About: The impact of delayed time to first CT head in traumatic brain injury

Facets (new session)
Description
Metadata
Settings
- owl:sameAs
- Inference Rule:

About: The impact of delayed time to first CT head in traumatic brain injury Goto Sponge NotDistinct Permalink

An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	The impact of delayed time to first CT head in traumatic brain injury
Creator	Benjamin, Elizabeth Demetriades, Demetrios Owattanapanich, Natthida Schellenberg, Morgan Kenji Inaba, ·
source	PMC
abstract	PURPOSE: Trauma team activation (TTA) criteria trigger early mobilization of resources for the sickest trauma patients. Patients with moderately depressed GCS who do not trigger the highest level activation are at risk for adverse outcomes, potentially from delayed time to intervention. The study objective was to define the impact of time to first CT Head (CTH) on outcomes among blunt trauma patients with moderately depressed GCS. METHODS: Patients from the Trauma Quality Improvement Program (TQIP) databank (2013–2016) with first ED GCS 9–12 were included. Transfers, penetrating mechanisms, death < 24 h, AIS = 6 in any body region, and patients with severe associated injuries were excluded. Study groups were defined by time to first CTH after ED arrival: immediate (≤ 1 h) vs. delayed (1–6 h). Primary outcomes were time to neurosurgical intervention and time to ED discharge. RESULTS: After exclusions, 4997 patients were identified. Of these, 79% (n = 3,954) underwent immediate CTH and 21% (n = 1,043) had delayed CTH. Median GCS was 11 [10–12] in both groups and there was no difference in median Head AIS (4 [3–4] vs. 4 [3–4], p = 0.586). Time to craniotomy and ICP monitor insertion were longer in the delayed group (4.2 h [3.0–7.6] vs. 3.1 h [2.1–8.7], p = 0.001; and 5.7 h [3.8–13.0] vs. 4.4 h [2.6–12.0], p = 0.008), as was time in the ED (4.3 h [2.7–6.5] vs. 2.1 h [1.2–3.7], p < 0.001). There was no difference in need for craniotomy (11% vs. 10%, p = 0.287), need for ICP monitor (12% vs. 12%, p = 0.899), or mortality (11% vs. 9%, p = 0.160). On multivariate analysis, age > 65 (OR 2.813, p < 0.001), SBP < 90 mmHg (OR 2.934, p < 0.001), ED intubation (OR 1.486, p = 0.001), and Head AIS scores of 4 (OR 1.884, p < 0.001) and 5 (OR 6.729, p < 0.001) were independently associated with death. CONCLUSIONS: Immediate CTH for blunt trauma patients with moderately depressed GCS decreases time to intervention and reduces ED time. A protocol to shorten time to CTH may be beneficial for both patients and hospitals.
has issue date	2020-06-25(xsd:dateTime)
bibo:doi	10.1007/s00068-020-01421-1
has license	no-cc
sha1sum (hex)	86d7d05f87a6ff59730d1343b72d7a5b3a62d95f
schema:url	https://doi.org/10.1007/s00068-020-01421-1
resource representing a document's title	The impact of delayed time to first CT head in traumatic brain injury
has PubMed Central identifier	PMC7315398
schema:publication	Eur J Trauma Emerg Surg
resource representing a document's body	covid:86d7d05f87a6ff59730d1343b72d7a5b3a62d95f#body_text
is schema:about of	named entity 'groups' named entity 'mobilization' named entity 'activation' named entity 'patients' named entity 'adverse' named entity 'ICP' named entity 'Head' named entity 'depressed' named entity 'scores' named entity 'reduces' named entity 'GCS' named entity 'patients' named entity 'GCS' named entity 'The' named entity 'TTA' named entity 'independently' named entity 'time' named entity 'mechanisms' named entity 'level' named entity 'CTH' named entity 'blunt trauma' named entity 'databank' named entity 'monitor' named entity 'CTH' named entity 'Emergency' named entity 'mmHg' named entity 'craniotomy' named entity 'Emergency Surgery' named entity 'monitor' named entity 'trauma patients' named entity 'odds ratios' named entity 'diagnostic process' named entity 'Multivariate analysis' named entity 'Injury Severity Score' named entity 'IBM SPSS Statistics' named entity 'IBM' named entity 'GCS' named entity 'GCS' named entity 'geriatric' named entity 'observational study' named entity 'blunt trauma' named entity 'ISS' named entity 'resource allocation' named entity 'Informed consent' named entity 'GCS' named entity 'TBI' named entity 'inclusion and exclusion criteria' named entity 'GCS' named entity 'emergency department' named entity 'TTA' named entity 'odds ratios' named entity 'intracranial pressure' named entity 'Helsinki declaration' named entity 'variance inflation factor' named entity 'TBI' named entity 'CT scan' named entity 'ACS' named entity 'trauma centers' named entity 'GCS' named entity 'neurologic' named entity 'traumatic injuries' named entity 'computed tomography' named entity 'neurosurgical' named entity 'informed consent' named entity 'GCS' named entity 'univariate analysis' named entity 'GCS' named entity 'AIS' named entity 'LOS' named entity 'TTA' named entity 'trauma patients' named entity 'systolic blood pressure' named entity 'AIS' named entity 'ACS' named entity 'ACS' named entity 'Univariate analysis' named entity 'severely injured' named entity 'risk of death' named entity 'odds ratios'

Faceted Search & Find service v1.13.91 as of Mar 24 2020

Alternative Linked Data Documents: Sponger | ODE Content Formats:

RDF

ODATA

Microdata

About

OpenLink Virtuoso version 07.20.3229 as of Jul 10 2020, on Linux (x86_64-pc-linux-gnu), Single-Server Edition (94 GB total memory)
Data on this page belongs to its respective rights holders.
Virtuoso Faceted Browser Copyright © 2009-2025 OpenLink Software