Evidence map›Paper›PMID 39237845›Full record

ArticleNeurocritical care2025

Development of a Quality Indicator Set for the Optimal Acute Management of Moderate to Severe Traumatic Brain Injury in the Australian Context.

Toby Jeffcote, Camila R Battistuzzo, Rebecca Roach, Catherine Bell, Cino Bendinelli, Stephen Rashford, Ron Jithoo, Belinda J Gabbe, Oliver Flower, Gerard O'Reilly and 5 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Neurocritical care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Toby JeffcoteDepartment of Intensive Care and Hyperbaric Medicine, The Alfred Hospital, Melbourne, VIC, Australia.
Camila R BattistuzzoAustralian and New Zealand Intensive Care Research Centre, School of Public Health and Preventive Medicine, Monash University, Level 3, 553 St Kilda Road, Melbourne, VIC, 3004, Australia.
Rebecca RoachDepartment of Intensive Care and Hyperbaric Medicine, The Alfred Hospital, Melbourne, VIC, Australia.
Catherine BellDepartment of Intensive Care and Hyperbaric Medicine, The Alfred Hospital, Melbourne, VIC, Australia.
Cino BendinelliDepartment of Traumatology, John Hunter Hospital, University of Newcastle, Newcastle, NSW, Australia.
Stephen RashfordDepartment of Health, Queensland Ambulance Service, Queensland Government, Brisbane, QLD, Australia.
Ron JithooDepartment of Neurosurgery, The Alfred Hospital, Melbourne, VIC, Australia.
Belinda J GabbeSchool of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.
Oliver FlowerDepartment of Intensive Care Medicine, Royal North Shore Hospital, Sydney, NSW, Australia.
Gerard O'ReillySchool of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.
Lewis T CampbellIntensive Care Unit, Royal Darwin Hospital, Darwin, NT, Australia.
D James CooperDepartment of Intensive Care and Hyperbaric Medicine, The Alfred Hospital, Melbourne, VIC, Australia.
Zsolt J BaloghDepartment of Traumatology, John Hunter Hospital, University of Newcastle, Newcastle, NSW, Australia.
Andrew A UdyDepartment of Intensive Care and Hyperbaric Medicine, The Alfred Hospital, Melbourne, VIC, Australia. andrew@udy.com.
Delphi panel

Funding

Medical Research Future Fund (AU) APP1167706
6 · The paper itself

Abstract

backgroundThe aim of this study was to develop a consensus-based set of indicators of high-quality acute moderate to severe traumatic brain injury (msTBI) clinical management that can be used to measure structure, process, and outcome factors that are likely to influence patient outcomes. This is the first stage of the PRECISION-TBI program, which is a prospective cohort study that aims to identify and promote optimal clinical management of msTBI in Australia.

methodsA preliminary set of 45 quality indicators was developed based on available evidence. An advisory committee of established experts in the field refined the initial indicator set in terms of content coverage, proportional representation, contamination, and supporting evidence. The refined indicator set was then distributed to a wider Delphi panel for assessment of each indicator in terms of validity, measurement feasibility, variability, and action feasibility. Inclusion in the final indicator set was contingent on prespecified inclusion scoring.

resultsThe indicator set was structured according to the care pathway of msTBI and included prehospital, emergency department, neurosurgical, intensive care, and rehabilitation indicators. Measurement domains included structure indicators, logistic indicators, and clinical management indicators. The Delphi panel consisted of 44 participants (84% physician, 12% nursing, and 4% primary research) with a median of 15 years of practice. Of the 47 indicators included in the second round of the Delphi, 32 indicators were approved by the Delphi group.

conclusionsThis study identified a set of 32 quality indicators that can be used to structure data collection to drive quality improvement in the clinical management of msTBI. They will also be used to guide feedback to PRECISION-TBI's participating sites.

Indexed as

Brain Injuries, TraumaticCritical CareQuality Indicators, Health CareAustraliaConsensusDelphi TechniqueHumansProspective StudiesBenchmarkingCritical careQuality indicatorsQuality of careTraumatic brain injuries

Identifiers

PMID39237845
PMCPMC11950108

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.