A

Missing Data in Prediction Research: A Five-Step Approach for Multiple Imputation, Illustrated in the CENTER-TBI Study

Journal of Neurotrauma, vol. 38, pp. 1842–1857

Abstract

In medical research, missing data is common. In acute diseases, such as traumatic brain injury (TBI), even well-conducted prospective studies may suffer from missing data in baseline characteristics and outcomes. Statistical models may simply drop patients with any missing values, potentially leaving a selected subset of the original cohort. Imputation is widely accepted by methodologists as an appropriate way to deal with missing data. We aim to provide practical guidance on handling missing data for prediction modeling. We hereto propose a five-step approach, centered around single and multiple imputation: 1) explore the missing data patterns; 2) choose a method of imputation; 3) perform imputation; 4) assess diagnostics of the imputation; and 5) analyze the imputed data sets. We illustrate these five steps with the estimation and validation of the IMPACT (International Mission on Prognosis and Analysis of Clinical Trials in Traumatic Brain Injury) prognostic model in 1375 patients from the CENTER-TBI database, included in 53 centers across 17 countries, with moderate or severe TBI in the prospective European CENTER-TBI study. Future prediction modeling studies in acute diseases may benefit from following the suggested five steps for optimal statistical analysis and interpretation, after maximal effort has been made to minimize missing data.

Authors 98

  1. Erasmus MC

    Affiliation as printed

    Department of Public Health, Erasmus Medical Center, Rotterdam, The Netherlands

  2. Erasmus MC

    Affiliation as printed

    Department of Public Health, Erasmus Medical Center, Rotterdam, The Netherlands

  3. Erasmus MC

    Affiliation as printed

    Department of Public Health, Erasmus Medical Center, Rotterdam, The Netherlands

  4. Erasmus MC

    Affiliation as printed

    Department of Public Health, Erasmus Medical Center, Rotterdam, The Netherlands

  5. Leiden University · Leiden University Medical Center · Erasmus MC

    Affiliation as printed

    Department of Biomedical Data Sciences, Leiden University Medical Center, Leiden, The Netherlands

    Department of Public Health, Erasmus Medical Center, Rotterdam, The Netherlands

    LUMC - Leiden University Medical Center (Leids Universitair Medisch Centrum, Universiteit Leiden - 1233 ZA, Leiden - Netherlands)

  6. University of Oslo

    Affiliation as printed

    UiO - University of Oslo (P.O 1072 Blindern 0316 Oslo - Norway)

  7. UiT The Arctic University of Norway

    Affiliation as printed

    UiT - University of Tromsø (The Arctic University of Norway, PO Box 6050, Langnes 9037 Tromsø - Norway)

  8. Centre Hospitalier Régional et Universitaire de Nancy

    Affiliation as printed

    Service d'Anesthésie et Réanimation [CHRU Nancy] (29 avenue du Maréchal de Lattre de Tassigny, C.O. n°34, 54035 Nancy Cedex - France)

  9. Université Paris-Saclay · Assistance Publique – Hôpitaux de Paris · Centre de recherche en Epidémiologie et Santé des Populations · Hôpital Raymond-Poincaré

    Affiliation as printed

    AP-HP. Université Paris Saclay (France)

    CESP - Centre de recherche en épidémiologie et santé des populations (16 avenue Paul Vaillant Couturier 94807 Villejuif Cedex, France - France)

    Hôpital Raymond Poincaré [AP-HP] (104 Boulevard Raymond Poincaré, 92380 Garches - France)

  10. IRCCS Ospedale San Raffaele

    Affiliation as printed

    Department of Anesthesiology & Intensive Care, S Raffaele University Hospital, Milan, Italy

  11. Radboud University Medical Center

    Affiliation as printed

    Department of Neurosurgery, Radboud University Medical Center, Nijmegen, The Netherlands

  12. Oslo University Hospital · University Hospital of North Norway · University of Oslo · Centre Hospitalier Régional et Universitaire de Nancy · Medical University of Vienna

    Affiliation as printed

    Department of Anesthesiology & Intensive Care, University Hospital Nancy, Nancy, France

