{"id":"77775824-215e-4f01-bb09-6a8d8eb15e93","slug":"intracranial-pressure-monitoring-for-severe-traumatic-brain-injury-a-retrospective-study-of-273-consecutive-patients","title":"Intracranial pressure monitoring for severe traumatic brain injury: A retrospective study of 273 consecutive patients","authors":["Kriengsak Limpastan","Thunya Norasetthada","Wanarak Watcharasaksilp","Tanat Vaniyapong","Chumpon Jetjumnong","Chanon Srihagulang","Todsapon Praphanuwat","Jirapong Vongsfak"],"abstract":"Background: Intracranial pressure (ICP) monitoring is essential in severe traumatic brain injury (sTBI) cases; yet, the frequency of high ICP occurrences remains debated. This study presents a 9-year analysis of ICP monitoring using intraventricular catheters among sTBI patients. Methods: A retrospective review of 1760 sTBI patients (Glasgow Coma Score 20 mmHg for 10–15 min during 72 h were categorized with high ICP. Data collected included demographics, computed tomography (CT) findings, intra- and post-operative ICP, and complications. Results: Of 273 patients, 228 were male and 45 females, aged 18–80 (71.30% aged 18–45). Traffic accidents were the primary cause (90.48%). Fifty-two-point seventy-five percent experienced high ICP, correlating significantly with subdural hematoma (P P P = 0.046) on initial CT. Twenty patients (7.3%) developed meningitis. Lower mortality rates and improved outcomes were observed in the low ICP group across discharge 3-and 6-month follow-ups. Conclusion: Adherence to BTF guidelines yielded a 52.75% high ICP rate. Significant correlations were found between high ICP and specific CT abnormalities. This study underscores the benefits of ICP monitoring in selected sTBI cases, suggesting a need to review criteria for initiating monitoring protocols.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/77775824-215e-4f01-bb09-6a8d8eb15e93/featured/hero-1781559454470.png","publishDate":"2024-06-21T00:00:00.000Z","doi":"10.25259/SNI_221_2024","categories":["Trauma","Original Article"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2024/07/12954/SNI-15-208.pdf"}