2021 Annual Conference

Other

• Title: Guidelines for the Management of Severe TBI
• Significance & Background: Aggressive, protocolized care with evidence-based guidelines can improve outcomes in severe TBI patients (Cnossen et al., 2018). This project establishes guidelines for the care of the adult, severe TBI patient. These guidelines provide stepwise actions for the management of increased intracranial pressure, evidence-based goals for care, and interventions to maximize recovery

• Evaluation Methods: Ventilator days, ICU length of stay (LOS), hospital LOS, Glasgow Outcome Scale-Extended scores at hospital discharge, six months and 12-months post-discharge will be used to evaluate efficacy. Decreased ICU length of stay and hospital length of stay may be used to measure cost savings to the hospital after implementation.
• Outcomes:Ideal outcomes would be decreased ventilator days, decreased ICU days, and hospital LOS as well as improved GOS-E scores at six- and 12-months post-discharge.

• Implications: Aggressive TBI care using protocolized guidelines will not only streamline patient care, but also improve outcomes.