Neuroanesthesia & neurocritical care

Clinical characteristics and outcomes of critically ill adult patients admitted with traumatic brain injury: a cohort study

Can J AnaesthPublished Retrospective cohort study

Authors' conclusion

Patients with traumatic brain injury have a high risk of in-hospital death. Those who survive the initial hospitalization are at risk of long-term outcomes including new epilepsy.

Study context

Population
Adults admitted to ICU with a first episode of TBI, Ontario, April 2009 to March 2021
Participants
13,283 TBI patients
Exposure
TBI vs Trauma without TBI
  • TBIn = 13,283
Outcome
In-hospital and long-term all-cause mortality
Methodological detailsmatched 1:1 comparison cohort
  • Matched 1:1 comparison cohort

Main finding

As reported in the abstract

All-cause mortality (TBI cohort) · median follow-up 5 years

In-hospital death

17%

Death during long-term follow-up

16%

Observational data: associations, not effects.

Further findings

Other outcomes in TBI survivors vs survivors without TBI

Risk of other outcomes similar or lower vs survivors without TBI

Long-term outcomes, TBI cohort (single-group) · median follow-up 5 years

Death during long-term follow-up
16%
Sepsis after hospital discharge
14%
New psychiatric diagnosis
7%
Epilepsy
4%
Venous thromboembolic disease
2%

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Clinical characteristics and outcomes of critically ill adult patients admitted with traumatic brain injury: a cohort study. Can J Anaesth. Published 22 December 2025. doi:10.1007/s12630-025-03057-4

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