• Ashley Chopko, Mingmei Tian, Joseph C L'Huillier, Radu Filipescu, Jinhee Yu, and Weidun A Guo.
• Department of Surgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, 100 High Street, Buffalo, NY, 14203, USA.
• Eur J Trauma Emerg Surg. 2024 Feb 1; 50 (1): 173184173-184.

PurposeIntracranial pressure monitoring (ICPM) is central to traumatic brain injury (TBI) management, but its utility is controversial.MethodsThe 2016-2017 TQIP database was queried for isolated TBI. Patients with ICPM [(ICPM (+)] were propensity-score matched (PSM) to those without ICPM [ICPM (-)] and divided into three age groups by years (< 18, 18-54, ≥  55).ResultsPSM yielded 2125 patients in each group. Patients aged < 18 years had a higher survival probability (p = 0.013) and decreased mortality (p = 0.016) in the ICPM (+) group. Complications were higher and LOS was longer in ICPM (+) patients aged 18-54 years and ≥ 55 years, but not in patients aged < 18 years.ConclusionsICPM (+) is associated with a survival benefit without an increase in complications in patents aged < 18 years. In patients aged ≥ 18 years, ICPM (+) is associated with more complications and longer LOS without a survival benefit.© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.

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