    Department of Neurosurgery, University Hospital Northern Norway, Tromso, Norway

    Department of Physical Medicine and Rehabilitation, Uni-versity Hospital Northern Norway, Tromso, Norway

    Division of Surgery and Clinical Neuroscience, Department of Physical Medicine and Rehabilitation, Oslo University Hospital and University of Oslo, Oslo, Norway

    Trauma Surgery, Medical University Vienna, Vienna, Austria

    the CENTER-TBI Collaborators

  13. University of Szeged

    Affiliation as printed

    Department of Neurosurgery, University of Szeged, Szeged, Hungary

    International Projects Management, ARTTIC, Munchen, Germany

  14. Innsbruck Medical University

    Affiliation as printed

    IMU - Innsbruck Medical University = Medizinische Universität Innsbruck (Innrain 52, Christoph-Probst-Platz, 6020 Innsbruck - Austria)

  15. Oslo University Hospital · University Hospital of North Norway · University of Oslo · Centre Hospitalier Régional et Universitaire de Nancy · Medical University of Vienna

    Affiliation as printed

    Department of Anesthesiology & Intensive Care, University Hospital Nancy, Nancy, France

    Department of Neurosurgery, University Hospital Northern Norway, Tromso, Norway

    Department of Physical Medicine and Rehabilitation, Uni-versity Hospital Northern Norway, Tromso, Norway

    Division of Surgery and Clinical Neuroscience, Department of Physical Medicine and Rehabilitation, Oslo University Hospital and University of Oslo, Oslo, Norway

    Trauma Surgery, Medical University Vienna, Vienna, Austria

    the CENTER-TBI Collaborators

  16. Queen Elizabeth Hospital Birmingham

    Affiliation as printed

    Queens Elizabeth Hospital [Birmingham] (Queen Elizabeth Hospital Birmingham Mindelsohn Way Edgbaston, Birmingham B15 2GW - United Kingdom)

  17. Assistance Publique – Hôpitaux de Paris

    Affiliation as printed

    Anesthesie-Re ´animation, Assistance Publique-Hopitaux de Paris, Paris, France

  18. Azienda Ospedaliera Citta' della Salute e della Scienza di Torino · University of Turin

    Affiliation as printed

    Department of Anesthesia & ICU, AOU Citta `della Salute e della Scienza di Torino-Orthopedic and Trauma Center, Torino, Italy

  19. IRCCS Ospedale San Raffaele

    Affiliation as printed

    Department of Anesthesiology & Intensive Care, S Raffaele University Hospital, Milan, Italy

  20. Odense University Hospital

    Affiliation as printed

    Department of Neurology, Odense University Hospital, Odense, Denmark

  21. Monash University

    Affiliation as printed

    BehaviourWorks Australia, Monash Sustainability Institute, Monash University, Clayton, Victoria, Australia

  22. University of Trnava

    Affiliation as printed

    Department of Public Health, Faculty of Health Sciences and Social Work, Trnava University, Trnava, Slovakia

  23. Affiliation as printed

    Quesgen Systems Inc., Burlingame, California, USA

  24. Monash University

    Affiliation as printed

    Australian & New Zealand Intensive Care Research Centre,

    Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Mel-bourne, Victoria, Australia

  25. University of Pecs · Umeå University

    Affiliation as printed

    Department of Neurosurgery, Medical School, University of Pe ´cs, Hungary and Neurotrauma Research Group,

    Department of Surgery and Perioperative Science, Umea Ůniversity, Umea ˚, Sweden

    Ja ´nos Szenta ´-gothai Research Centre, University of Pe ´cs, Pe ´cs, Hungary

  26. University Medical Center Hamburg-Eppendorf

    Affiliation as printed

    Department of Medical Psychology, Universita ¨tsklinikum Hamburg-Eppendorf, Hamburg, Germany

  27. University of Cambridge · Addenbrooke's Hospital

    Affiliation as printed

    Brain Physics Lab, Division of Neurosurgery, Department of Clinical Neurosciences, University of Cambridge, Addenbrooke's Hospital, Cambridge, United Kingdom

  28. Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico

    Affiliation as printed

    Neuro ICU, Fondazione IRCCS Ca `Granda Ospedale Mag-giore Policlinico, Milan, Italy

