Association of prehospital optimal blood pressure and peripheral oxygen saturation with hospital outcomes in sports-related and recreation-related traumatic brain injury (SRR-TBI) in Asia.
Journal
Emergency Medicine Journal
ISSN
1472-0213
Date Issued
2025-10-28
Author(s)
Chantanakomes, Jirayu
Pansiritanachot, Wasin
Riyapan, Sattha
Shin, Sang Do
Song, Kyoung Jun
Jamaluddin, Sabariah Faizah
Kajino, Kentaro
Abstract
Background While Emergency Medical Services (EMS) guidelines improve outcomes in severe traumatic brain injury (TBI), the effect of optimal blood pressure and oxygenation on sports-related and recreation-related TBI (SRR-TBI) is unclear. This study assessed whether EMS management of systolic blood pressure (SBP) and oxygen saturation (SpO2) influences outcomes in SRR-TBI. Methods This retrospective cohort study analysed data from patients diagnosed with TBI sustaining injuries during sports, education or leisure activities and were transported by EMS from 1 January 2016 to 31 December 2022, at Pan-Asian Trauma Outcomes Study facilities. Patients were classified as receiving optimal care (SBP>110 mm Hg and SpO2>94%), intermediate care (either SBP<110 mm Hg or SpO2<94%) or suboptimal care (both
Subjects
critical care transport
emergency department
pre-hospital
pre-hospital care
trauma
Publisher
BMJ Publishing Group
Type
journal article