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Table 1 Baseline patient and monitoring characteristics

From: Use and impact of high intensity treatments in patients with traumatic brain injury across Europe: a CENTER-TBI analysis

 

Low TIL(N = 445)

High TIL (N = 313)

p-value

Age (median, IQR)

51 [30.0–65.0]

41 [27.0–65.0]

 < 0.001

Gender, male (N,%)

326/445 (73.3)

235/313 (75.1)

0.632

Injury severity (GCS at baseline)

Mild > = 13 (N, %)

77/414 (18.6)

29/296 (9.8)

0.002

Moderate > = 9—< 13(N, %)

78/414 (18.8)

51/296 (17.2)

0.653

Severe < 9 (N, %)

259/414 (62.6)

216/296 (73.0)

0.005

ISS without head injury (median, IQR)

10 [0.0–25.0]

13 [0.0–25.0]

0.286

CT (N,%)

 tSAH

306/367 (− 83.4)

228/253 (− 90.1)

0.023

 EDH

73/366 (− 19.9)

58/254 (− 22.8)

0.443

Marshall (N, %)

   

 1

11/367 (− 3)

5/253 (− 2)

 < 0.001

 2

168/367 (− 45.8)

94/253 (− 37.2)

 

 3

30/367 (− 8.2)

57/253 (− 22.5)

 

 4

8/367 (− 2.2)

5/253 (− 2)

 

 5

2/367 (− 0.5)

2/253 (− 0.8)

 

 6

148/367 (− 40.3)

90/253 (− 35.6)

 

Preinjury ASA (N, %)

  

0.001

 1) Normal healthy

230/428 (− 53.7)

194/296 (− 65.5)

 

 2) Mild systemic disease

144/428 (− 33.6)

88/296 (− 29.7)

 

 3) Severe systemic disease

51/428 (− 11.9)

13/296 (− 4.4)

 

 4) Severe systemic disease, a constant threat to life

3/428 (− 0.7)

1/296 (− 0.3)

 

Cause of injury (N, %)

  

0.295

 Road traffic incident

212/430 (− 49.3)

148/301 (− 49.2)

 

 Incidental fall

166/430 (− 38.6)

106/301 (− 35.2)

 

 Violence/assault

15/430 (− 3.5)

18/301 (− 6)

 

 Suicide attempt

10/430 (− 2.3)

4/301 (− 1.3)

 

 Other

27/430 (− 6.3)

25/301 (− 8.3)

 

Prehospital1 (N, %)

 Hypoxia

89/445 (− 20)

39/313 (− 12.5)

0.009

 Hypotension

80/445 (− 18)

47/313 (− 15)

0.329

Lab1 (median, IQR)

   

 Hemoglobin (g/dL)

13.1 [11.6–14.4]

13.2 [11.9–14.3]

0.694

 Glucose (mmol/L)

7.9 [6.7–9.9]

7.8 [ 6.7–9.8]

0.933

Type ICP monitor (N, %)

  

0.511

 Ventricular

53/445 (− 11.9)

38/312 (− 12.2)

 

 Ventricular + inbuilt sensor

7/445 (− 1.6)

10/312 (− 3.2)

 

 Parenchymal

366/445 (− 82.2)

250/312 (− 80.1)

 

 Other

19/445 (− 4.3)

14/312 (− 4.5)

 

Multimodal cerebral monitoring (N, %)

 Jugular oximetry

9/445 (− 2)

20/312(− 6.4)

0.004

 Brain tissue PbtO2

84/445 (− 18.9)

65/312 (− 20.8)

0.555

 Transcranial Doppler

34/444 (− 7.7)

78/312 (− 25)

 < 0.001

 Microdialysis

48/445 (− 10.8)

30/311 (− 9.6)

0.7

 Continuous EEG

21/445 (− 4.7)

38/311 (− 12.2)

 < 0.001

 Electrocorticography

4/444 (− 0.9)

1/311 (− 0.3)

0.61

Systemic monitoring (N, %)

 Invasive blood pressure monitoring

432/445 (− 97.1)

306/312 (− 98.1)

0.53

 Cardiac output

74/444 (− 16.7)

80/312 (− 25.6)

0.003

 Pulse oximetry

436/445 (− 98)

303/312 (− 97.1)

0.6

 End tidal CO2

335/444 (− 75.5)

213/312 (− 68.3)

0.036

 Central venous pressure

261/444 (− 58.8)

190/312 (− 60.9)

0.612

Mechanical ventilation

 Present

416/441 (− 94.3)

287/312 (− 92)

0.261

  1. This table describes the baseline characteristics of patients with a high versus a low therapy intensity level (TIL). High TIL was defined as any high intensity treatment (decompressive craniectomy excluding day 1, barbiturates, intensive hypothermia, intensive hyperventilation) during the ICU stay. Significant group differences were determined by using the chi-square or Fisher’s exact test (non-normal distributions) for categorical variables and an ANOVAS or Kruskal Wallis test (non-normal distributions) for continuous variables
  2. 1IMPACT, first available
  3. ASA score: American Society of Anesthesiologists (ASA) Physical Status score, CO2: carbon dioxide, CT: Computed tomography, CRBSI: catheter-related blood-stream infection EEG: electroencephalogram, GCS: Glasgow Coma Scale, ICP: intracranial pressure, ISS: injury severity score, IQR: interquartile range, PbtO2: brain tissue partial pressure of oxygen, TIL: therapy intensity level