{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:32:58Z","timestamp":1777447978531,"version":"3.51.4"},"reference-count":10,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2022,4,11]],"date-time":"2022-04-11T00:00:00Z","timestamp":1649635200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The management of isolated traumatic subarachnoid hemorrhage (itSAH) in non-trauma centers usually results in transfer to a Level 1 trauma center with neurosurgical capabilities. Due to lack of trauma center resources, we sought to evaluate if patients with itSAH need transfer to a Level I trauma center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective review of the trauma registry was conducted from Jan 2015-Dec 2020. Patients with itSAH on initial computed tomographic imaging and a Glasgow Coma Scale score &gt;13 were included. Patients with any other intracranial pathology, skull fractures, multi-system trauma or age less than 15 were excluded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>120 patients were identified with itSAH. Mean age was 63\u00a0years, and 44% were male. Mean injury severity score was 4.7 with 48% on anticoagulation\/antiplatelet therapy. Radiology Reports were reviewed and only 2 scans (1.7%) showed an increase in itSAH, 98.3% reports revealed no change, improvement, or resolution. No patients deteriorated and no patients underwent neurosurgical intervention. Once admitted, 27 (23%) were treated for acute medical conditions and 39 (33%) required subspecialty medical consultations. There was no difference in increased itSAH on repeat imaging between patients on anticoagulation\/antiplatelet therapy and those without. The population taking anticoagulant\/antiplatelet therapy was older, more likely to have suffered a fall, have more comorbid conditions, was more likely to be treated for a non-traumatic medical condition and have a subspecialty medical consultation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Patients with itSAH do not require transfer to a Level 1 trauma center for acute neurosurgical intervention.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348221084954","type":"journal-article","created":{"date-parts":[[2022,4,11]],"date-time":"2022-04-11T14:06:11Z","timestamp":1649685971000},"page":"1827-1831","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Do All Isolated Traumatic Subarachnoid Hemorrhages Need to Be Transferred to a Level 1 Trauma Center?"],"prefix":"10.1177","volume":"88","author":[{"given":"Eric D.","family":"Forney","sequence":"first","affiliation":[{"name":"Department of Trauma Surgery, Mercer University School of Medicine, Macon, GA, USA"},{"name":"Mercer University School of Medicine, Macon, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Montgomery","sequence":"additional","affiliation":[{"name":"Mercer University School of Medicine, Macon, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marshal","family":"Williams","sequence":"additional","affiliation":[{"name":"Mercer University School of Medicine, Macon, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mital D.","family":"Patel","sequence":"additional","affiliation":[{"name":"Mercer University School of Medicine, Macon, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dennis W.","family":"Ashley","sequence":"additional","affiliation":[{"name":"Department of Trauma Surgery, Mercer University School of Medicine, Macon, GA, USA"},{"name":"Mercer University School of Medicine, Macon, GA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,4,11]]},"reference":[{"key":"bibr1-00031348221084954","unstructured":"Centers for Disease Control and Prevention. Surveillance report of traumatic brain injury-related emergency department visits, hospitalizations, and deaths. https:\/\/www.cdc.gov\/traumaticbraininjury\/pdf\/TBI-Surveillance-Report-FINAL_508.pdf. https:\/\/www.cdc.gov\/traumaticbraininjury\/pdf\/TBI-Surveillance-Report-FINAL_508.pdf. Accessed August 24, 2021."},{"key":"bibr2-00031348221084954","doi-asserted-by":"publisher","DOI":"10.1891\/9781617050572.0008"},{"key":"bibr3-00031348221084954","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/124.2.249"},{"key":"bibr4-00031348221084954","doi-asserted-by":"publisher","DOI":"10.3171\/2014.10.jns132713"},{"key":"bibr5-00031348221084954","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2005.02.002"},{"key":"bibr6-00031348221084954","doi-asserted-by":"publisher","DOI":"10.1097\/ta.0000000000001617"},{"key":"bibr7-00031348221084954","doi-asserted-by":"publisher","DOI":"10.1097\/ta.0b013e31827d6088"},{"key":"bibr8-00031348221084954","doi-asserted-by":"publisher","DOI":"10.1136\/tsaco-2019-000313"},{"key":"bibr9-00031348221084954","doi-asserted-by":"publisher","DOI":"10.1097\/ta.0000000000000722"},{"key":"bibr10-00031348221084954","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2017.01.046"}],"updated-by":[{"DOI":"10.1177\/00031348221119172","type":"correction","label":"Correction","source":"publisher","updated":{"date-parts":[[2022,8,19]],"date-time":"2022-08-19T00:00:00Z","timestamp":1660867200000}}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348221084954","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348221084954","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348221084954","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:36:29Z","timestamp":1777379789000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00031348221084954"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,11]]},"references-count":10,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2022,8]]}},"alternative-id":["10.1177\/00031348221084954"],"URL":"https:\/\/doi.org\/10.1177\/00031348221084954","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4,11]]}}}