Hospitals with and without neurosurgery: a comparative study evaluating the outcome of patients with traumatic brain injury.

ABSTRACT:

Background

We leveraged the data of the international CREACTIVE consortium to investigate whether the outcome of traumatic brain injury (TBI) patients admitted to intensive care units (ICU) in hospitals without on-site neurosurgical capabilities (no-NSH) would differ had the same patients been admitted to ICUs in hospitals with neurosurgical capabilities (NSH).

Methods

The CREACTIVE observational study enrolled more than 8000 patients from 83 ICUs. Adult TBI patients admitted to no-NSH ICUs within 48 h of trauma were propensity-score matched 1:3 with patients admitted to NSH ICUs. The primary outcome was the 6-month extended Glasgow Outcome Scale (GOS-E), while secondary outcomes were ICU and hospital mortality.

Results

A total of 232 patients, less than 5% of the eli

SUBMITTER: Giugni A 

PROVIDER: S-EPMC8561979 | biostudies-literature | 2021 Nov

REPOSITORIES: biostudies-literature