Neuroanesthesia & neurocritical care

The prescribing patterns and effectiveness of sedatives and analgesics for severe traumatic brain injury patients in Taiwan

J Crit CarePublished Retrospective cohort study

Study context

Population
Severe traumatic brain injury (TBI) patients intubated during intensive care unit (ICU) hospitalization, Taiwan National Health Insurance Research Database, 2012–2019
Participants
6,030 patients
Exposure
No prescription, sedation only or opioids only vs sedatives with opioids
Outcome
All-cause mortality
Follow-up
30 days
Methodological detailsnational claims database, inverse probability of treatment weighting
  • National claims database
  • Inverse probability of treatment weighting

Main finding

As reported in the abstract

Each group vs sedatives with opioidsHazard ratio (95 % CI)P value
No-prescription
2.73(2.60–2.86)
P < 0.0001
Sedation-only
1.58(1.50–1.66)
P < 0.0001
Opioids-only
1.49(1.42–1.57)
P < 0.0001

Observational data: associations, not effects.

Further findings

Prescribing pattern

Midazolam combined with opioids the most common regimen

14-day mortality and 30-day mortality excluding deaths within 3 days (sensitivity analyses)

Sensitivity analyses confirmed consistent trends

Original publication

The prescribing patterns and effectiveness of sedatives and analgesics for severe traumatic brain injury patients in Taiwan. J Crit Care. Published 25 April 2025. doi:10.1016/j.jcrc.2025.155094

Composed by AI from the published abstract and checked against it. How Briefs are made →

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