ArticleCanadian journal of surgery. Journal canadien de chirurgie
Intensity of hospital resource use following traumatic brain injury: a multicentre cohort study, 2013-2016.
Open access · diamondAbstract readMulticenter Study
In one paragraph
Article in Canadian journal of surgery. Journal canadien de chirurgie. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 30% of its field
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.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
3 citing papers in PubMed, 3 citations in OpenAlex.
- Variation in capability, organisational structure, and treatment processes for critically ill adults with moderate-to-severe traumatic brain injury in Australia and New Zealand.Critical care and resuscitation : journal of the Australasian Academy of Critical Care Medicine · 2026Article
- The subtype matters: unraveling the clinical impact of TBI variants among patients with isolated blunt head injury and skull fractures.Emergency radiology · 2025Article
- Clinical complications after a traumatic brain injury and its relation with brain biomarkers.Scientific reports · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors at 2 institutions in 2 countries.
Coralie AssyDépartement de médecine sociale et préventive (Assy, Moore, Porgo, Farhat, Tardif, Turgeon) and axe Santé des populations et pratiques optimales en santé (Population Health and Optimal Health Practices Research Unit) (Assy, Moore, Porgo, Farhat, Tardif, Lauzier, Turgeon), Traumatologie - Urgence - Soins intensifs (Trauma - Emergency - Critical Care Medicine), Centre de recherche du Centre hospitalier universtaire de Québec, Hôpital de l'Enfant-Jésus, Université Laval, Québec, Que.; Institut national d'excellence en santé et en services sociaux (Truchon, Clément), Québec, Que.; Departments of Critical Care Medicine, Medicine and Community Health Sciences (Stelfox), O'Brien Institute for Public Health, University of Calgary, Calgary, Alta.; School of Public Health and Preventive Medicine (Gabbe), Monash University, Melbourne, Australia; Department of Medicine (Lauzier) and Division of Critical Care Medicine (Lauzier, Turgeon), Department of Anesthesiology and Critical Care Medicine, and Department of Surgery (Clément), Université Laval, Québec, Que. coralie.assy.1@ulaval.ca.
Lynne MooreDépartement de médecine sociale et préventive (Assy, Moore, Porgo, Farhat, Tardif, Turgeon) and axe Santé des populations et pratiques optimales en santé (Population Health and Optimal Health Practices Research Unit) (Assy, Moore, Porgo, Farhat, Tardif, Lauzier, Turgeon), Traumatologie - Urgence - Soins intensifs (Trauma - Emergency - Critical Care Medicine), Centre de recherche du Centre hospitalier universtaire de Québec, Hôpital de l'Enfant-Jésus, Université Laval, Québec, Que.; Institut national d'excellence en santé et en services sociaux (Truchon, Clément), Québec, Que.; Departments of Critical Care Medicine, Medicine and Community Health Sciences (Stelfox), O'Brien Institute for Public Health, University of Calgary, Calgary, Alta.; School of Public Health and Preventive Medicine (Gabbe), Monash University, Melbourne, Australia; Department of Medicine (Lauzier) and Division of Critical Care Medicine (Lauzier, Turgeon), Department of Anesthesiology and Critical Care Medicine, and Department of Surgery (Clément), Université Laval, Québec, Que.
Teegwendé Valérie PorgoDépartement de médecine sociale et préventive (Assy, Moore, Porgo, Farhat, Tardif, Turgeon) and axe Santé des populations et pratiques optimales en santé (Population Health and Optimal Health Practices Research Unit) (Assy, Moore, Porgo, Farhat, Tardif, Lauzier, Turgeon), Traumatologie - Urgence - Soins intensifs (Trauma - Emergency - Critical Care Medicine), Centre de recherche du Centre hospitalier universtaire de Québec, Hôpital de l'Enfant-Jésus, Université Laval, Québec, Que.; Institut national d'excellence en santé et en services sociaux (Truchon, Clément), Québec, Que.; Departments of Critical Care Medicine, Medicine and Community Health Sciences (Stelfox), O'Brien Institute for Public Health, University of Calgary, Calgary, Alta.; School of Public Health and Preventive Medicine (Gabbe), Monash University, Melbourne, Australia; Department of Medicine (Lauzier) and Division of Critical Care Medicine (Lauzier, Turgeon), Department of Anesthesiology and Critical Care Medicine, and Department of Surgery (Clément), Université Laval, Québec, Que.
Imen FarhatDépartement de médecine sociale et préventive (Assy, Moore, Porgo, Farhat, Tardif, Turgeon) and axe Santé des populations et pratiques optimales en santé (Population Health and Optimal Health Practices Research Unit) (Assy, Moore, Porgo, Farhat, Tardif, Lauzier, Turgeon), Traumatologie - Urgence - Soins intensifs (Trauma - Emergency - Critical Care Medicine), Centre de recherche du Centre hospitalier universtaire de Québec, Hôpital de l'Enfant-Jésus, Université Laval, Québec, Que.; Institut national d'excellence en santé et en services sociaux (Truchon, Clément), Québec, Que.; Departments of Critical Care Medicine, Medicine and Community Health Sciences (Stelfox), O'Brien Institute for Public Health, University of Calgary, Calgary, Alta.; School of Public Health and Preventive Medicine (Gabbe), Monash University, Melbourne, Australia; Department of Medicine (Lauzier) and Division of Critical Care Medicine (Lauzier, Turgeon), Department of Anesthesiology and Critical Care Medicine, and Department of Surgery (Clément), Université Laval, Québec, Que.
