Effect of the Hybrid Emergency Room System on Functional Outcome in Patients with Severe Traumatic Brain Injury

World Neurosurgery
Takahiro KinoshitaSatoshi Fujimi

Abstract

The timely treatment of severe traumatic brain injury (TBI) is essential for limiting the effects of damage; however, there is no consensus regarding an effective method for early intervention. In August 2011, our hospital launched a novel trauma workflow using the hybrid emergency room (ER), consisting of an interventional radiology-computed tomography (CT) unit installed in the trauma resuscitation room to facilitate early interventions. The aim of this study was to evaluate effects of the hybrid ER system on functional outcomes in patients with severe TBI. We conducted a retrospective historical control study of patients with severe TBI (Glasgow Coma Scale score ≤8) who received conventional treatment (August 2007-July 2011) or treatment in the hybrid ER (August 2011-July 2015). The primary end point was unfavorable outcome at 6 months after injury (death, vegetative state, or lower severe disability) as evaluated by the Glasgow Outcome Scale-Extended. Secondary end points included time from arrival to the start of CT examination and emergency intracranial operation. Potential confounders were adjusted with multivariable logistic regressions. Among 158 included patients, 88 were in the conventional group and 70 were in the h...Continue Reading

Citations

Dec 7, 2018·World Journal of Emergency Surgery : WJES·Takahiro KinoshitaUNKNOWN Japanese Association for Hybrid Emergency Room System (JA-HERS) Scientific Promotion Committee
Mar 16, 2019·World Journal of Emergency Surgery : WJES·Edoardo PicettiFausto Catena
Jul 16, 2019·Acute Medicine & Surgery·UNKNOWN founding members of the Japanese Association for Hybrid Emergency Room System (JA‐HERS)
Oct 14, 2020·The Journal of Trauma and Acute Care Surgery·Dominik A JakobDemetrios Demetriades
Nov 10, 2020·The Journal of Trauma and Acute Care Surgery·Yutaka UmemuraSatoshi Fujimi
Jan 8, 2021·Applied Ergonomics·Sara Bayramzadeh, Parsa Aghaei
Jun 28, 2021·World Journal of Emergency Surgery : WJES·Hiroaki WatanabeToshihiko Kawamura
Nov 25, 2020·The American Journal of Emergency Medicine·Benjamin TraversDavid Donaldson
Feb 23, 2020·Shock·Tal M HörerUNKNOWN Damage Control Resuscitation Committee
Mar 25, 2020·Shock·Danielle TatumJuan Duchesne

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