Impact of Modified Brain Injury Guideline Incorporating Neurosurgical Consultation on Resource Utilization and Follow-Up Care in Complicated Mild Traumatic Brain Injury
Implementation of a resource utilization-focused protocol at our trauma center incorporating neurosurgery consultation for patients with complicated mTBI led to higher rates of direct discharges from the ED and to home without compromising TBI-related follow-up care. Results demonstrate that adoption of a modified BIG protocol that includes neurosurgical collaboration can translate to more efficient patient care, while ensuring stewardship of post-TBI follow-up care.
Authors
- Sarah Lombardo (ORCID: https://orcid.org/0000-0002-1132-0881)
- Holly K. Ledyard
- Ramesh Grandhi (ORCID: https://orcid.org/0000-0001-9000-6083)
- Sarah T. Menacho (ORCID: https://orcid.org/0000-0003-1362-8764)
- Rachel Koch (ORCID: https://orcid.org/0000-0002-0536-5207)
- David Botros (ORCID: https://orcid.org/0000-0002-2517-9583)
- Diwas Gautam (ORCID: https://orcid.org/0000-0001-8463-186X)
- Monica‐Rae Owens (ORCID: https://orcid.org/0000-0002-1015-4877)
- Janet Cortez
- Kent R. Richter (ORCID: https://orcid.org/0000-0003-1655-5767)
- Toby M. Enniss (ORCID: https://orcid.org/0000-0003-1778-2611)
- Iain Anthony
Institutions
- Geisinger Medical Center (US)
- University of California, San Francisco (US)
- University of Utah (US)
- University of Utah Hospital (US)
Publication Details
- Journal
- Neurosurgery
- Published
- 2025-10-28
- DOI
- https://doi.org/10.1227/neu.0000000000003839
- Primary Topic
- Traumatic Brain Injury and Neurovascular Disturbances
- Type
- article
- Field-Weighted Citation Impact
- 0.00