Variation in neurosurgical intervention for severe traumatic brain injury: The challenge of measuring quality in trauma center verification.

ABSTRACT:

Background

Intracranial pressure monitor (ICPm) procedure rates are a quality metric for American College of Surgeons trauma center verification. However, ICPm procedure rates may not accurately reflect the quality of care in TBI. We hypothesized that ICPm and craniotomy/craniectomy procedure rates for severe TBI vary across the United States by geography and institution.

Methods

We identified all patients with a severe traumatic brain injury (head Abbreviated Injury Scale, ≥3) from the 2016 Trauma Quality Improvement Program data set. Patients who received surgical decompression or ICPm were identified via International Classification of Diseases codes. Hospital factors included neurosurgeon group size, geographic region, teaching status, and trauma center level. Two multip

SUBMITTER: Truong EI 

PROVIDER: S-EPMC8505004 | biostudies-literature | 2021 Jul

REPOSITORIES: biostudies-literature