id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-318094-losjbgn6	Alan, Nima	Inter-facility transfer of patients with traumatic intracranial hemorrhage and GCS 14–15: The pilot study of a screening protocol by neurosurgeon to avoid unnecessary transfers	2020-10-15		.txt	text/plain	3537	183	51	We sought to evaluate feasibility and cost-reduction potential of a pilot screening program involving neurosurgeon tele-consultation for inter-facility transfer decisions in TBI patients with GCS 14-15 and abnormal CT head at a community hospital. We started a pilot program wherein patients with TBI, GCS score of 14 or 15, and an abnormal computed tomography (CT) head during initial emergency department evaluation at one of our community hospitals triggered a tele-consult to a Prior to this pilot study, patients transferred with identified traumatic intracranial hemorrhage at one of our community hospitals went to a level 1 trauma center with in-house neurosurgical coverage provided by resident physicians. In this pilot study, a neurosurgeon provided teleconsultation to emergency medicine physicians at a satellite hospital concerning the need for transfer of patients with traumatic intracranial hemorrhage with GCS 14-15 to a level 1 trauma center, which resulted in the prevention of 94.1% of transfers in the ''screened" cohort and a significant reduction in overall associated care costs.	./cache/cord-318094-losjbgn6.txt	./txt/cord-318094-losjbgn6.txt