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- Title
Intracranial pressure monitoring associated with increased mortality in pediatric brain injuries.
- Authors
Delaplain, Patrick T.; Grigorian, Areg; Lekawa, Michael; Mallicote, Michael; Joe, Victor; Schubl, Sebastian D.; Kuza, Catherine M.; Dolich, Matthew; Nahmias, Jeffry
- Abstract
<bold>Background: </bold>Utilization of ICP monitors for pediatric patients is low and varies between centers. We hypothesized that in more severely injured patients (GCS 3-4), there would be a decreased mortality associated with invasive monitoring devices.<bold>Methods: </bold>The pediatric Trauma Quality Improvement Program (TQIP) was queried for patients aged ≤ 16 years meeting criteria for invasive monitors. Our primary outcome was mortality. Patients with ICP monitoring were compared to those without. A logistic regression was used to examine the risk of mortality.<bold>Results: </bold>Of 3,808 patients, 685 (18.0%) underwent ICP monitoring. ICP monitors were associated with increased risk of mortality (OR 1.82, CI 1.36-2.44, p < 0.001). A secondary analysis including type of invasive ICP monitor and dividing GCS into 3 categories revealed both intraventricular drain (OR 1.89, CI 1.3-2.7, p = 0.001) and intraparenchymal pressure monitor (OR 1.86, CI 1.32-2.6, p < 0.001) to be independently associated with an increased likelihood of mortality regardless of GCS, while intraparenchymal oxygen monitoring was not (OR 0.47, CI 0.11-2.05, p = 0.316). The strongest effect was seen in those patients with a GCS of 5-6.<bold>Conclusion: </bold>ICP monitors are an independent risk factor for mortality, particularly with intraventricular drains and intraparenchymal monitors in patients with a GCS 5-6.
- Subjects
UNITED States; INTRACRANIAL pressure; BRAIN injuries; CHILDREN'S injuries; MORTALITY; RESEARCH; RESEARCH methodology; PROGNOSIS; EVALUATION research; MEDICAL cooperation; PATIENT monitoring; COMPARATIVE studies
- Publication
Pediatric Surgery International, 2020, Vol 36, Issue 3, p391
- ISSN
0179-0358
- Publication type
journal article
- DOI
10.1007/s00383-020-04618-y