  29. Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico

    Affiliation as printed

    Neuro ICU, Fondazione IRCCS Ca `Granda Ospedale Mag-giore Policlinico, Milan, Italy

  30. IRCCS Ospedale San Raffaele

    Affiliation as printed

    Department of Anesthesiology & Intensive Care, S Raffaele University Hospital, Milan, Italy

  31. Monash University

    Affiliation as printed

    ANZIC Research Centre, Monash University, Department of Epidemiology and Preventive Medicine, Melbourne, Victoria, Australia

  32. Hospital de Cruces

    Affiliation as printed

    Department of Neurosurgery, Hospital of Cruces, Bilbao, Spain

  33. Oslo University Hospital · University Hospital of North Norway · University of Oslo · Centre Hospitalier Régional et Universitaire de Nancy · Medical University of Vienna

    Affiliation as printed

    Department of Anesthesiology & Intensive Care, University Hospital Nancy, Nancy, France

    Department of Neurosurgery, University Hospital Northern Norway, Tromso, Norway

    Department of Physical Medicine and Rehabilitation, Uni-versity Hospital Northern Norway, Tromso, Norway

    Division of Surgery and Clinical Neuroscience, Department of Physical Medicine and Rehabilitation, Oslo University Hospital and University of Oslo, Oslo, Norway

    Trauma Surgery, Medical University Vienna, Vienna, Austria

    the CENTER-TBI Collaborators

  34. Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda

    Affiliation as printed

    Neuro ICU, Fondazione IRCCS Ca `Granda Ospedale Mag-giore Policlinico, Milan, Italy

    NeuroIntensive Care, Niguarda Hospital, Milan, Italy

  35. Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda

    Affiliation as printed

    NeuroIntensive Care, Niguarda Hospital, Milan, Italy

  36. Oslo University Hospital · University Hospital of North Norway · University of Oslo · Centre Hospitalier Régional et Universitaire de Nancy · Medical University of Vienna

    Affiliation as printed

    Department of Anesthesiology & Intensive Care, University Hospital Nancy, Nancy, France

    Department of Neurosurgery, University Hospital Northern Norway, Tromso, Norway

    Department of Physical Medicine and Rehabilitation, Uni-versity Hospital Northern Norway, Tromso, Norway

    Division of Surgery and Clinical Neuroscience, Department of Physical Medicine and Rehabilitation, Oslo University Hospital and University of Oslo, Oslo, Norway

    Trauma Surgery, Medical University Vienna, Vienna, Austria

    the CENTER-TBI Collaborators

  37. Erasmus MC · Azienda Ospedaliera San Gerardo · University of Milano-Bicocca

    Affiliation as printed

    Department of Public Health, Erasmus Medical Center-

    NeuroIntensive Care, ASST di Monza, Monza, Italy

    School of Medicine and Surgery, Universita `Milano Bicocca, Milano, Italy

    University Medical Center, Rotterdam, The Netherlands

  38. Universitätsklinikum Aachen

    Affiliation as printed

    Department of Anaesthesiology, University Hospital of Aa-chen, Aachen, Germany

  39. University of Cambridge · Cambridge University Hospitals NHS Foundation Trust

    Affiliation as printed

    Department of Anesthesia & Neurointensive Care, Cambridge University Hospital NHS Foundation Trust, Cambridge, United Kingdom

  40. The Alfred Hospital · Monash University

    Affiliation as printed

    School of Public Health & PM, Monash University and The Alfred Hospital, Melbourne, Victoria, Australia

  41. MRC Cognition and Brain Sciences Unit

    Affiliation as printed

    Radiology/MRI department, MRC Cognition and Brain Sci-ences Unit, Cambridge, United Kingdom

  42. Universitätsmedizin Göttingen · University of Göttingen

    Affiliation as printed

    Institute of Medical Psychology and Medical Sociology, Universita ¨tsmedizin Go ¨ttingen, Go ¨ttingen, Germany

