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Table 4 Reasons for managing patients entirely at the GH (n = 137), with corresponding severity of TBI and fatality

From: Moderate and severe traumatic brain injury in general hospitals: a ten-year population-based retrospective cohort study in central Norway

 

Unsalvageable

Neurosurgical intervention considered non-beneficial

Presumed low risk of further deterioration

Another reason

Unknown reason

n = 32 (23%)

n = 42 (31%)

n = 49 (36%)

n = 8 (6%)

n = 6 (4%)

Age, median [IQR]

79 [69, 85]

87 [82, 90]

58 [41, 71]

48 [37, 65]

43 [25, 78]

Patients ≥ 65 years old, n (%)

24 (75)

40 (95)

16 (33)

2 (25)

2 (33)

Patients ≥ 80 years old, n (%)

14 (44)

35 (83)

7 (14)

0 (0)

1 (17)

Severe TBI at admission, n (%)

31 (97)

7 (17)

8 (16)

4 (50)

3 (50)

Moderate TBI at admission, n (%)

1 (3)

31 (74)

32 (65)

4 (50)

3 (50)

Mild TBI at admission, n (%)

0 (0)

4 (10)

9 (18)

0 (0)

0 (0)

In-hospital fatality, n (%)

32 (100)

27 (64)

1a (2)

0 (0)

0 (0)

6-month fatality, n (%)

32 (100)

38 (90)

4 (8)

0 (0)

0 (0)

  1. ED Emergency department, GH General hospital, IQR Interquartile range, TBI Traumatic brain injury
  2. aTwo additional patients > 70 years of age were discharged to palliative care and died, thus fatal outcome was observed in the acute phase in 6% of patients in this category