Utility of intracranial pressure monitoring in patients with traumatic brain injuries: a propensity score matching analysis of TQIP data.
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...
| Publicado en: | European Journal of Trauma & Emergency Surgery Vol. 50; no. 1; pp. 173 - 185 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Feb2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=175931878&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 175931878 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 18639933 3C05 jtl: European Journal of Trauma & Emergency Surgery issn: 18639933 maglogo: N pubinfo: dt: Feb2024 vid: 50 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 175931878 161918924 175931878 175931878 10.1007/s00068-023-02239-3 175931878 ppf: 173 ppct: 12 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Utility of intracranial pressure monitoring in patients with traumatic brain injuries: a propensity score matching analysis of TQIP data. aug: au: Chopko, Ashley Tian, Mingmei L'Huillier, Joseph C. Filipescu, Radu Yu, Jinhee Guo, Weidun A. affil: https://ror.org/01y64my43 Department of Surgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, 100 High Street, 14203, Buffalo, NY, USA sug: subj: Trauma Monitoring, Intracranial Pressure Brain Injuries Human Disease Management Adolescence Young Adult Adult Middle Age Critical Care Standards Survival Analysis Descriptive Statistics Funding Source Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years ab: 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. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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