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Table 1 Patient demographics, injury patterns, and disposition. For discrete variables, percentages are calculated by dividing by total patients (not by the number of patients with the given variable)

From: Prediction of neurosurgical intervention after mild traumatic brain injury using the national trauma data bank

 

All patients

No neurosurgical intervention

Neurosurgical intervention

N or mean

% or SD

N or mean

% or SD

N or mean

% or SD

Total Included Patients

50,496

100 %

46,022

91.2 %

4,474

8.8 %

Demographics

      

 Male gender (N, %)

30386

60.2

27407

59.6

2979

66.6

 Age (years) (mean, SD)

60.6

20.5

60.2

20.7

65.2***

18.3

Physiology

      

 ED GCS (mean, SD)

14.8

0.4

14.8

0.4

14.7***

0.4

 ED SBP (mean, SD)

144.4

26.4

144.1

26.4

147.6***

26.6

 ED Pulse (mean, SD)

85.3

18

85.6

18

81.7***

18

 ED RR (mean, SD)

18.1

3.7

18.2

3.8

17.9***

3.4

Injury Characteristics

      

 ISS at discharge (mean, SD)

13.7

6.5

13.1

6.1

19.7***

6.7

Traumatic Brain Injury Patterns

      

 Isolated Contusion (N, %)

5636

11.2 %

5497

11.9 %

139

3.1 %

 Isolated SAH (N, %)

13191

26.1 %

12994

28.2 %

197

4.4 %

 Isolated SDH (N, %)

18784

37.2 %

15807

34.3 %

2977

66.5 %

 Isolated EH (N, %)

901

1.8 %

742

1.6 %

159

3.6 %

 Multiple Injury Types (N, %)

11984

23.7 %

10982

23.9 %

1002

22.4 %

Comorbidities

      

 Total comorbidities (mean, SD)

0.9

1.1

0.9

1.1

0.9

1.2

 Presence of Coagulopathy (N, %)

2340

4.6 %

2061

4.5 %

279

6.2 %

ACS Trauma Center Level

      

 NA/ Unverified (N, %)

14713

29.1 %

13214

28.7 %

1499

33.5 %

 Level IV (N, %)

20

0 %

19

0 %

1

0 %

 Level III (N, %)

802

1.6 %

730

1.6 %

72

1.6 %

 Level II (N, %)

13200

26.1 %

12110

26.3 %

1090

24.4 %

 Level I (N, %)

21761

43.1 %

19949

43.3 %

1812

40.5 %

ED Disposition

      

 Observation unit (N, %)

827

1.6 %

818

1.8 %

9

0.2 %

 Floor bed (N, %)

13329

26.4 %

12756

27.7 %

573

12.8 %

 Telemetry/step-down unit (N, %)

5292

10.5 %

5122

11.1 %

170

3.8 %

 Intensive Care Unit (ICU) (N, %)

29043

57.5 %

26580

57.8 %

2463

55.1 %

 Operating Room (N, %)

2005

4 %

746

1.6 %

1259

28.1 %

Outcomes

      

 LOS (mean days, SD)

5.4

6.5

4.8

5.5

11.2***

11.2

 Expired during Admission (N, %)

1594

3.2 %

1141

2.5 %

453

10.1 %

  1. N Number, SD Standard Deviation, ISS Injury Severity Score, ED Emergency Department, GCS Glasgow Coma Score, SBP Systolic Blood Pressure, RR Respiratory Rate, SAH Subarachnoid Hemorrhage, SDH Subdural Hemorrhage, ED Epidural Hemorrhage, LOS Length of Stay
  2. *** P < 0.0001; Student’s t-test for differences of continuous measures between “No Neurosurgical Intervention” and “Neurosurgical Intervention” groups