Pier-Alexandre TardifDépartement de médecine sociale et préventive (Assy, Moore, Porgo, Farhat, Tardif, Turgeon) and axe Santé des populations et pratiques optimales en santé (Population Health and Optimal Health Practices Research Unit) (Assy, Moore, Porgo, Farhat, Tardif, Lauzier, Turgeon), Traumatologie - Urgence - Soins intensifs (Trauma - Emergency - Critical Care Medicine), Centre de recherche du Centre hospitalier universtaire de Québec, Hôpital de l'Enfant-Jésus, Université Laval, Québec, Que.; Institut national d'excellence en santé et en services sociaux (Truchon, Clément), Québec, Que.; Departments of Critical Care Medicine, Medicine and Community Health Sciences (Stelfox), O'Brien Institute for Public Health, University of Calgary, Calgary, Alta.; School of Public Health and Preventive Medicine (Gabbe), Monash University, Melbourne, Australia; Department of Medicine (Lauzier) and Division of Critical Care Medicine (Lauzier, Turgeon), Department of Anesthesiology and Critical Care Medicine, and Department of Surgery (Clément), Université Laval, Québec, Que.
Catherine TruchonDépartement de médecine sociale et préventive (Assy, Moore, Porgo, Farhat, Tardif, Turgeon) and axe Santé des populations et pratiques optimales en santé (Population Health and Optimal Health Practices Research Unit) (Assy, Moore, Porgo, Farhat, Tardif, Lauzier, Turgeon), Traumatologie - Urgence - Soins intensifs (Trauma - Emergency - Critical Care Medicine), Centre de recherche du Centre hospitalier universtaire de Québec, Hôpital de l'Enfant-Jésus, Université Laval, Québec, Que.; Institut national d'excellence en santé et en services sociaux (Truchon, Clément), Québec, Que.; Departments of Critical Care Medicine, Medicine and Community Health Sciences (Stelfox), O'Brien Institute for Public Health, University of Calgary, Calgary, Alta.; School of Public Health and Preventive Medicine (Gabbe), Monash University, Melbourne, Australia; Department of Medicine (Lauzier) and Division of Critical Care Medicine (Lauzier, Turgeon), Department of Anesthesiology and Critical Care Medicine, and Department of Surgery (Clément), Université Laval, Québec, Que.
Henry T StelfoxDépartement de médecine sociale et préventive (Assy, Moore, Porgo, Farhat, Tardif, Turgeon) and axe Santé des populations et pratiques optimales en santé (Population Health and Optimal Health Practices Research Unit) (Assy, Moore, Porgo, Farhat, Tardif, Lauzier, Turgeon), Traumatologie - Urgence - Soins intensifs (Trauma - Emergency - Critical Care Medicine), Centre de recherche du Centre hospitalier universtaire de Québec, Hôpital de l'Enfant-Jésus, Université Laval, Québec, Que.; Institut national d'excellence en santé et en services sociaux (Truchon, Clément), Québec, Que.; Departments of Critical Care Medicine, Medicine and Community Health Sciences (Stelfox), O'Brien Institute for Public Health, University of Calgary, Calgary, Alta.; School of Public Health and Preventive Medicine (Gabbe), Monash University, Melbourne, Australia; Department of Medicine (Lauzier) and Division of Critical Care Medicine (Lauzier, Turgeon), Department of Anesthesiology and Critical Care Medicine, and Department of Surgery (Clément), Université Laval, Québec, Que.
Belinda J GabbeDépartement de médecine sociale et préventive (Assy, Moore, Porgo, Farhat, Tardif, Turgeon) and axe Santé des populations et pratiques optimales en santé (Population Health and Optimal Health Practices Research Unit) (Assy, Moore, Porgo, Farhat, Tardif, Lauzier, Turgeon), Traumatologie - Urgence - Soins intensifs (Trauma - Emergency - Critical Care Medicine), Centre de recherche du Centre hospitalier universtaire de Québec, Hôpital de l'Enfant-Jésus, Université Laval, Québec, Que.; Institut national d'excellence en santé et en services sociaux (Truchon, Clément), Québec, Que.; Departments of Critical Care Medicine, Medicine and Community Health Sciences (Stelfox), O'Brien Institute for Public Health, University of Calgary, Calgary, Alta.; School of Public Health and Preventive Medicine (Gabbe), Monash University, Melbourne, Australia; Department of Medicine (Lauzier) and Division of Critical Care Medicine (Lauzier, Turgeon), Department of Anesthesiology and Critical Care Medicine, and Department of Surgery (Clément), Université Laval, Québec, Que.
