Hospitals with and without neurosurgery: a comparative study evaluating the outcome of patients with traumatic brain injury.
Aimone GiugniLorenzo GamberiniGreta CarraraLuca AntigaObou BrissyVirginia BuldiniItalo CalamaiAkos CsomosAlessandra De LucaEnrico FerriJoanne M FlemingPrimoz GradisekRafael KapsTheodoros KyprianouSilvia LagomarsinoIsaac LazarCostanza MartinoMalgorzata Mikaszewska-SokolewiczAndrea MontisGabor NardaiGiovanni NattinoGiuseppe NattinoGiulia PaciLaila PortolaniNektaria XirouchakiArturo ChieregatoGuido Bertolininull nullPublished in: Scandinavian journal of trauma, resuscitation and emergency medicine (2021)
In our study, centralization of TBI patients significantly impacted short- and long-term outcomes. For TBI patients admitted to no-NSH centers, our results suggest that the least critically ill can effectively be managed in centers without neurosurgical capabilities. Conversely, the most complex patients would benefit from being treated in high-volume, neuro-oriented ICUs.