Evidence map›Paper›PMID 37515511›Full record

ArticleThe American surgeon2023

Glasgow Coma Scale Intubation Thresholds and Outcomes of Patients With Traumatic Brain Injury: The Need for Tailored Practice Management Guidelines.

Adel Elkbuli, Tessa Breeding, Micah Ngatuvai, Heli Patel, Ryan Andrade, Abigail Rosander, Lisa M Knowlton, Huazhi Liu, Darwin Ang

Expression of concernAbstract read
PubMed Publisher
In one paragraph

Article in The American surgeon, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It carries an expression of concern. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 35% of its field
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

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 7 institutions in 1 country.

Adel ElkbuliDepartment of Surgery, Division of Trauma and Surgical Critical Care, Orlando Regional Medical Center, Orlando, FL, USA.
Tessa BreedingNOVA Southeastern University, Fort Lauderdale, FL, USA.
Micah NgatuvaiNOVA Southeastern University, Fort Lauderdale, FL, USA.
Heli PatelNOVA Southeastern University, Fort Lauderdale, FL, USA.
Ryan AndradeSchool of Osteopathic Medicine, A.T. Still University, Mesa, AZ, USA.
Abigail RosanderArizona College of Osteopathic Medicine, Midwestern University, Glendale, AZ, USA.
Lisa M KnowltonDepartment of Surgery, Division of Trauma and Surgical Critical Care, Stanford University Medical Center, Palo Alto, CA, USA.
Huazhi LiuDepartment of Surgery, Division of Trauma and Surgical Critical Care, Ocala Regional Medical Center, Ocala, FL, USA.
Darwin AngDepartment of Surgery, Division of Trauma and Surgical Critical Care, Ocala Regional Medical Center, Ocala, FL, USA.
Nova Southeastern University · USA.T. Still University · USMidwestern University · USOrlando Regional Medical Center · USRegional Medical Center · USStanford Medicine · USUniversity of South Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study aims to re-evaluate the GCS threshold for intubation in patients presenting to the ED with a traumatic brain injury to optimize outcomes and provide evidence for future practice management guidelines.

methodsWe retrospectively reviewed the ACS-TQIP-Participant Use File (PUF) 2015-2019 for adult trauma patients 18 years and older who experienced a blunt traumatic head injury and received computerized tomography. Multivariable regressions were performed to assess associations between outcomes and GCS intubation thresholds of 5, 8, and 10.

resultsIn patients with a GCS ≤5, there were no differences in mortality (GCS ≤5: 26.3% vs GCS >5: 28.3%, adjusted

conclusionA GCS ≤5 was the threshold at which intubation in TBI patients conferred an additional benefit in disposition without worsened outcomes of mortality, H-LOS, or ICU-LOS. Trauma societies and hospital institutions should consider revisiting existing guidelines and protocols concerning the appropriate GCS threshold for safer intubation and better outcomes among these patient population.

Indexed as

Brain Injuries, TraumaticHead Injuries, ClosedWounds, NonpenetratingAdultGlasgow Coma ScaleHumansIntubation, IntratrachealRetrospective StudiesGlasgow Coma Scaleintubation thresholdpractice management guidelinestrauma outcomestraumatic brain injury

Identifiers

PMID37515511
OpenAlexW4385380061

What OpenQuestion holds

Textmetadata
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.