Prehospital Postintubation Hypotension and Survival in Severe Traumatic Brain Injury

In this cohort study of patients with severe TBI who received prehospital rapid sequence induction, postintubation hypotension was associated with increased 30-day mortality. This association was strongest for patients with isolated TBI. These findings suggest the need for randomized prehospital interventional studies to reduce the incidence of postintubation hypotension in traumatic brain injury.

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Publication Details

Journal
JAMA Network Open
Published
2025-11-20
DOI
https://doi.org/10.1001/jamanetworkopen.2025.44057
Primary Topic
Traumatic Brain Injury and Neurovascular Disturbances
Type
article
Field-Weighted Citation Impact
0.00
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article

Prehospital Postintubation Hypotension and Survival in Severe Traumatic Brain Injury

Lyle Moncur, Ed Barnard, Rob Major, Alistair Steel et al.
JAMA Network Open
Traumatic Brain Injury and Neurovascular Disturbances
article

Prehospital Postintubation Hypotension and Survival in Severe Traumatic Brain Injury

Lyle Moncur, Ed Barnard, Rob Major, Alistair Steel, Peter Sherren, Sarah McLachlan, Kate Lachowycz, Chris Keeliher, Liam Sagi, Benjamin Finbow, James Price, Matt Targett
article en

Abstract

In this cohort study of patients with severe TBI who received prehospital rapid sequence induction, postintubation hypotension was associated with increased 30-day mortality. This association was strongest for patients with isolated TBI. These findings suggest the need for randomized prehospital interventional studies to reduce the incidence of postintubation hypotension in traumatic brain injury.

JAMA Network OpenVol. 8(11)
National Health Service (GB), NHS Lothian (GB), Guy's and St Thomas' NHS Foundation Trust (GB), University of Cambridge (GB), Royal Navy (GB), Edinburgh Royal Infirmary (GB), South East Physics Network (GB), Thomas Foundation (AU), London Ambulance Service NHS Trust (GB), Anglia Ruskin University (GB)
Openalex Percentile: Top 51%
Traumatic Brain Injury and Neurovascular Disturbances
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Prehospital Postintubation Hypotension and Survival in Severe Traumatic Brain Injury — Lyle Moncur, Ed Barnard, et al. · JAMA Network Open (2025) | TGRS Research Map | TGRS