Journal of Critical Care
Volume 25, Issue 2 , Pages 190-195 , June 2010

Mortality reduction after implementing a clinical practice guidelines–based management protocol for severe traumatic brain injury

  • Yaseen M. Arabi, MD, FCCP, FCCM

      Affiliations

    • Intensive Care Department, King Abdulaziz Medical City, Riyadh, Saudi Arabia 11426
    • King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia 11426
    • Corresponding Author InformationCorresponding author. Intensive Care Department, King Saud Bin Abdulaziz University for Health Sciences, King Abdulaziz Medical City, King Fahad National Guard Hospital, Riyadh, K.S.A. Tel.: +966 1 2520088x18899 x18855x18877; fax: +966 1 2520088x18880.
    • ,
  • Samir Haddad, MD, CES

      Affiliations

    • Intensive Care Department, King Abdulaziz Medical City, Riyadh, Saudi Arabia 11426
    • ,
  • Hani M. Tamim, PhD

      Affiliations

    • King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia 11426
    • ,
  • Abdulaziz Al-Dawood, MD, FCCP, FRCP(C)

      Affiliations

    • Intensive Care Department, King Abdulaziz Medical City, Riyadh, Saudi Arabia 11426
    • King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia 11426
    • ,
  • Saad Al-Qahtani, MD, FCCP, FRCP(C)

      Affiliations

    • Intensive Care Department, King Abdulaziz Medical City, Riyadh, Saudi Arabia 11426
    • King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia 11426
    • ,
  • Ahmad Ferayan, MD, MBBS

      Affiliations

    • Division of Neurosurgery, Department of Surgery, King Abdualziz Medical City, Riyadh, Saudi Arabia 11426
    • ,
  • Ibrahim Al-Abdulmughni, MD

      Affiliations

    • Intensive Care Department, King Abdulaziz Medical City, Riyadh, Saudi Arabia 11426
    • ,
  • Jalal Al-Oweis, MD

      Affiliations

    • Intensive Care Department, King Abdulaziz Medical City, Riyadh, Saudi Arabia 11426
    • ,
  • Asia Rugaan, MD

      Affiliations

    • Intensive Care Department, King Abdulaziz Medical City, Riyadh, Saudi Arabia 11426

