Life Support Withdrawn Too Soon in Severe TBI?

Some patients with severe traumatic brain injury who died because life support was withdrawn may have survived and recovered at least partial independence if the life sustaining treatment had continued, new research shows.

The study included more than 1300 patients with severe TBI at 18 trauma centers across the United States. Investigators created a mathematical model to estimate the potential for recovery of at least partial function 6 months after injury. They then developed propensity-score matched cohorts of patients with severe TBI with and without withdrawal of life-sustaining treatment in the intensive care unit.

In Tiers 1 and 2 combined, four patients recovered to pre-injury baseline levels of function . Eight patients in Tiers 1 and 2 recovered to GOSE of 3, indicating a lower severe disability category that includes a broad range of function and may include some patients who are independent in activities of daily living.

"A lot more work is needed in this area, especially in trying to improve our accuracy for predicting how patients who have had a severe TBI will recover, but at a minimum, studies like these will hopefully encourage clinicians to be cautious when considering withdrawing life support in patients with severe TBI," she added.

TBI - Traumatic Brain Injury TBI Brain Injury Wound Management Wound Care Brain Death Physical Medicine And Rehabilitation Physiatry PM&R Stroke Cerebrovascular Accident CVA - Cerebrovascular Accident Disability Hospitals Massachusetts Intensive Care Unit ICU - Intensive Care Unit Canada Canadian Clinical Guidelines Guidelines Florida Grant Investment New York

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