ENTICE Project – Completed

NANSIG TBI Project – Ongoing

We are pleased to announce this year’s NANSIG collaborative research project!

The NANSIG Research Committee have produced a national protocol to investigate the effect of direct versus indirect transfer of patients with traumatic brain injury to neurosurgical centres across the UK. The protocol has now be distributed to our team of medical student and junior doctor collaborators to guide local data collection and analysis.

Traumatic brain injury (TBI) is the leading cause of death and disability among young people. Neurosurgical intervention is the definitive treatment for acute extradural haemorrhage (EDH) and subdural haemorrhage (SDH) resulting from TBI, and may also be required to halt increasing intra-cranial pressure (ICP) which is refractory to medical management. The importance of time from injury to evacuation of intracranial haematomas is well established, but it remains unclear whether patients with TBI who require neurosurgery achieve better outcomes through direct transfer to tertiary neuroscience centres or indirect transfer after stabilisation at their nearest Emergency Department. To address the present lack of clarity in the literature and to provide consensus for national pre-hospital TBI transfer guidelines, we intend to perform the first national retrospective observational cohort study comparing the effect of direct and indirect transfer to neuroscience centres on the mortality of patients with TBI who require neurosurgical intervention, using data from the Trauma Audit Research Network. This project is being undertaken by a group of local student collaborators working in every Major Trauma Centre across the UK, coordinated by the Neurology and Neurosurgery Interest Group (NANSIG) in association with the Society of British Neurological Surgeons (SBNS).

Everyone who submits data as part of this project, working either alone or as a team, will receive collaborator-status PubMed authorship.

As a collaborator, your role will involve:
1. Local audit registration, including identifying a Consultant lead and Caldicott guardian approval if necessary
2. Local data collection

Click here to read the protocol, which includes background to the project and detailed instructions about what we need you to do over the next few weeks.

Click here for the collaborator data submission checklist.

Deadline for local audit registration and TARN data request: 3 December

Deadline for data submission to the NANSIG Research Team: 31 December 

Please direct any questions to the NANSIG Research Team: