Significant National Declines in Neurosurgical Intervention for Mild Traumatic Brain Injury with Intracranial Hemorrhage: A 13-Year Review of the National Trauma Data Bank.

Separately, we observed stable longitudinal trends in average number of neurosurgical interventions per hospital for all ICH types except isolated SDH, which showed an increasing trend over time ( Fig. 1B ).

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Worth noting is that isolated lacerations and contusions were the only hemorrhage type to have a nearly unchanging 10-year trend in the adjusted odds of neurosurgical intervention (odds ratio = 1.02) and were the only hemorrhage type to have a borderline significant increase in odds of in-hospital mortality or discharge to hospice (+40%).

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