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August 28, 2026Child s Nervous SystemOpen Access

A clinical activation protocol improves response time to urgent/emergent neurosurgical care in children with brain tumors and intracranial hemorrhage

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Authors

RJRishi JainHNHinda NajemSMShreya Mukherjee

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Overview

Retrospective case-control study demonstrates that an emergency activation protocol shortens surgical response times in pediatric intracranial emergencies, suggesting improved urgent care delivery.

Key Points

  • To evaluate the impact of a dedicated multidisciplinary emergency activation protocol (Code Intracranial Emergency) on care timelines for pediatric patients with brain tumors and non-traumatic intracranial hemorrhage.
  • Retrospective case-control study analyzing 64 pediatric patients treated at a single tertiary referral center, comparing a pre-protocol control group (n = 36, 2016–2022) with a post-protocol cohort (n = 28, 2021–2023) matched by age and diagnosis.
  • Tracked time intervals from emergency department arrival to initial imaging, neurosurgery consultation, operating room arrival, and overall hospital length of stay.
  • Neurosurgical consultation to operating room arrival time was significantly reduced across all brain tumor cases (p = 0.03) and urgent/emergent tumor cases (p < 0.01).
  • Urgent intracranial hemorrhage cases showed significant reductions in consultation to operating room arrival time (p = 0.024) and decreased average emergency department to imaging time (56 min vs. 1.19 h).

Cite This Study

Jain et al. (2026) studied this question.

synapsesocial.com/papers/6a914602d15324a1df3a947chttps://doi.org/10.1007/s00381-026-07436-0
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