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The faster the better? Time to first CT scan after admission in moderate-to-severe traumatic brain injury and its association with mortality

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The faster the better? Time to first CT scan after admission in moderate-to-severe traumatic brain injury and its association with mortality. / Mader, Marius Marc-Daniel; Rotermund, Roman; Lefering, Rolf; Westphal, Manfred; Maegele, Marc; Czorlich, Patrick; Trauma Register DGU.

In: NEUROSURG REV, Vol. 44, No. 5, 10.2021, p. 2697–2706.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Mader, MM-D, Rotermund, R, Lefering, R, Westphal, M, Maegele, M, Czorlich, P & Trauma Register DGU 2021, 'The faster the better? Time to first CT scan after admission in moderate-to-severe traumatic brain injury and its association with mortality', NEUROSURG REV, vol. 44, no. 5, pp. 2697–2706. https://doi.org/10.1007/s10143-020-01456-3

APA

Mader, M. M-D., Rotermund, R., Lefering, R., Westphal, M., Maegele, M., Czorlich, P., & Trauma Register DGU (2021). The faster the better? Time to first CT scan after admission in moderate-to-severe traumatic brain injury and its association with mortality. NEUROSURG REV, 44(5), 2697–2706. https://doi.org/10.1007/s10143-020-01456-3

Vancouver

Mader MM-D, Rotermund R, Lefering R, Westphal M, Maegele M, Czorlich P et al. The faster the better? Time to first CT scan after admission in moderate-to-severe traumatic brain injury and its association with mortality. NEUROSURG REV. 2021 Oct;44(5):2697–2706. https://doi.org/10.1007/s10143-020-01456-3

Bibtex

@article{9179bc6282be497ba6d59324651a8af4,
title = "The faster the better? Time to first CT scan after admission in moderate-to-severe traumatic brain injury and its association with mortality",
abstract = "Fast acquisition of a first computed tomography (CT) scan after traumatic brain injury (TBI) is recommended. This study is aimed at investigating whether the length of the period preceding initial CT scan influences mortality in patients with leading TBI. A retrospective cohort analysis of patients registered in the TraumaRegister DGU{\textregistered} was conducted including adult patients with TBI, defined as Abbreviated Injury ScaleHead ≥ 3 and GCS ≤ 13 who had been treated in level 1 or 2 trauma centers from 2007-2016. Patients were grouped according to time intervals either from trauma or from admission to CT. A total of 6904 patients met the inclusion criteria. Mean time period from trauma to hospital admission was 68.8 min. From admission to first CT, a mean of 19.0 min elapsed. Trauma severity was higher in groups with a longer duration from trauma to CT as represented by a mean (± standard deviation) Injury Severity Score (ISS) of 19.8 ± 9.0, 20.7 ± 9.3, and 21.4 ± 7.5 and similar distribution of mortality of 24.9%, 29.9%, and 36.3% in the ≤ 60-min, 61-120-min, and ≥ 121-min groups, respectively. An adjusted multivariable logistic regression model showed a significant influence of the level of the trauma center (p = 0.037) but not for interval from admission to CT (p = 0.528). TBI patients with a longer time span from trauma to first CT were more severely injured and demonstrated a worse prognosis, but received a CT scan faster when duration from admission is observed. The duration until the CT scan was obtained showed no significant impact on the mortality.",
author = "Mader, {Marius Marc-Daniel} and Roman Rotermund and Rolf Lefering and Manfred Westphal and Marc Maegele and Patrick Czorlich and {Trauma Register DGU}",
year = "2021",
month = oct,
doi = "10.1007/s10143-020-01456-3",
language = "English",
volume = "44",
pages = "2697–2706",
journal = "NEUROSURG REV",
issn = "0344-5607",
publisher = "Springer",
number = "5",

}

RIS

TY - JOUR

T1 - The faster the better? Time to first CT scan after admission in moderate-to-severe traumatic brain injury and its association with mortality

AU - Mader, Marius Marc-Daniel

AU - Rotermund, Roman

AU - Lefering, Rolf

AU - Westphal, Manfred

AU - Maegele, Marc

AU - Czorlich, Patrick

AU - Trauma Register DGU

PY - 2021/10

Y1 - 2021/10

N2 - Fast acquisition of a first computed tomography (CT) scan after traumatic brain injury (TBI) is recommended. This study is aimed at investigating whether the length of the period preceding initial CT scan influences mortality in patients with leading TBI. A retrospective cohort analysis of patients registered in the TraumaRegister DGU® was conducted including adult patients with TBI, defined as Abbreviated Injury ScaleHead ≥ 3 and GCS ≤ 13 who had been treated in level 1 or 2 trauma centers from 2007-2016. Patients were grouped according to time intervals either from trauma or from admission to CT. A total of 6904 patients met the inclusion criteria. Mean time period from trauma to hospital admission was 68.8 min. From admission to first CT, a mean of 19.0 min elapsed. Trauma severity was higher in groups with a longer duration from trauma to CT as represented by a mean (± standard deviation) Injury Severity Score (ISS) of 19.8 ± 9.0, 20.7 ± 9.3, and 21.4 ± 7.5 and similar distribution of mortality of 24.9%, 29.9%, and 36.3% in the ≤ 60-min, 61-120-min, and ≥ 121-min groups, respectively. An adjusted multivariable logistic regression model showed a significant influence of the level of the trauma center (p = 0.037) but not for interval from admission to CT (p = 0.528). TBI patients with a longer time span from trauma to first CT were more severely injured and demonstrated a worse prognosis, but received a CT scan faster when duration from admission is observed. The duration until the CT scan was obtained showed no significant impact on the mortality.

AB - Fast acquisition of a first computed tomography (CT) scan after traumatic brain injury (TBI) is recommended. This study is aimed at investigating whether the length of the period preceding initial CT scan influences mortality in patients with leading TBI. A retrospective cohort analysis of patients registered in the TraumaRegister DGU® was conducted including adult patients with TBI, defined as Abbreviated Injury ScaleHead ≥ 3 and GCS ≤ 13 who had been treated in level 1 or 2 trauma centers from 2007-2016. Patients were grouped according to time intervals either from trauma or from admission to CT. A total of 6904 patients met the inclusion criteria. Mean time period from trauma to hospital admission was 68.8 min. From admission to first CT, a mean of 19.0 min elapsed. Trauma severity was higher in groups with a longer duration from trauma to CT as represented by a mean (± standard deviation) Injury Severity Score (ISS) of 19.8 ± 9.0, 20.7 ± 9.3, and 21.4 ± 7.5 and similar distribution of mortality of 24.9%, 29.9%, and 36.3% in the ≤ 60-min, 61-120-min, and ≥ 121-min groups, respectively. An adjusted multivariable logistic regression model showed a significant influence of the level of the trauma center (p = 0.037) but not for interval from admission to CT (p = 0.528). TBI patients with a longer time span from trauma to first CT were more severely injured and demonstrated a worse prognosis, but received a CT scan faster when duration from admission is observed. The duration until the CT scan was obtained showed no significant impact on the mortality.

U2 - 10.1007/s10143-020-01456-3

DO - 10.1007/s10143-020-01456-3

M3 - SCORING: Journal article

C2 - 33340052

VL - 44

SP - 2697

EP - 2706

JO - NEUROSURG REV

JF - NEUROSURG REV

SN - 0344-5607

IS - 5

ER -