Adherence to Brain Trauma Foundation Guidelines for Management of Traumatic Brain Injury Patients and Its Effect on Outcomes: Systematic Review

2018 ◽  
Vol 35 (13) ◽  
pp. 1407-1418 ◽  
Author(s):  
Yahya Hadi Khormi ◽  
Ibrahim Gosadi ◽  
Sandy Campbell ◽  
Ambikaipakan Senthilselvan ◽  
Cian O'Kelly ◽  
...  
Keyword(s):  
Systematic Review ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Brain Trauma ◽  
Brain Trauma Foundation

The Adam Williams Initiative: Collaborating With Community Resources to Improve Care for Traumatic Brain Injury

2014 ◽  
Vol 34 (6) ◽  
pp. 39-47 ◽  
Author(s):  
Mary Kay Bader ◽  
Sonja E. Stutzman ◽  
Sylvain Palmer ◽  
Chiedozie I. Nwagwu ◽  
Gary Goodman ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Treatment Guidelines ◽  
The United States ◽  
Brain Trauma ◽  
Successful Implementation ◽  
Team Members ◽  
Staff Members ◽  
Brain Trauma Foundation ◽  
The Brain

Background The Brain Trauma Foundation has developed treatment guidelines for the care of patients with acute traumatic brain injury. However, a method to provide broad acceptance and application of these guidelines has not been published. Objective To describe methods for the development, funding, and continued educational efforts of the Adam Williams Initiative; the experiences from the first 10 years may serve as a template for hospitals and nurses that seek to engage in long-term quality improvement collaborations with foundations and/or industry. Methods In 2004, the nonprofit Adam Williams Initiative was established with the goal of providing education and resources that would encourage hospitals across the United States to incorporate the Brain Trauma Foundation’s guidelines into practice. Results Between 2004 and 2014, 37 hospitals have been funded by the Adam Williams Initiative and have had staff members participate in an immersion experience at Mission Hospital (Mission Viejo, California) during which team members received both didactic and hands-on education in the care of traumatic brain injury. Conclusions Carefully cultivated relationships and relentless teamwork have contributed to successful implementation of the Brain Trauma Foundation’s guidelines in US hospitals.

An analysis of Brain Trauma Foundation traumatic brain injury guideline compliance and patient outcome

Injury ◽  
2015 ◽  
Vol 46 (5) ◽  
pp. 854-858 ◽  
Author(s):  
John C. Lee ◽  
Katelyn Rittenhouse ◽  
Katherine Bupp ◽  
Brian Gross ◽  
Amelia Rogers ◽  
...  
Keyword(s):  
Patient Outcome ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Brain Trauma ◽  
Guideline Compliance ◽  
Brain Trauma Foundation

Correlation Between Brain Trauma Foundation Guidelines and Published Severe Traumatic Brain Injury Research

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Abhijit V. Lele ◽  
Puriwat To-adithep ◽  
Phuriphong Chanthima ◽  
Viharika Lakireddy ◽  
Monica S. Vavilala
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Severe Traumatic Brain Injury ◽  
Brain Trauma ◽  
Brain Trauma Foundation ◽  
Injury Research

scholarly journals Respect your elders: effects of ageing on intracranial pressure monitor use in traumatic brain injury

2019 ◽  
Vol 4 (1) ◽  
pp. e000306 ◽  
Author(s):  
Alexander J Schupper ◽  
Allison E Berndtson ◽  
Alan Smith ◽  
Laura Godat ◽  
Todd W Costantini
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Intracranial Pressure ◽  
Injury Severity ◽  
Demographic Data ◽  
Multivariable Analysis ◽  
Brain Trauma ◽  
Hospital Length Of Stay ◽  
Level Of Evidence ◽  
Brain Trauma Foundation

BackgroundThe Brain Trauma Foundation recommends intracranial pressure (ICP) monitor placement for patients with severe traumatic brain injury (TBI). Adherence with these guidelines in elderly patients is unknown. We hypothesized that disparities in ICP monitor placement would exist based on patient age.MethodsUsing the National Trauma Data Bank (2010–2014), we identified patients admitted for blunt TBI with admission Glasgow Coma Scale (GCS) scores of 3–8. Patients were excluded if they had a non-Head Abbreviated Injury Scale (AIS) score ≥3, hospital length of stay <24 hours or were discharged from the emergency department. Demographic data, ICP monitor placement, GCS, AIS-Head, Injury Severity Score, and outcome measures were collected. Propensity score matching between ICP monitor and non-ICP monitor patients was used for logistic regression and Cox multivariate regression analyses.ResultsOf the 30 710 patients with blunt TBI with GCS scores of 3–8 included in our study, 4093 were treated with an ICP monitor. ICP monitor placement rates significantly decreased with increasing age. Multivariable analysis demonstrated that patients treated with an ICP monitor were more likely to be younger, male, have private/commercial insurance, and receive care at an institution with three or more neurosurgeons.ConclusionPatients ≥65 years of age with severe blunt TBI are less likely to be treated with an ICP monitor than younger patients. Age disparities in adherence to Brain Trauma Foundation guidelines may alter the outcomes for patients with severe TBI.Level of evidenceLevel IV.

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