Table 6. General process information of the participating centers (n = 71).
| Characteristic | N Completed | N (%) |
|---|---|---|
| Emergency department | ||
| Use of CT scan guidelines at the ED | 68 | 54 (79%) |
| Routine use of S100B as prognostic biomarker at the ED | 71 | 7 (10%) |
| ICU admission policy | ||
| Patients with moderate TBI (GCS 9–12) without CT abnormalities are admitted to the ICU | 69 | |
| - No or only in the presence of other risk factors | 50 (72%) | |
| - General policy | 19 (28%) | |
| Patients with moderate TBI (GCS 9–12) with CT abnormalities are admitted to the ICU | 69 | |
| - No or only in the presence of other risk factors | 25 (36%) | |
| - General policy | 44 (64%) | |
| Patients with mild TBI (GCS 13–15) using anti-coagulant therapy are admitted to the ICU | 69 | |
| - No or only in the presence of other risk factors | 53 (77%) | |
| - General policy | 16 (23%) | |
| ICP monitoring | ||
| ICP monitoring is performed in patients with GCS<9 and CT abnormalities | 67 | |
| - No or only in the presence of other risk factors | 6 (9%) | |
| - General policy | 61 (91%) | |
| ICP monitoring is performed in patients with GCS<9 without CT abnormalities | 67 | |
| - No or only in the presence of other risk factors | 52 (78%) | |
| - General policy | 15 (22%) | |
| ICP monitoring is performed in patients with intraventricular hemorrhages | 67 | |
| - No or only in the presence of other risk factors | 46 (69%) | |
| - General policy | 21 (31%) | |
| ICP sensors that are used at the ICU: | 67 | |
| - Parenchymal | 21 (31%) | |
| - Ventricular | 6 (9%) | |
| - Both | 40 (60%) | |
| Management of elevated ICP | ||
| Threshold for medical management of elevated ICP | 66 | |
| - >15mmHg | 3 (5%) | |
| - >20mmHg | 57 (86%) | |
| - >25mmHg | 6 (9%) | |
| Threshold for decompressive craniotomy in elevated ICP | 61 | |
| - >20mmHg | 7 (12%) | |
| - >25mmHg | 35 (57%) | |
| - >30mmHg | 19 (31%) | |
| ICU policies | ||
| Structural variation between (neuro)surgeons with regard to their decision to place an ICP sensor | 69 | 33 (48%) |
| General policy with regard to the management of extremity fractures in patients with sTBI | 68 | |
| - Damage control | 58 (85%) | |
| - Definitive care | 10 (15%) |
Note. CT = computed tomography; ED = emergency department; ICU = intensive care unit; ICP = intracranial pressure; BTF = Brain Trauma Foundation; GCS = Glasgow Coma Scale; sTBI = severe traumatic brain injury