VARIABLES | Total (n = 1114) | Discharge | Death | p value |
---|---|---|---|---|
ICU ADMISSION | ||||
Age (years), mean ± SD | 45.3 ± 19.1 | 44.5 ± 18.9 | 47.6 ± 19.7 | 0.016b |
Male, n (%)* | 948 (85.1) | 689 (72.7) | 259 (27.3) | 0.707c |
Trauma mechanism, n (%) * | < 0.001a | |||
GSW/SW | 77 (7.4) | 47 (56.6) | 36 (43.4) | |
Physical Aggression | 142 (12.7) | 113 (79.6) | 29 (20.4) | |
Run over | 158 (14.2) | 104 (65.8) | 54 (34.2) | |
Cyclist | 50 (4.5) | 29 (58) | 21 (42) | |
Collision | 93 (8.3) | 73 (78.5) | 20 (21.5) | |
Motorbike | 203 (18.2) | 159 (78.3) | 44 (21.7) | |
SLF | 238 (21.4) | 172 (72.3) | 66 (27.7) | |
OLF | 147 (13.2) | 110 (74.8) | 37 (25.2) | |
Passage to the operating room before ICU addition, n(%) | 0,033c | |||
Yes | 789 (70.8) | 557 (70.6) | 232 (29.4) | |
No | 325 (29.2) | 250 (76.9) | 75 (23.1) | |
Apache II score, mean; med. (min-max) | 20; 19 (0–49) | 16.5; 15 (0–41) | 29.1; 30 (6–49) | 0.000d |
Worst Glasgow Coma Scale (GCS) in the first 24 h, mean; med. (min-max) | 9; 10 (3–15) | 10.5; 12 (3–15) | 5.3; 3 (3–15) | 0.000d |
Classification of Severity of TBI by the worst GCS in the first 24 h, n(%) | < 0,001a | |||
Severe (GCS 3 to 8) | 519 (46.6) | 264 (50.9) | 255 (49.1) | |
Moderate (GCS 9 to 12) | 205 (18.4) | 176 (85.9) | 29 (14.1) | |
Mild (GCS 13 to 15) | 390 (35.0) | 367 (94.1) | 23 (5.9) | |
SOFA score in the first 24 h, mean; med. (min-max) # | 6.5; 6 (0–18) | 5.4; 5 (0–16) | 9.5; 9 (2–18) | 0.000d |
Number of injuries on cranial CT, n (%) * | < 0.001a | |||
None | 43 (3.9) | 39 (90.7) | 4 (9.3) | |
One | 736 (66.1) | 552 (75) | 184 (25) | |
Two | 250 (22.4) | 176 (70.4) | 74 (29.6) | |
Three | 85 (7.6) | 40 (47.1) | 45 (52.9) | |
Injuries evidenced on CT, n (%) * | ||||
Cerebral contusion | 167 (15.0) | 122 (73.1) | 45 (26.9) | 0.015e |
DAI | 47 (4.2) | 40 (85.1) | 7 (14.9) | 0.527e |
Fracture and/or depression | 99 (8.9) | 70 (70.7) | 29 (29.3) | 0.009e |
SAH | 379 (34.0) | 244 (64.4) | 135 (35.6) | < 0.001e |
SDH | 401 (36.0) | 268 (66.8) | 133 (33.2) | < 0.001e |
EDH | 151 (13.6) | 127 (84.1) | 24 (15.9) | 0.335e |
IPH | 149 (13.4) | 112 (75.2) | 37 (24.8) | 0.034e |
Haemoventriculum | 19 (1.7) | 8 (42.1) | 11 (57.9) | < 0.001e |
Cerebral edema | 55 (4.9) | 17 (30.9) | 38 (69.1) | < 0.001e |
Ischaemia | 8 (0.7) | 2 (25) | 6 (75) | < 0.001e |
Pneumocephalus | 13 (1.2) | 11 (84.6) | 2 (15.4) | 0.615e |
Presence of polytrauma, n (%) * | 318 (28.5) | 230 (72.3) | 88 (27.7) | 1c |
Number of injury follow-ups in addition to TBI, n (%) * | 0.260a | |||
None | 796 (71.5) | 577 (72.5) | 219 (27.5) | |
One | 190 (17.1) | 142 (74.7) | 48 (25.3) | |
Two | 94 (8.4) | 61 (64.9) | 33 (35.1) | |
Three or more | 34 (3.1) | 27 (79.4) | 7 (20.6) | |
Injury follow-up in addition to TBI, n (%) * | ||||
Thorax | 140 (44) | 87 (62.1) | 53 (37.9) | 0,015f |
Abdomen | 56 (17.6) | 37 (66.1) | 19 (33.9) | 0,355f |
Pelvis | 14 (4.4) | 11 (78.6) | 3 (21.4) | 0,768f |
SCI | 59 (18.6) | 44 (74.6) | 15 (25.4) | 0,880f |
Limbs | 129 (40.6) | 93 (72.1) | 36 (27.9) | 0,916f |
Face and/or neck (except spine) | 84 (26.4) | 75 (89.3) | 9 (10.7) | < 0,001f |
TREATMENT OF TBI | ||||
Approach to TBI treatment, n (%) * | 0,138c | |||
Conservative | 494 (44.3) | 369 (74.7) | 125 (25.3) | |
Surgical | 620 (55.7) | 438 (70.6) | 182 (29.4) | |
Procedures performed to treat TBI, n (%) * | ||||
ICPm | 418 (67.4) | 272 (65.1) | 146 (34.9) | 0,002 g |
Craniectomy | 158 (25.5) | 86 (54.4) | 72 (45.6) | < 0.001 g |
Haematoma drainage | 140 (22.6) | 122 (87.1) | 18 (12.9) | 0.002 g |
EVD | 94 (15.5) | 71 (75.5) | 23 (24.5) | 1 g |
Correction of fracture and/or depression | 8 (1.3) | 8 (100) | 0 (0) | 0.210 g |
ICU OUTCOME | ||||
Length of stay, mean; med. (min-max) | 10.8; 7 (1–90) | 12; 8 (1–90) | 7.4; 5 (1–74) | < 0.001d |
Level of LST, n (%) § | < 0.001a | |||
LST-A | 803 (74.1) | 742 (92.4) | 61 (7.6) | |
LST-B | 74 (6.8) | 24 (32.4) | 50 (67.6) | |
LST-C | 77 (7.1) | 14 (18.2) | 63 (81.8) | |
LST-D | 17 (1.6) | 1 (5.6) | 17 (94.4) | |
LST-E | 113 (10.4) | 0 (0) | 113 (100) |