Page 76 - 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
Assess acute and rehab costs of paediatric TBI patients
Investigate factors that influence hospital charges for persons with TBI
Epidemiological characteristics of elderly TBI patients
Resource utilization of brain tissue oxygen monitoring
Examine treatment outcomes and costs of TBI
Investigate cost of care for hospitalised TBI patients
Report impact
of TBI guideline implementation on outcome in s-TBI patients
Describe details of care services after transport related TBI
Evaluate outcome of ARDS in patients with s-TBI
Hospitalization charges for acute care in TBI patients in the USA
Identify impact of early tracheostomy in s-TBI patients
Study Design
Prospective cohort study
Retrospective and prospective cohort study
Retrospective analysis of Chinese Trauma Database data
Retrospective cohort study
Retrospective analysis of database
Retrospective analysis of database
Cohort study using retro- and prospective data
Analysis of a compensation database
Prospectively collected cohort in ARDS dataset
Population based descriptive study
Cohort study using retro- and prospective data
Patient (N)
20 s-TBI
111 s-TBI, 108 vs-TBI
5238 s-TBI 2536 c-TBI
629 s-TBI
2580 s-TBI 1147 c-TBI
2460 s-TBI 2573 c-TBI
93 s-TBI
316 s-TBI
28 s-TBI+ ARDS
56 s-TBI
1789 s-TBI
100 s-TBI
Definition of TBI
Non-penetrating TBI with loss of consciousness
TBI, defined
as brain tissue damage caused by external force
ICD-9-CM codes
TBI, not further specified
ICD-9-CM codes
TBI defined using 1998 AIS codes
Closed head injury and evidence of brain injury on examination or CT-scan
Transport related-TBI, not further specified.
Blunt trauma patients with TBI, AIS defined.
ICD-9-CM codes
TBI, not further specified
Severity definition
GCS≤8, at ED or before paralyzing agents
GCS≤8, lowest score in first 24 hours
AIS4: severe AIS5-6: critical
GCS≤8 at admission
ICD/AIS4: severe ICD/AIS5: critical
AIS4: severe AIS5: critical
GCS≤8 at admission
GCS3–8: severe HeadAIS≥4 ICD/AIS 4-6
GCS<8
10 -
- 1993
- 1987-1988
- USA
11 -
- 1993
13 -
- 2009
19 -
Schootman 49
Jaffe 34
Lehmkuhl 54
- 1989-1992
- USA
12 -
- 2017
- 2001-2007
- China
Li 35
Martini 45
- 2004-2007
- USA
14 -
- 2002
McGarry 46
- 1997-1999
- USA
15 -
- 2008
16 -
- 2001
Morris 47
- 2000-2005
- England/
Wales
Palmer 55
- 1994-1999
- USA
17 -
- 2012
Prang 48
- 1995-2004
- Australia
18 -
- 2008
Salim 52
- 2000-2004
- USA
- 2003
- 1996
- USA
- 2002-2009
- Pakistan
20 -
- 2015
74
Siddiqui 56