Page 74 - DECISION-MAKING IN SEVERE TRAUMATIC BRAIN INJURY PATIENT OUTCOME, HOSPITAL COSTS, AND RESEARCH PRACTICE

Chapter 3
Table 1: Study details & results
# Study info a
Purpose
Evaluate the impact of early tracheostomy on s-TBI patients
Provide charge estimates of TBI treatment for elderly patients
Estimate long-term cost-effectiveness of rehabilitation trajectories
Determine the costs of health care services for TBI patients
Find a high-quality cost- effective strategy for head injury rehabilitation
Determine effect of following BTF guidelines on outcome and charges
Compare TBI-related hospitalization outcomes between 2 periods
Evaluate guideline adherence on outcome and costs for paediatric s-TBI patients
CEA of two neuro monitoring modalities in s-TBI management
Study Design
Retrospective cohort study
Retrospective cohort study
Decision-tree model
Retrospective cohort study
Retrospective cohort study
Cohort study with historical controls
Retrospective analysis of NIS data
Retrospective cohort study
Prospective observational CEA study
Patient (N)
55 s-TBI
GCS<9:247 AIS4:688 AIS5:368
59 s-TBI
28 s-TBI
47 s-TBI
830 s-TBI
317/ 288 s-TBI
235 s-TBI
62 s-TBI
Definition of TBI
TBI, not further specified
ICD-9-CM codes
ICD-10 codes
TBI with AIS>0
TBI, not further specified
TBI defined as blunt traumatic head injury with AIS-head > 2
ICD-9-CM codes
ICD-9 codes, head AIS ≥
3, history
of trauma, abnormal admission head CT scan
Severe head injury, traumatic in nature, not further specified
Severity definition
GCS≤8 at admission
GCS<9 at admission, AIS>3
GCS≤8 before intubation
AIS4and5
GCS≤8 in ED
GCS≤8
ICD/AIS 4–6
GCS≤8 at admission
GCS≤8 and CT- scan features
1 -
- 2007
2 -
- 2017
4 -
- 1995
Ahmed 40
- 2002-2005
- USA
Albrecht 39
- 2008-2012
- USA
3 -
- 2014
Andelic 57
- 2005-2007
- Norway
Brooks 41
- 1989-1990
- USA
5 -
- 1993
6 -
- 2004
Bryant 42
- NP
- USA
Fakhry 43
- 1991-2000
- USA
7 -
- 2013
8 -
- 2016
72
Farhad 44
- 1993-1994/ 2006-2007
- USA
Graves 36
- 2007-2011
- USA
9 -
- 2007
Ibrahim 51
- 2003
- Malaysia