A retrospective study was conducted to compare two groups of patients treated at the Montreal General Hospital (MGH) for traumatic brain injuries (TBI). The time to neurosurgery, vital status and length of stay in the ICU was evaluated in 299 patients treated before (1997-1998), and 307 patients after (2000-2001) an elective neurosurgery service was eliminated from the NIGH. The outcomes were not significantly different between the two groups. There were trends towards a shorter time to neurosurgery in the group treated in 2000-2001 (4.5 hours) compared to the group treated in 1997-1998 (5.5 hours; p=0.32). Mortality and length of stay in the ICU did not significantly differ between the two groups. This study suggests the provision of adequate neurotrauma care with respect to acute outcomes in the absence of an on-site neurosurgery service, at our institution.
| Identifer | oai:union.ndltd.org:LACETR/oai:collectionscanada.gc.ca:QMM.97932 |
| Date | January 2006 |
| Creators | Chughtai, Talat S. |
| Publisher | McGill University |
| Source Sets | Library and Archives Canada ETDs Repository / Centre d'archives des thèses électroniques de Bibliothèque et Archives Canada |
| Language | English |
| Detected Language | English |
| Type | Electronic Thesis or Dissertation |
| Format | application/pdf |
| Coverage | Master of Science (Division of Surgical Research.) |
| Rights | © Talat S. Chughtai, 2006 |
| Relation | alephsysno: 002332472, proquestno: AAIMR24644, Theses scanned by UMI/ProQuest. |
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