Intracranial pressure monitoring following traumatic brain injury: evaluation of indications, complications, and significance of follow-up imaging—an exploratory, retrospective study of consecutive patients at a level I trauma center

• DOI: 10.1007/s00068-020-01570-3
• Publication Date: 2020-12-22T13:02:43Z
• Authors: Alexander Bumberger; Tomas Braunsteiner; Johannes Leitgeb; Thomas Haider
• Keywords: Trauma Center; Medical record

Measurement of intracranial pressure (ICP) is an essential part clinical management severe traumatic brain injury (TBI). However, utility and impact on outcome ICP monitoring remain controversial. Follow-up imaging using cranial computed tomography (CCT) commonly performed in these patients. This retrospective cohort study reports complication rates measurement TBI patients, as well findings consequences follow-up CCT.We a chart review patients with invasive treated at urban level I trauma center between January 2007 September 2017.Clinical records 213 were analyzed. The mean Glasgow Coma Scale (GCS) admission was 6 intra-hospital mortality 20.7%. Overall, complications 12 (5.6%) related to the ICP-measurement recorded which 5 necessitated surgical intervention. CCT scans 192 (89.7%). Indications for CCTs included routine without deterioration (n = 137, 64.3%), increased values and/or 55, 25.8%). based associated significantly likelihoods worsening compared routinely odds ratio 5.524 (95% CI 1.625-18.773) 6.977 3.262-14.926), respectively. Readings resulted subsequent intervention six (3.1%).Invasive ICP-monitoring safe our population acceptable rate. We found high number CCT. Our results indicate that should only be considered elevated deterioration.