  43. Oxford University Hospitals NHS Trust

    Affiliation as printed

    Oxford University Hospitals NHS Trust, Oxford, United Kingdom

  44. University of Pecs

    Affiliation as printed

    Department of Neurosurgery, Medical School, University of Pe ´cs, Hungary and Neurotrauma Research Group,

    Ja ´nos Szenta ´-gothai Research Centre, University of Pe ´cs, Pe ´cs, Hungary

  45. University of Cambridge · Addenbrooke's Hospital

    Affiliation as printed

    Brain Physics Lab, Division of Neurosurgery, Department of Clinical Neurosciences, University of Cambridge, Addenbrooke's Hospital, Cambridge, United Kingdom

  46. Centre Hospitalier Universitaire de Poitiers

    Affiliation as printed

    Intensive Care Unit, CHU Poitiers, Potiers, France

  47. Oslo University Hospital · University Hospital of North Norway · University of Oslo · Centre Hospitalier Régional et Universitaire de Nancy · Medical University of Vienna

    Affiliation as printed

    Department of Anesthesiology & Intensive Care, University Hospital Nancy, Nancy, France

    Department of Neurosurgery, University Hospital Northern Norway, Tromso, Norway

    Department of Physical Medicine and Rehabilitation, Uni-versity Hospital Northern Norway, Tromso, Norway

    Division of Surgery and Clinical Neuroscience, Department of Physical Medicine and Rehabilitation, Oslo University Hospital and University of Oslo, Oslo, Norway

    Trauma Surgery, Medical University Vienna, Vienna, Austria

    the CENTER-TBI Collaborators

  48. Assistance Publique – Hôpitaux de Paris

    Affiliation as printed

    Anesthesie-Re ´animation, Assistance Publique-Hopitaux de Paris, Paris, France

  49. Oslo University Hospital · University Hospital of North Norway · University of Oslo · Centre Hospitalier Régional et Universitaire de Nancy · Medical University of Vienna

    Affiliation as printed

    Department of Anesthesiology & Intensive Care, University Hospital Nancy, Nancy, France

    Department of Neurosurgery, University Hospital Northern Norway, Tromso, Norway

    Department of Physical Medicine and Rehabilitation, Uni-versity Hospital Northern Norway, Tromso, Norway

    Division of Surgery and Clinical Neuroscience, Department of Physical Medicine and Rehabilitation, Oslo University Hospital and University of Oslo, Oslo, Norway

    Trauma Surgery, Medical University Vienna, Vienna, Austria

    the CENTER-TBI Collaborators

  50. Radboud University Medical Center

    Affiliation as printed

    Department of Neurosurgery, Radboud University Medical Center, Nijmegen, The Netherlands

  51. Oslo University Hospital · University Hospital of North Norway · University of Oslo · Centre Hospitalier Régional et Universitaire de Nancy · Medical University of Vienna

    Affiliation as printed

    Department of Anesthesiology & Intensive Care, University Hospital Nancy, Nancy, France

    Department of Neurosurgery, University Hospital Northern Norway, Tromso, Norway

    Department of Physical Medicine and Rehabilitation, Uni-versity Hospital Northern Norway, Tromso, Norway

    Division of Surgery and Clinical Neuroscience, Department of Physical Medicine and Rehabilitation, Oslo University Hospital and University of Oslo, Oslo, Norway

    Trauma Surgery, Medical University Vienna, Vienna, Austria

    the CENTER-TBI Collaborators

  52. Oslo University Hospital · University Hospital of North Norway · University of Oslo · Centre Hospitalier Régional et Universitaire de Nancy · Medical University of Vienna

    Affiliation as printed

    Department of Anesthesiology & Intensive Care, University Hospital Nancy, Nancy, France

    Department of Neurosurgery, University Hospital Northern Norway, Tromso, Norway

    Department of Physical Medicine and Rehabilitation, Uni-versity Hospital Northern Norway, Tromso, Norway

    Division of Surgery and Clinical Neuroscience, Department of Physical Medicine and Rehabilitation, Oslo University Hospital and University of Oslo, Oslo, Norway

    Trauma Surgery, Medical University Vienna, Vienna, Austria

    the CENTER-TBI Collaborators

  53. Oslo University Hospital · University Hospital of North Norway · University of Oslo · Centre Hospitalier Régional et Universitaire de Nancy · Medical University of Vienna

