Retrospective multicenter audit reveals low guideline adherence and high preventable mortality in moderate-to-severe traumatic brain injury, highlighting urgent needs for prehospital care reform.
OBJECTIVE: Evaluate prehospital care quality and outcomes for traumatic brain injury (TBI) patients in Vietnam. METHODS: We conducted a retrospective multicentre audit at three tertiary Hanoi hospitals (January-August 2025), including adults with moderate-severe TBI. Prehospital care was assessed against five EPIC-TBI standards and in-hospital mortality recorded. RESULTS: Of 80 cases, 45 (56.3%) were transported by EMS; 14 (17.5%) received oxygen or saturation monitoring and 11 (13.8%) had blood pressure management. In-hospital mortality was 22/80 (27.5%), with 14/22 (63.6%) of deaths potentially preventable. CONCLUSION: Major prehospital TBI care gaps support the need for enhanced resources, training and quality assurance.
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Hải et al. (2026) studied this question.
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