Is direct transport to a trauma centre best for patients with severe traumatic brain injury? A study in south-central Taiwan

Abstract

No differences in outcome were found between patients with isolated severe TBI who were directly transported and those transferred to this hospital's emergency room.

Impact of prehospital transfer strategies in major trauma and head injury

“…Two studies were conducted in the United States, 34,35 two in Canada, 20,30 three in Norway, 32,33,36 one in New Zealand, 31 one in Taiwan, 37 the Netherlands, 38 and one in Israel. Study size varied from 60 to 1,118 patients.…”

“…Study size varied from 60 to 1,118 patients. Five studies included patients with severe head injury (GCS score e 8), 30,32,33,35,37 one with moderate-to-severe head injury (GCS score e12), 34 two with AIS score of 3 or greater for head injury, 20,31 and three with brain injury requiring neurosurgery. 39 Study size varied from 60 to 1,118 patients.…”

Impact of Interhospital Transfer on Outcomes for Trauma Patients: A Systematic Review

“…20,35,[37][38][39]42,46,47 The remaining studies were conducted in urban or mixed urban/nonurban settings. The patient populations were restricted to blunt or penetrating trauma, 19,23,25,34 orthopedic, 43 blunt pancreatic, 42 and brain and head injury, 18,21,22,27,35,44,45,51 respectively, in 14 studies. The remaining studies included a heterogeneous population of trauma patients (Table 1).…”

“…Fatovich et al 49 Poor Good Good Good Adequate Medium Cheddie et al 50 Poor Good Good Good Poor High Haas et al 48 Adequate Good Good Good Good Medium Nirula et al 25 Adequate Good Good Good Adequate Medium Meisler et al 26 Adequate Good Good Adequate Adequate Medium Garwe et al 46 Adequate Good Good Good Good Medium Hsiao et al 45 Adequate Good Good Good Adequate Medium Helling et al 47 Adequate Good Good Good Poor High Odetola et al 24 Poor Good Good Good Good Medium Kejriwal and Civil 51 Adequate Good Good Good Poor High Moen et al 27 Adequate Good Adequate Good Adequate Medium Rivara et al 28 Adequate Good Good Good Good Medium de Jongh et al 29 Adequate Good Good Good Good Medium Spain et al 30 Poor Good Good Poor Poor High Sethi et al 16 Poor Good Good Good Adequate Medium London et al 31 Adequate Good Good Good Poor Medium Hartl et al 18 Unclear Good Good Good Adequate High Harrington et al 32 Poor Good Good Good Poor High Lubin et al 33 Adequate Good Good Good Poor Medium Larson et al 34 Poor Good Good Good Poor High Sollid et al 35 Poor Good Good Good Poor High Nathens et al 36 Adequate Good Good Good Good Medium Sethi et al 17 Poor Good Good Good Poor High Osterwalder et al 19 Good Good Good Good Poor Medium Cummings et al 20 Poor Good Good Good Poor High Rogers et al 37 Poor Good Good Good Adequate Medium Falcone et al 38 Poor Good Good Good Poor High Young et al 39 Unclear Good Good Good Poor High Kam et al 40 Unclear Good Good Good Poor High Sampalis et al 41 Poor Good Good Good Good Medium Timberlake 42 Poor Good Good Good Poor High Johnson et al 21 Adequate Adequate Unclear Good Poor High Obremskey et al 43 Unclear Good Good Good Adequate Medium Schwartz et al …”

Re: Is direct transport to a trauma centre best for patients with severe traumatic brain injury?

“…The study by Hsiao et al 1 concludes ‘No differences in outcome were found between patients with isolated severe TBI [traumatic brain injury] who were directly transported and those transferred (from other hospitals)’. The study reveals major differences from UK practice that should be considered.…”