The green channel surgical mode for traumatic brain injury can reduce the mortality rate of patients with severe traumatic brain injury- a single center analysis from China.

Severe traumatic brain injury (TBI) constitutes a critical medical condition associated with high mortality rates. To address this pressing challenge, our institution developed and implemented an innovative trauma green channel surgical treatment protocol, aimed at optimizing emergency workflows and reducing the time from patient admission to surgical intervention. This single-center, retrospective cohort study evaluated the efficacy of this quality improvement initiative. The results demonstrated that the protocol significantly reduced preoperative waiting time to an average of 35 min, accompanied by a notable reduction in mortality rates from 55.7% under conventional treatment to 38.4%. These findings offer critical insights and a potential framework for enhancing the clinical management of severe craniocerebral injuries. Furthermore, long-term follow-up data indicated favorable functional recovery outcomes, with discharged patients achieving a mean Glasgow Coma Scale (GCS) score of 12.7 and a mean modified Rankin Scale (mRS) score of 1.6, suggesting improved neurological function and enhanced potential for social reintegration. In conclusion, the green channel surgical treatment model represents a highly effective and promising strategy for managing severe TBI cases. Its implementation could be widely promoted in China and neighboring regions, providing a practical and feasible approach to reducing mortality and improving patient outcomes. Clinical trial number: Not applicable.