Impact of the hybrid emergency room system on long-term functional outcomes in severe traumatic brain injury.

Cohort studyInjury· Aug 2026

Impact of the hybrid emergency room system on long-term functional outcomes in severe traumatic brain injury.

Yumi Mitsuyama, Yutaka Umemura, Takeshi Nishida … Satoshi Fujimi

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Neurocritical CareCohort studyClinical practiceQ1IF 2.3

Hybrid emergency room care linked to more favorable long-term brain injury outcomes

Impact of the hybrid emergency room system on long-term functional outcomes in severe traumatic brain injury.

Yumi Mitsuyama … Satoshi Fujimi

Injury · Aug 2026

Background

Severe traumatic brain injury (traumatic brain injury) remains a major cause of death and disability worldwide.

Purpose

This study evaluated its long-term effects on functional outcomes in severe traumatic brain injury.

Methods

Were classified into conventional (2007-2011) and hybrid emergency room (2011-2019) groups.

n = 127 patients

Results

hybrid emergency room care more than quadrupled the odds of a favorable outcome

OR 4.47 (95% CI 1.47 to 13.60)

null 1

1.47

13.60

CI excludes the null - significant

More results

The exploratory findings on psychological and quality-of-life outcomes were descriptive with no formal conclusions drawn, owing to the limited sample size and low response rate.

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Conclusion · 1 of 2

Hybrid emergency room management was associated with more favorable long-term functional outcomes compared with conventional management.

Conclusion · 2 of 2

The wide confidence intervals and differences in follow-up duration between groups preclude definitive conclusions; however, these findings are consistent with a sustained benefit of early integrated trauma care and warrant further prospective investigation.

Impact of the hybrid emergency room system on long-term functional outcomes in severe traumatic brain injury.

Impact of the hybrid emergency room system on long-term functional outcomes in severe traumatic brain injury.

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