    Affiliation as printed

    Department of Anesthesiology & Intensive Care, University Hospital Nancy, Nancy, France

    Department of Neurosurgery, University Hospital Northern Norway, Tromso, Norway

    Department of Physical Medicine and Rehabilitation, Uni-versity Hospital Northern Norway, Tromso, Norway

    Division of Surgery and Clinical Neuroscience, Department of Physical Medicine and Rehabilitation, Oslo University Hospital and University of Oslo, Oslo, Norway

    Trauma Surgery, Medical University Vienna, Vienna, Austria

    the CENTER-TBI Collaborators

  54. Monash University

    Affiliation as printed

    Australian & New Zealand Intensive Care Research Centre,

    Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Mel-bourne, Victoria, Australia

  55. Oslo University Hospital · University Hospital of North Norway · University of Oslo · Centre Hospitalier Régional et Universitaire de Nancy · Medical University of Vienna

    Affiliation as printed

    Department of Anesthesiology & Intensive Care, University Hospital Nancy, Nancy, France

    Department of Neurosurgery, University Hospital Northern Norway, Tromso, Norway

    Department of Physical Medicine and Rehabilitation, Uni-versity Hospital Northern Norway, Tromso, Norway

    Division of Surgery and Clinical Neuroscience, Department of Physical Medicine and Rehabilitation, Oslo University Hospital and University of Oslo, Oslo, Norway

    Trauma Surgery, Medical University Vienna, Vienna, Austria

    the CENTER-TBI Collaborators

  56. Oslo University Hospital · University Hospital of North Norway · University of Oslo · Centre Hospitalier Régional et Universitaire de Nancy · Medical University of Vienna

    Affiliation as printed

    Department of Anesthesiology & Intensive Care, University Hospital Nancy, Nancy, France

    Department of Neurosurgery, University Hospital Northern Norway, Tromso, Norway

    Department of Physical Medicine and Rehabilitation, Uni-versity Hospital Northern Norway, Tromso, Norway

    Division of Surgery and Clinical Neuroscience, Department of Physical Medicine and Rehabilitation, Oslo University Hospital and University of Oslo, Oslo, Norway

    Trauma Surgery, Medical University Vienna, Vienna, Austria

    the CENTER-TBI Collaborators

  57. Oslo University Hospital · University Hospital of North Norway · University of Oslo · Centre Hospitalier Régional et Universitaire de Nancy · Medical University of Vienna

    Affiliation as printed

    Department of Anesthesiology & Intensive Care, University Hospital Nancy, Nancy, France

    Department of Neurosurgery, University Hospital Northern Norway, Tromso, Norway

    Department of Physical Medicine and Rehabilitation, Uni-versity Hospital Northern Norway, Tromso, Norway

    Division of Surgery and Clinical Neuroscience, Department of Physical Medicine and Rehabilitation, Oslo University Hospital and University of Oslo, Oslo, Norway

    Trauma Surgery, Medical University Vienna, Vienna, Austria

    the CENTER-TBI Collaborators

  58. Oslo University Hospital · University Hospital of North Norway · University of Oslo · Centre Hospitalier Régional et Universitaire de Nancy · Medical University of Vienna

    Affiliation as printed

    Department of Anesthesiology & Intensive Care, University Hospital Nancy, Nancy, France

    Department of Neurosurgery, University Hospital Northern Norway, Tromso, Norway

    Department of Physical Medicine and Rehabilitation, Uni-versity Hospital Northern Norway, Tromso, Norway

    Division of Surgery and Clinical Neuroscience, Department of Physical Medicine and Rehabilitation, Oslo University Hospital and University of Oslo, Oslo, Norway

    Trauma Surgery, Medical University Vienna, Vienna, Austria

    the CENTER-TBI Collaborators

  59. Oslo University Hospital · University Hospital of North Norway · University of Oslo · Centre Hospitalier Régional et Universitaire de Nancy · Medical University of Vienna

    Affiliation as printed

    Department of Anesthesiology & Intensive Care, University Hospital Nancy, Nancy, France

