Table 3.
TBI + injury | TBI isolated | Total | P value | ||||
---|---|---|---|---|---|---|---|
n | % mort | n | % mort | n | % mort | ||
Indirect transfer | |||||||
No | 321 | 29.3 | 321 | 32.4 | 642 | 30.8 | 0.44 |
Yes | 43 | 11.6 | 82 | 20.7 | 125 | 17.6 | 0.23 |
Mode of transport | |||||||
Air | 175 | 26.3 | 139 | 26.6 | 314 | 26.4 | 0.99 |
Ground | 177 | 29.9 | 248 | 33.5 | 425 | 32.0 | 0.46 |
Unknown | 12 | 0.0 | 16 | 6.3 | 28 | 3.6 | 0.99 |
Prehospital intubation | |||||||
No | 76 | 21.1 | 148 | 22.3 | 224 | 21.9 | 0.87 |
Yes | 288 | 28.8 | 255 | 34.5 | 543 | 31.5 | 0.17 |
Neurosurgery | |||||||
No neurosurgery | 107 | 27.1 | 125 | 24.8 | 232 | 25.9 | 0.76 |
ICP monitoring only | 167 | 24.6 | 105 | 27.6 | 272 | 25.7 | 0.57 |
ASDH evacuation | 45 | 33.3 | 121 | 39.7 | 166 | 38.0 | 0.48 |
EDH evacuation | 28 | 25.0 | 27 | 29.6 | 55 | 27.3 | 0.77 |
ICH evacuation | 5 | 40.0 | 9 | 11.1 | 14 | 21.4 | 0.51 |
>1 lesion evacuated | 7 | 42.9 | 14 | 14.3 | 21 | 23.8 | 0.28 |
Primary decompressive surgery | 5 | 40.0 | 2 | 100.0 | 7 | 57.1 | 0.43 |
Total | 364 | 27.2 | 403 | 30.0 | 767 | 28.7 | 0.42 |
Secondary decompressive surgery | 6 | 50.0 | 5 | 60.0 | 11 | 54.5 | 0.86 |
Technique | |||||||
Decompressive surgery | 11 | 54.5 | 8 | 62.5 | 19 | 57.9 | 0.99 |
Craniectomy | 36 | 27.8 | 63 | 28.6 | 99 | 28.3 | 0.99 |
Craniotomy | 43 | 30.2 | 102 | 37.3 | 145 | 35.2 | 0.45 |
Total | 90 | 30.2 | 173 | 37.3 | 263 | 28.7 | 0.94 |
ICP monitoring | |||||||
No | 124 | 28.2 | 177 | 25.4 | 301 | 26.6 | 0.60 |
Yes | 240 | 26.7 | 226 | 33.6 | 466 | 30.0 | 0.11 |
Extracranial surgery | |||||||
No | 201 | 28.9 | 376 | 32.2 | 577 | 31.0 | 0.45 |
Yes | 163 | 25.2 | 27 | 0.0 | 190 | 21.6 | 0.002 |
The P value relates to the mortality difference between patients with isolated TBI and patients with concomitant injuries
TBI traumatic brain injury; ICP intracranial pressure; ASDH acute subdural hematoma; EDH epidural hematoma; ICH intracerebral hemorrhage