ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2019
Observed versus expected mortality in pediatric patients intubated in the field with Glasgow Coma Scale scores < 9.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.
- Endotracheal intubation to reduce aspiration events in acutely comatose patients: a systematic review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2020Pooled it
- Incidence and mortality related risk factors in patients with severe traumatic brain injury: A meta‑analysis.Experimental and therapeutic medicine · 2025Article
- Indications for prehospital intubation among severely injured children and the prevalence of significant traumatic brain injury among those intubated due to impaired level of consciousness.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Is prehospital intubation of severely injured children in accordance with guidelines?BMC emergency medicine · 2022Article
- [Paediatric Life Support].Notfall & rettungsmedizin · 2021Review
- Development of a Mortality Prediction Tool in Pediatric Severe Traumatic Brain Injury.Neurotrauma reports · 2021Article
- Current aspects of severe trauma in children.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2019Article
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeA Glasgow Coma Scale (GCS) score of 8 or less in patients suffering from severe traumatic brain injury (TBI) represents a decision-making marker in terms of intubation. This study evaluated the impact of prehospital intubation on the mortality of these TBI cases among different age groups.
methodsThis study included the data from patients predominantly suffering from severe TBI [Abbreviated Injury Scale (AIS) of the head ≥ 3, GCS score < 9, Injury Severity Score (ISS) > 9] who were registered in TraumaRegister DGU
resultsA total of 21,242 patients were included. More often, the intubated patients were severely injured when compared to the non-intubated patients (median ISS 29, IQR 22-41 vs. 24, IQR 16-29, respectively), with an associated higher mortality (42.2% vs. 30.0%, respectively). When compared to the calculated expected mortality, the observed mortality was significantly higher among the intubated patients within the youngest subgroup (42.2% vs. 33.4%, respectively; p = 0.03).
conclusionsThe observed mortality in the intubated children 1-6 years old suffering from severe TBI seemed to be higher than expected. Whether or not a GCS score of 8 or less is the only reliable criterion for intubation in this age group should be investigated in further trials.
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