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Which brain injury guidelines are really big on safety? A retrospective comparison and cost analysis of big criteria at a level I trauma center

Year: 2026

Type: article

Abstract: Traumatic brain injury (TBI) remains one of the most common indications for trauma center admission and is a frequent driver of intensive care unit (ICU) utilization.1–3 Patients with mild TBI, defined by a Glasgow Coma Scale (GCS) score of 13–15, constitute a major demographic and are frequently admitted, rescanned, and given neurosurgical consultations despite low clinical utility for such interventions in stable cases.4,5 A lack of standardized management protocols results in ICU overutilization, inflated hospital charges, and an avoidable strain on trauma systems.

Source: The American Journal of Surgery

DOI: 10.1016/j.amjsurg.2026.117346