Skip to main content

Table 2 Within- and between-region variation in first- and second-tier treatments for elevated intracranial pressure

From: Variation in monitoring and treatment policies for intracranial hypertension in traumatic brain injury: a survey in 66 neurotrauma centers participating in the CENTER-TBI study

Variable

Northern Europe (n =9)

Western Europe (n = 25)

United Kingdom (n =7)

Southern Europe (N =12)

Baltic states (n = 5)

Eastern Europe (n = 6)

Israel (n = 2)

Nagelkerke R 2 value

First-tier treatments

 Propofol

78%

76%

100%

92%

80%

67%

100%

0.14

 Midazolam

67%

76%

29%

75%

100%

83%

100%

0.22

 Fentanyl

44%

44%

29%

67%

100%

100%

50%

0.31

 Morphine

56%

48%

57%

50%

40%

33%

50%

0.02

 Neuromuscular blocking agents

0%

16%

29%

25%

40%

67%

50%

0.25

 α2-Agonists

33%

12%

0%

17%

40%

0%

0%

0.22

 Barbiturates

11%

8%

0%

0%

80%

83%

0%

0.63

 CSF drainage

33%

24%

0%

25%

60%

50%

0%

0.20

 Mannitol

11%

67%

43%

83%

100%

100%

100%

0.46

 Hypertonic saline

89%

71%

86%

58%

40%

33%

100%

0.20

Second-tier treatments

 Decompressive craniectomy

33%

36%

29%

33%

80%

33%

100%

0.16

 Hypothermia

22%

25%

71%

25%

0%

0%

0%

0.29

 Deep hyperventilation

0%

13%

0%

33%

20%

33%

0%

0.24

 Barbiturates

11%

29%

14%

33%

80%

67%

0%

0.25

 CSF drainage

56%

28%

43%

33%

20%

17%

50%

0.08

  1. CSF Cerebrospinal fluid
  2. Note. Table presents the percentage of participants within each geographic region that indicated that the first- or second-tier treatment was their general policy. Nagelkerke R 2 was derived from a logistic regression analysis with treatment (general policy yes/no) as the dependent variable and geographic region (categorical variable) as an independent variable. Nagelkerke R 2 represents the proportion of variance of the treatment variable that is accounted for by geographic region
  3. Northern Europe = Norway, Sweden, Finland, and Denmark; Western Europe = Austria, Belgium, France, Germany, Switzerland, and The Netherlands; Southern Europe = Italy and Spain; Eastern Europe = Hungary, Romania, Serbia, and Bosnia and Herzegovina; Baltic states = Latvia and Lithuania