ArticleTrauma surgery & acute care open2020
Multicenter assessment of the Brain Injury Guidelines and a proposal of guideline modifications.
Article in Trauma surgery & acute care open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.
- Pooled it
- Small traumatic intracranial hemorrhages identified in routine radiology reports are associated with a low risk of adverse events: a retrospective cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Retrospective Validation of the Brain Injury Guidelines at a Single Community Institution.Cureus · 2026Article
- Role of thromboelastography in risk stratifying patients with traumatic brain injury on prehospital antiplatelet agents.Trauma surgery & acute care open · 2026Article
- External validation of the modified Brain Injury Guidelines: an observational study.BMC emergency medicine · 2025Observational
- Adoption of brain injury guidelines in mild traumatic brain injury: challenges at both referring and receiving trauma centers.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Improving the management of acute subdural hematomas; identifying characteristics associated with acute subdural hematoma size and expansion.Emergency radiology · 2025Article
- Traumatic brain injury (TBI) triage tool for low-risk patients: standardizing TBI care at a Level 1 trauma center.Trauma surgery & acute care open · 2025Article
- Fatal neurological deterioration after minor head trauma in a patient with prior neurosurgical intervention: a gap in the brain injury guidelines?Trauma surgery & acute care open · 2025Article
- External evaluation of Brain Injury Guideline (BIG) low risk criteria for traumatic brain injury.The American journal of emergency medicine · 2024Article
- Outcomes of Traumatic Brain Injury Patients Managed in a Non-Intensive Care Unit Setting.The Journal of surgical research · 2024Article
- Causes of mortality in military working dog from traumatic injuries.Frontiers in veterinary science · 2024Article
- Validation of Quality Indicators Targeting Low-Value Trauma Care.JAMA surgery · 2022Article
Corrections and comments
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Authors and funding
10 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Brain Injury Guidelines provide an algorithm fortreating patients with traumatic brain injury (TBI) and intracranial hemorrhage(ICH) that does not mandate hospital admission, repeat head CT, orneurosurgical consult for all patients. The purposes of this study are toreview the guidelines' safety, to assess resource utilization, and to proposeguideline modifications that improve patient safety and widespreadreproducibility.
methodsA multi-institutional review of TBI patients was conducted. Patients with ICH on CT were classified as BIG 1, 2, or 3 based on the guidelines. BIG 3 patients were excluded. Variables collected included demographics, Injury Severity Score (ISS), hospital length of stay (LOS), intensive care unit LOS, number of head CTs, type of injury, progression of injury, and neurosurgical interventions performed.
results269 patients met inclusion criteria. 98 were classifiedas BIG 1 and 171 as BIG 2. The median length of stay (LOS) was 2 (2,4)days and the ICU LOS was 1 (0,2) days. Most patients had a neurosurgeryconsultation (95.9%) and all patients included had a repeat head CT. 370repeat head CT scans were performed, representing 1.38 repeat scans perpatient. 11.2% of BIG 1 and 11.1% of BIG 2 patients demonstratedworsening on repeat head CT. Patients who progressed exhibited a higherISS (14 vs. 10, DISCUSSION: The Brain Injury Guidelines may improve resourceallocation if utilized, but alterations are required to ensure patientsafety. The modified Brain Injury Guidelines refine the originalguidelines to enhance reproducibility and patient safety while continuing toprovide improved resource utilization in TBI management.
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