Impact of secondary transfer on patients with severe traumatic brain injury

The Journal of Trauma and Acute Care Surgery
Pieter JoosseTraumaNet AMC and collaborating hospitals

Abstract

Within a trauma network in the Netherlands, neurosurgical facilities are usually limited to Level I hospitals. Initial transport to a district hospital of patients who are later found to require neurosurgical intervention may cause delay. The purpose of this study was to assess the influence on outcome and time intervals of secondary transfer in trauma patients requiring emergency neurosurgical intervention. In a 3-year period, all patients who sustained a severe traumatic brain injury and underwent a neurosurgical intervention within 6 hours after admission to a Level I trauma center were included. Patients were classified into two groups: direct presentation to the Level I trauma center (TC) group or requiring secondary transport after having been diagnosed for neurosurgical intervention in other hospitals (transfer group). Eighty patients were included for analyses. Twenty-four patients in the transfer group had a better Glasgow Coma Scale on-scene but a higher 30-day mortality compared with patients who were primarily presented to the Level I trauma center (33% vs. 27%; p = 0.553). In the transfer group, time to operation was 304 minutes compared with 151 minutes in the TC group (p < 0.001). Most delay occurred during the i...Continue Reading

References

Jan 1, 1988·Acta neurochirurgica·K HaselsbergerL M Auer
Apr 24, 1999·Acta neurochirurgica·G D MurrayA Unterberg
Oct 19, 2000·Lancet·J Ghajar
Apr 18, 2001·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·A TaylorJ Tibballs
Aug 9, 2003·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·A A FigajiJ C Peter
Oct 8, 2003·Critical Care Medicine·Jacques AlbanèseClaude Martin
Aug 13, 2008·The Journal of Trauma·Jerry Lee HowardMichael D Pasquale
Dec 23, 2008·The Journal of Emergency Medicine·Jerris R HedgesRichard J Mullins
Mar 10, 2009·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·P JoosseJ C Goslings
Mar 31, 2009·Journal of Neurosurgery·Roukoz B ChamounShankar P Gopinath

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Citations

May 10, 2016·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·L SchwindlingK Fassbender
Apr 17, 2016·The Journal of Surgical Research·Galinos BarmparasAli Salim
Aug 12, 2016·Indian Journal of Anaesthesia·Ashish Kulshrestha, Jasveer Singh
Mar 18, 2016·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Mark FaulScott M Sasser
Mar 11, 2016·Brain Injury : [BI]·Stephen C GalePaul W Detwiler
Nov 4, 2015·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Zamir MeraliEric M Massicotte
Jul 13, 2013·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Teresa WilliamsIan Jacobs
Jun 29, 2017·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Jennifer N FisheJennifer F Anders
Jan 23, 2015·Der Anaesthesist·T A JuratliS B Sobottka
Jul 19, 2019·The Western Journal of Emergency Medicine·Eric A SribnickHenry Xiangh
Sep 26, 2015·The Journal of Trauma and Acute Care Surgery·Jay JohannigmanRichard Branson
Aug 6, 2021·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Charlie Aletta SewaltUNKNOWN CENTER TBI Participants and Investigators

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