References 

  1. Meyer AA. Death and disability from injury: a global challenge. J Trauma. 1998;44(1):1–12
  2. Regel G, Lobenhoffer P, Grotz M, Pape HC, Lehmann U, Tscherne H. Treatment results of patients with multiple trauma: an analysis of 3406 cases treated between 1972 and 1991 at a German level I trauma center. J Trauma. 1995;38(1):70–78
  3. Adekoya N, Thurman DJ, White DD, Webb KW. Surveillance for traumatic brain injury deaths—United States, 1989-1998. MMWR Surveill Summ. 2002;51(10):1–14
  4. Shackford SR, Mackersie RC, Holbrook TL, Davis JW, Hollingsworth-Fridlund P, Hoyt DB, et al. The epidemiology of traumatic death. A population-based analysis. Arch Surg. 1993;128(5):571–575
  5. Sauaia A, Moore FA, Moore EE, Moser KS, Brennan R, Read RA, et al. Epidemiology of trauma deaths: a reassessment. J Trauma. 1995;38(2):185–193
  6. Rutland-Brown W, Langlois JA, Thomas KE, Xi YL. Incidence of traumatic brain injury in the United States, 2003. J Head Trauma Rehabil. 2006;21(6):544–548
  7. Thurman D, Guerrero J. Trends in hospitalization associated with traumatic brain injury. Jama. 1999;282(10):954–957
  8. Demetriades D, Murray J, Sinz B, Myles D, Chan L, Sathyaragiswaran L, et al. Epidemiology of major trauma and trauma deaths in Los Angeles County. J Am Coll Surg. 1998;187(4):373–383
  9. Sosin DM, Sniezek JE, Waxweiler RJ. Trends in death associated with traumatic brain injury, 1979 through 1992. Success and failure. JAMA. 1995;273(22):1778–1780
  10. Engberg A. Severe traumatic brain injury—epidemiology, external causes, prevention, and rehabilitation of mental and physical sequelae. Acta Neurol Scand Suppl. 1995;164:1–151
  11. Shanks NJ, Ansari M, al-Kalai D. Road traffic accidents in Saudi Arabia. Public Health. 1994;108(1):27–34
  12. Ansari S, Akhdar F, Mandoorah M, Moutaery K. Causes and effects of road traffic accidents in Saudi Arabia. Public Health. 2000;114(1):37–39
  13. Haddad SH, Aldawood AS, Arabi YM. The diagnostic yield and clinical impact of a chest x-ray after percutaneous dilatational tracheostomy: a prospective cohort study. Anaesth Intensive Care. 2007;35(3):393–397
  14. Ghajar J, Hariri RJ, Narayan RK, Iacono LA, Firlik K, Patterson RH. Survey of critical care management of comatose, head-injured patients in the United States. Crit Care Med. 1995;23(3):560–567
  15. Wilkins IA, Menon DK, Matta BF. Management of comatose head-injured patients: are we getting any better?. Anaesthesia. 2001;56(4):350–352
  16. Bulger EM, Nathens AB, Rivara FP, Moore M, MacKenzie EJ, Jurkovich GJ. Management of severe head injury: institutional variations in care and effect on outcome. Crit Care Med. 2002;30(8):1870–1876
  17. Guidelines for the management of severe head injury. Brain Trauma Foundation, American Association of Neurological Surgeons, Joint Section on Neurotrauma and Critical Care. J Neurotrauma. 1996;13(11):641–734
  18. Fakhry SM, Trask AL, Waller MA, Watts DD. Management of brain-injured patients by an evidence-based medicine protocol improves outcomes and decreases hospital charges. J Trauma. 2004;56(3):492–499[discussion 499-500]
  19. Guidelines for the management of severe traumatic brain injury. J Neurotrauma. 2007;24(Suppl 1):S1–S106
  20. Vukic M, Negovetic L, Kovac D, Ghajar J, Glavic Z, Gopcevic A. The effect of implementation of guidelines for the management of severe head injury on patient treatment and outcome. Acta Neurochir (Wien). 1999;141(11):1203–1208
  21. Arabi Y, Alshimemeri A, Taher S. Weekend and weeknight admissions have the same outcome of weekday admissions to an intensive care unit with onsite intensivist coverage. Crit Care Med. 2006;34(3):605–611
  22. Rappaport M. The Disability Rating and Coma/Near-Coma scales in evaluating severe head injury. Neuropsychol Rehabil. 2005;15(3-4):442–453
  23. Steiner LA, Johnston AJ, Czosnyka M, Chatfield DA, Salvador R, Coles JP, et al. Direct comparison of cerebrovascular effects of norepinephrine and dopamine in head-injured patients. Crit Care Med. 2004;32(4):1049–1054
  24. Knaus WA, Draper EA, Wagner DP, Zimmerman JE. APACHE II: a severity of disease classification system. Crit Care Med. 1985;13(10):818–829
  25. Sinuff T, Patel RV, Adhikari NK, Meade MO, Schunemann HJ, Cook DJ. Quality of professional society guidelines and consensus conference statements in critical care. Crit Care Med. 2008;36(4):1049–1058
  26. Elf K, Nilsson P, Enblad P. Outcome after traumatic brain injury improved by an organized secondary insult program and standardized neurointensive care. Crit Care Med. 2002;30(9):2129–2134
  27. Shafi S, Diaz-Arrastia R, Madden C, Gentilello L. Intracranial pressure monitoring in brain-injured patients is associated with worsening of survival. J Trauma. 2008;64(2):335–340
  28. Cremer OL. Does ICP monitoring make a difference in neurocritical care?. Eur J Anaesthesiol Suppl. 2008;42:87–93
  29. Mauritz W, Steltzer H, Bauer P, Dolanski-Aghamanoukjan L, Metnitz P. Monitoring of intracranial pressure in patients with severe traumatic brain injury: an Austrian prospective multicenter study. Intensive Care Med. 2008;34(7):1208–1215

PII: S0883-9441(09)00112-9

doi: 10.1016/j.jcrc.2009.05.004

Journal of Critical Care
Volume 25, Issue 2 , Pages 190-195 , June 2010

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