Eur J Trauma Emerg Surg (2017) 43:731–739 https://doi.org/10.1007/s00068-016-0718-x ORIGINAL ARTICLE Prehospital intubation for isolated severe blunt traumatic brain injury: worse outcomes and higher mortality 1 1 1 1 Tobias Haltmeier · Elizabeth Benjamin · Stefano Siboni · Evren Dilektasli · 1 1 Kenji Inaba · Demetrios Demetriades Received: 22 March 2016 / Accepted: 15 August 2016 / Published online: 27 August 2016 © Springer-Verlag Berlin Heidelberg 2016 Abstract 6.0 vs. 5.0 days, p < 0.001) and total hospital length of stay Purpose Prehospital endotracheal intubation (ETI) for (median 10.0 vs. 9.0 days, p < 0.001), and higher in-hos- traumatic brain injury (TBI) is a controversial issue. The pital mortality (31.4 vs. 27.5 %, p < 0.001). In regression aim of this study was to investigate the effect of prehospital analysis prehospital ETI was independently associated with ETI in patients with TBI. lower ED GCS scores (RC −4.213, CI −4.562/−3.864, Methods Cohort-matched study using the US National p < 0.001) and higher in-hospital mortality (OR 1.399, CI Trauma Data Bank (NTDB) 2008–2012. Patients with 1.205/1.624, p < 0.001). isolated severe blunt TBI (AIS head ≥3, AIS chest/abdo- Conclusion In this large cohort-matched analysis, prehos- men <3) and a field GCS
European Journal of Trauma and Emergency Surgery – Springer Journals
Published: Aug 27, 2016
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