Table 3.
Association of multimodal monitoring reporting with injury severity, quality improvement metrics and functional outcomes after pediatric traumatic brain injury
| Before MMM Reporting | After MMM Reporting | p-value | |||
|---|---|---|---|---|---|
| N = 67 | N = 18 | ||||
| Mean (SD) | Median (IQR) | Mean (SD) | Median (IQR) | ||
| Initial GCS | 6.0 (2.9) | 6.0 (4.0) | 6.6 (3.4) | 6.5 (5.5) | 0.4972 |
| PRISM III | 16.2 (4.3) | 16.0 (14.5) | 17.9 (8.0) | 16.0 (12.0) | 0.5837 |
| Length of hospitalization (days) | 24.1 (16.7) | 21 (17.7) | 21.6 (17.2) | 17.5 (15.3) | 0.4074 |
| PICU Length (days) | 17.3 (11.9) | 14.0 (12.0) | 12.3 (9.0) | 10.0 (9.3) | 0.0546 |
| Ventilator days | 11.1 (8.3) | 9.0 (7.0) | 6.6 (3.9) | 5.5 (6.8) | 0.0118 |
| ICP monitoring days | 7.8 (4.2) | 7.0 (5.0) | 4.6 (2.7) | 3.5 (4.0) | 0.0017 |
| Total complications (per patient) | 0.4 (0.7) | 0.0 (1.0) | 0.1 (0.3) | 0.0 (0.0) | 0.0672 |
| N = 62 | N = 18 | ||||
| % time ICP > 20 mmHg | 15.7 (27.5) | 4.7 (10.9) | 20.3 (30.6) | 8.0 (24.1) | 0.2943 |
| % time CPP < 40 mmHg | 9.1 (25.2) | 0.2 (0.7) | 8.1 (23.5) | 0.3 (1.4) | 0.5310 |
| N = 67 | N = 9 | ||||
| GOSE-PEDs, 12 months | 4.4 (2.2) | 5.0 (3.0) | 4.0 (1.7) | 3.0 (1.0) | 0.5639 |
Bold represents variables that are statistically significant
Abbreviations: CPP, cerebral perfusion pressure; GCS, Glasgow Coma Scale at presentation; GOSE-Peds, Glasgow outcome scale – extended pediatrics (GOSE-Peds); ICP, intracranial pressure; MMM, multimodality monitoring; N, count; PICU, pediatric intensive care unit; PRISM III, Pediatric Risk of Mortality III Score at presentation; SD, standard deviation