorrhages?

L C Lamb, M M DiFiori, J Calafell, C H Comey, D S Shapiro, J M Feeney

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Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

L C LambDepartment of Surgery, Trauma and Critical Care, Saint Francis Hospital and Medical Center, 114 Woodland Street, Hartford, CT 06105, USA.
M M DiFioriDepartment of Surgery, Trauma and Critical Care, Saint Francis Hospital and Medical Center, 114 Woodland Street, Hartford, CT 06105, USA.ORCID http://orcid.org/0000-0001-6437-654X
J CalafellUniversity of Connecticut School of Medicine, 263 Farmington Avenue, Farmington, CT 06032, USA.
C H ComeyDepartment of Surgery, Trauma and Critical Care, Saint Francis Hospital and Medical Center, 114 Woodland Street, Hartford, CT 06105, USA.
D S ShapiroDepartment of Surgery, Trauma and Critical Care, Saint Francis Hospital and Medical Center, 114 Woodland Street, Hartford, CT 06105, USA.
J M FeeneyDepartment of Surgery, Trauma and Critical Care, Saint Francis Hospital and Medical Center, 114 Woodland Street, Hartford, CT 06105, USA. feeneymd@yahoo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTraumatic brain injuries (TBIs) are a major source of disability in the United States. The ideal unit in the hospital for patients with mild traumatic intracranial hemorrhages (ICHs) has not been elucidated. We sought to investigate whether patients treated in the surgical stepdown area had worse outcomes than those treated in the surgical ICU.

methodsWe compared patients with ICHs and a Glasgow Coma Scale (GCS) upon admission of 14 or 15 who went to the ICU to those who went to the stepdown area from April 2014 to November 2016. We compared age, gender, Injury Severity Score (ISS), admission GCS (14 or 15), operative intervention, discharge destination, hospital length of stay (HLOS), mortality, and cost between these two groups.

resultsPatients admitted to the ICU had a significantly longer HLOS. Admission costs for patients admitted to ICU were also significantly higher than their stepdown area counterparts. This was true for both total charges (p = 0.0001) and for net revenue (p = 0.002) (Table 2). There was no statistically significant difference in mortality, operative intervention, or discharge destination.

conclusionA surgical stepdown unit can be a safe disposition for patients with mild traumatic ICHs and represents an effective use of hospital resources.

Indexed as

Patient AcuityAgedConnecticutCosts and Cost AnalysisFemaleGlasgow Coma ScaleHumansInjury Severity ScoreIntensive Care UnitsIntracranial Hemorrhage, TraumaticMalePatient AdmissionCost analysisIntracranial hemorrhageStepdown unitTraumaTraumatic brain injury

Identifiers

PMID29127440

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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.