Clinical Study
Prehospital Intubation in Patients with Isolated Severe Traumatic Brain Injury: A 4-Year Observational Study
Table 1
Demographics of all intubated isolated severe traumatic brain injury cases.
| | All intubated*
| Prehospital intubation (65%) | TRU intubation (34%) | P value |
| Age (yrs; mean ± SD) | | | | 0.14 | Males (%) | 96.5 | 95 | 98 | 0.35 | Nationality | | | | | Qatari (%) | 22 | 20 | 23 | 0.27 for all | Non-Arab (%) | 78 | 80 | 77 | | Mechanism of injury | | | | 0.92 for all | Fall from height (%) | 12 | 13.5 | 11 | Traffic related injuries (%) | 81 | 79 | 83 | Fall of heavy object (%) | 3 | 3 | 2 | EMS time (mean ± SD) | | | | 0.07 | Mode of transport | | | | | Ground EMS (%) | 84 | 76 | 98 | 0.001 for all | Air flight (%) | 16 | 24 | 2 | | ISS (mean ± SD) | | | | 0.32 | Scene data | | | | | Glasgow motor score (median) | 1 (1–6) | 1 (1–5) | 3 (1–5) | 0.001 | O2 saturation | | | | 0.16 | SBP (mean ± SD) | | | | 0.05 | Pulse (mean ± SD) | | | | 0.78 | CT head (%) | 91.5 | 89 | 100 | 0.009 | Craniotomy (%) | 14 | 6 | 25 | 0.001 | Ventilator days (median) | 3 (1–29) | 3 (1–19) | 5 (1–29) | 0.014 | Hospital days (median) | 12 (1–410) | 9 (1–380) | 22 (1–410) | 0.006 | ICU LOS (mean ± SD) | 1 (1-2) | 1 (1-2) | 1 (1-2) | 0.865 | Pneumonia (%) | 12 | 11.4 | 18.2 | 0.23 | ARDS (%) | 1.5 | 1.0 | 1.8 | 0.64 | Blood alcohol level (median) | 44 (7–93) | 38 (27–64) | 43 (7–66) | 0.926 | ED disposition | | | | 0.11 for all | Admitted to ICU (%) | 81 | 85 | 86 | Shifted to OR (%) | 11 | 7 | 13 | Mortality (%) | 46 | 54 | 31 | 0.005 |
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Patients had head AIS ≥ 3 and GCS ≤ 8.
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