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European Journal of Trauma and Emergency Surgery

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16-02-2023 | Central Nervous System Trauma | Original Article

Utility of intracranial pressure monitoring in patients with traumatic brain injuries: a propensity score matching analysis of TQIP data

Authors: Ashley Chopko, Mingmei Tian, Joseph C. L’Huillier, Radu Filipescu, Jinhee Yu, Weidun A. Guo

Published in: European Journal of Trauma and Emergency Surgery | Issue 1/2024

^Abstract

Purpose

Intracranial pressure monitoring (ICPM) is central to traumatic brain injury (TBI) management, but its utility is controversial.

Methods

The 2016–2017 TQIP database was queried for isolated TBI. Patients with ICPM [(ICPM (+)] were propensity-score matched (PSM) to those without ICPM [ICPM (−)] and divided into three age groups by years (< 18, 18–54, ≥ 55).

Results

PSM yielded 2125 patients in each group. Patients aged < 18 years had a higher survival probability (p = 0.013) and decreased mortality (p = 0.016) in the ICPM (+) group. Complications were higher and LOS was longer in ICPM (+) patients aged 18–54 years and ≥ 55 years, but not in patients aged < 18 years.

Conclusions

ICPM (+) is associated with a survival benefit without an increase in complications in patents aged < 18 years. In patients aged ≥ 18 years, ICPM (+) is associated with more complications and longer LOS without a survival benefit.

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Title: Utility of intracranial pressure monitoring in patients with traumatic brain injuries: a propensity score matching analysis of TQIP data
Authors: Ashley Chopko
Mingmei Tian
Joseph C. L’Huillier
Radu Filipescu
Jinhee Yu
Weidun A. Guo
Publication date: 16-02-2023
Publisher: Springer Berlin Heidelberg
Keywords: Central Nervous System Trauma
Intracranial Pressure Monitoring
Intracranial Hypertension
Published in: European Journal of Trauma and Emergency Surgery / Issue 1/2024
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-023-02239-3

At a glance: The STEP trials

Springer Medicine

Utility of intracranial pressure monitoring in patients with traumatic brain injuries: a propensity score matching analysis of TQIP data

^Abstract

Purpose

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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