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Emergency Access to Neurosurgical Care for Patients with Traumatic Brain Injury  Sunjay Sharma, MD, David Gomez, MD, PhD, Charles deMestral, MD, PhD, Marvin.

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Presentation on theme: "Emergency Access to Neurosurgical Care for Patients with Traumatic Brain Injury  Sunjay Sharma, MD, David Gomez, MD, PhD, Charles deMestral, MD, PhD, Marvin."— Presentation transcript:

1 Emergency Access to Neurosurgical Care for Patients with Traumatic Brain Injury 
Sunjay Sharma, MD, David Gomez, MD, PhD, Charles deMestral, MD, PhD, Marvin Hsiao, MD, PhD, James Rutka, MD, PhD, FACS, Avery B. Nathens, MD, PhD, MSc, FACS  Journal of the American College of Surgeons  Volume 218, Issue 1, Pages (January 2014) DOI: /j.jamcollsurg Copyright © 2014 American College of Surgeons Terms and Conditions

2 Figure 1 Traumatic brain injury patient access to trauma center (TC) and nontrauma center (NTC) from scene of injury. Division of the overall cohort into 3 distinct populations. The first population encompasses patients who were taken directly to a TC after injury. The second population comprises patients who were taken from the scene of injury to an NTC. A subset of the second population consists of patients transferred from an NTC to a TC. Journal of the American College of Surgeons  , 51-57DOI: ( /j.jamcollsurg ) Copyright © 2014 American College of Surgeons Terms and Conditions

3 Figure 2 Predictors of access to trauma center from transport and transfer. Forrest plot demonstrating results of logistic regression modeling with outcome being any access to a trauma center. The plot demonstrates the stepwise reduction in access with increasing age and changes in access patterns based on injury severity and mechanism. ISS, Injury Severity Score; MVC, motor vehicle collision; OR, odds ratio. Journal of the American College of Surgeons  , 51-57DOI: ( /j.jamcollsurg ) Copyright © 2014 American College of Surgeons Terms and Conditions

4 Figure 3 Predictors of transfer from nontrauma center to trauma center. Forrest plot demonstrating results of logistic regression modeling results for the outcome of transfer to a trauma center from a nontrauma center. This plot demonstrates the stepwise reduction in access with increasing age and the influence of severity, mechanism, and type of head injury on access. EDH, epidural hematoma; ISS, Injury Severity Score; MVC, motor vehicle collision; SAH, subarachnoid hemorrhage; SDH, subdural hematoma. Journal of the American College of Surgeons  , 51-57DOI: ( /j.jamcollsurg ) Copyright © 2014 American College of Surgeons Terms and Conditions

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