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Updated: Jul 13, 2026
A Bedside, Single Burr Hole Approach to Multimodality Monitoring in Severe Brain Injury
Published on: March 26, 2019
Prognostic study of using different monitoring modalities in treating severe traumatic brain injury
Zamzuri Idris1, Rahman Izaini Ghani, Kamarul Imran Musa
1Department of Neurosciences, Health Campus, School of Medical Sciences, USM, Kubang Kerian, Kelantan, Malaysia. neuroscienceszamzuri@yahoo.com
Objective:
To determine whether or not multimodality monitoring technique would result in a better outcome score than single modality monitoring in severely head injured patients.
Methods:
This was a prospective randomized study that included all adults with traumatic severe head injury who had a Glasgow Coma Score < 9 and computed tomography scan features that did not reveal significant infratentorial pathology. Subjects were randomized into a multimodality group where they received multiple cerebral monitoring or into a standard single modality group where they received only intracranial pressure monitoring. The outcome was analysed 6 months post treatment using the Barthel Index.
Results:
The outcome at 6 months post treatment between the two groups was not statistically significant (p < 0.48). However, the percentage of subjects who were independent at 6 months was higher in the multimodality group (21.2%) compared with the single modality group (17.3%).
Conclusion:
Multimodality monitoring for severely head-injured patients has no effect on outcome. However, study with a larger sample size and improvement in groups comparison are required to ascertain the above findings.