François LauzierDépartement de médecine sociale et préventive (Assy, Moore, Porgo, Farhat, Tardif, Turgeon) and axe Santé des populations et pratiques optimales en santé (Population Health and Optimal Health Practices Research Unit) (Assy, Moore, Porgo, Farhat, Tardif, Lauzier, Turgeon), Traumatologie - Urgence - Soins intensifs (Trauma - Emergency - Critical Care Medicine), Centre de recherche du Centre hospitalier universtaire de Québec, Hôpital de l'Enfant-Jésus, Université Laval, Québec, Que.; Institut national d'excellence en santé et en services sociaux (Truchon, Clément), Québec, Que.; Departments of Critical Care Medicine, Medicine and Community Health Sciences (Stelfox), O'Brien Institute for Public Health, University of Calgary, Calgary, Alta.; School of Public Health and Preventive Medicine (Gabbe), Monash University, Melbourne, Australia; Department of Medicine (Lauzier) and Division of Critical Care Medicine (Lauzier, Turgeon), Department of Anesthesiology and Critical Care Medicine, and Department of Surgery (Clément), Université Laval, Québec, Que.
Alexis F TurgeonDépartement de médecine sociale et préventive (Assy, Moore, Porgo, Farhat, Tardif, Turgeon) and axe Santé des populations et pratiques optimales en santé (Population Health and Optimal Health Practices Research Unit) (Assy, Moore, Porgo, Farhat, Tardif, Lauzier, Turgeon), Traumatologie - Urgence - Soins intensifs (Trauma - Emergency - Critical Care Medicine), Centre de recherche du Centre hospitalier universtaire de Québec, Hôpital de l'Enfant-Jésus, Université Laval, Québec, Que.; Institut national d'excellence en santé et en services sociaux (Truchon, Clément), Québec, Que.; Departments of Critical Care Medicine, Medicine and Community Health Sciences (Stelfox), O'Brien Institute for Public Health, University of Calgary, Calgary, Alta.; School of Public Health and Preventive Medicine (Gabbe), Monash University, Melbourne, Australia; Department of Medicine (Lauzier) and Division of Critical Care Medicine (Lauzier, Turgeon), Department of Anesthesiology and Critical Care Medicine, and Department of Surgery (Clément), Université Laval, Québec, Que.
Julien ClémentDépartement de médecine sociale et préventive (Assy, Moore, Porgo, Farhat, Tardif, Turgeon) and axe Santé des populations et pratiques optimales en santé (Population Health and Optimal Health Practices Research Unit) (Assy, Moore, Porgo, Farhat, Tardif, Lauzier, Turgeon), Traumatologie - Urgence - Soins intensifs (Trauma - Emergency - Critical Care Medicine), Centre de recherche du Centre hospitalier universtaire de Québec, Hôpital de l'Enfant-Jésus, Université Laval, Québec, Que.; Institut national d'excellence en santé et en services sociaux (Truchon, Clément), Québec, Que.; Departments of Critical Care Medicine, Medicine and Community Health Sciences (Stelfox), O'Brien Institute for Public Health, University of Calgary, Calgary, Alta.; School of Public Health and Preventive Medicine (Gabbe), Monash University, Melbourne, Australia; Department of Medicine (Lauzier) and Division of Critical Care Medicine (Lauzier, Turgeon), Department of Anesthesiology and Critical Care Medicine, and Department of Surgery (Clément), Université Laval, Québec, Que.
Monash University · AUThe Quebec Population Health Research Network · CA
Funding
CIHR 358052
Abstract
backgroundThe knowledge gap regarding acute care resource use for patients with traumatic brain injury (TBI) impedes efforts to improve the efficiency and quality of the care of these patients. Our objective was to evaluate interhospital variation in resource use for patients with TBI, identify determinants of high resource use and assess the association between hospital resource use and clinical outcomes.
methodsWe conducted a multicentre retrospective cohort study including patients aged 16 years and older admitted to the inclusive trauma system of Quebec following TBI, between 2013 and 2016. We estimated resource use using activity-based costs. Clinical outcomes included mortality, complications and unplanned hospital readmission. Interhospital variation was evaluated using intraclass correlation coefficients (ICCs) with 95% confidence intervals (CIs). Correlations between hospital resource use and clinical outcomes were evaluated using correlation coefficients on weighted, risk-adjusted estimates with 95% CIs.
resultsWe included 6319 patients. We observed significant interhospital variation in resource use for patients discharged alive, which was not explained by patient case mix (ICC 0.052, 95% CI 0.043 to 0.061). Adjusted mean resource use for patients discharged to long-term care was more than twice that of patients discharged home. Hospitals with higher resource use tended to have a lower incidence of mortality (
conclusionResource use for TBI varies significantly among hospitals and may be associated with differences in mortality and morbidity. Negative associations with mortality and positive associations with complications should be interpreted with caution but suggest there may be a trade-off between adverse events and survival that should be evaluated further.
Indexed as
Brain Injuries, TraumaticHospitalsCohort StudiesHumansPatient DischargeRetrospective Studies
Identifiers
What OpenQuestion holds
Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390
Registered trials
None linked
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.