Primary versus early secondary referral to a specialized neurotrauma center in patients with moderate/severe traumatic brain injury: a CENTER TBI study.
Charlie Aletta SewaltBenjamin Yaël GravesteijnDavid MenonHester Floor LingsmaAndrew I R MaasNino StocchettiEsmee VenemaFiona E Leckynull nullPublished in: Scandinavian journal of trauma, resuscitation and emergency medicine (2021)
Across Europe, substantial practice variation exists in the proportion of secondarily referred TBI patients at SNCs that is not explained by case mix. Within SNCs early secondary referral does not seem to impact functional outcome and survival after stabilisation in a non-specialised hospital. Future research should identify which patients with TBI truly benefit from direct transportation.