    Department of Neurosurgery, University Hospital Northern Norway, Tromso, Norway

    Department of Physical Medicine and Rehabilitation, Uni-versity Hospital Northern Norway, Tromso, Norway

    Division of Surgery and Clinical Neuroscience, Department of Physical Medicine and Rehabilitation, Oslo University Hospital and University of Oslo, Oslo, Norway

    Trauma Surgery, Medical University Vienna, Vienna, Austria

    the CENTER-TBI Collaborators

  60. Oslo University Hospital · University Hospital of North Norway · University of Oslo · Centre Hospitalier Régional et Universitaire de Nancy · Medical University of Vienna

    Affiliation as printed

    Department of Anesthesiology & Intensive Care, University Hospital Nancy, Nancy, France

    Department of Neurosurgery, University Hospital Northern Norway, Tromso, Norway

    Department of Physical Medicine and Rehabilitation, Uni-versity Hospital Northern Norway, Tromso, Norway

    Division of Surgery and Clinical Neuroscience, Department of Physical Medicine and Rehabilitation, Oslo University Hospital and University of Oslo, Oslo, Norway

    Trauma Surgery, Medical University Vienna, Vienna, Austria

    the CENTER-TBI Collaborators

  61. Oslo University Hospital · University Hospital of North Norway · University of Oslo · Centre Hospitalier Régional et Universitaire de Nancy · Medical University of Vienna

    Affiliation as printed

    Department of Anesthesiology & Intensive Care, University Hospital Nancy, Nancy, France

    Department of Neurosurgery, University Hospital Northern Norway, Tromso, Norway

    Department of Physical Medicine and Rehabilitation, Uni-versity Hospital Northern Norway, Tromso, Norway

    Division of Surgery and Clinical Neuroscience, Department of Physical Medicine and Rehabilitation, Oslo University Hospital and University of Oslo, Oslo, Norway

    Trauma Surgery, Medical University Vienna, Vienna, Austria

    the CENTER-TBI Collaborators

  62. Oslo University Hospital · University Hospital of North Norway · University of Oslo · Centre Hospitalier Régional et Universitaire de Nancy · Medical University of Vienna

    Affiliation as printed

    Department of Anesthesiology & Intensive Care, University Hospital Nancy, Nancy, France

    Department of Neurosurgery, University Hospital Northern Norway, Tromso, Norway

    Department of Physical Medicine and Rehabilitation, Uni-versity Hospital Northern Norway, Tromso, Norway

    Division of Surgery and Clinical Neuroscience, Department of Physical Medicine and Rehabilitation, Oslo University Hospital and University of Oslo, Oslo, Norway

    Trauma Surgery, Medical University Vienna, Vienna, Austria

    the CENTER-TBI Collaborators

  63. Oslo University Hospital · University Hospital of North Norway · University of Oslo · Centre Hospitalier Régional et Universitaire de Nancy · Medical University of Vienna

    Affiliation as printed

    Department of Anesthesiology & Intensive Care, University Hospital Nancy, Nancy, France

    Department of Neurosurgery, University Hospital Northern Norway, Tromso, Norway

    Department of Physical Medicine and Rehabilitation, Uni-versity Hospital Northern Norway, Tromso, Norway

    Division of Surgery and Clinical Neuroscience, Department of Physical Medicine and Rehabilitation, Oslo University Hospital and University of Oslo, Oslo, Norway

    Trauma Surgery, Medical University Vienna, Vienna, Austria

    the CENTER-TBI Collaborators

  64. Oslo University Hospital · University Hospital of North Norway · University of Oslo · Centre Hospitalier Régional et Universitaire de Nancy · Medical University of Vienna

    Affiliation as printed

    Department of Anesthesiology & Intensive Care, University Hospital Nancy, Nancy, France

    Department of Neurosurgery, University Hospital Northern Norway, Tromso, Norway

    Department of Physical Medicine and Rehabilitation, Uni-versity Hospital Northern Norway, Tromso, Norway

    Division of Surgery and Clinical Neuroscience, Department of Physical Medicine and Rehabilitation, Oslo University Hospital and University of Oslo, Oslo, Norway

    Trauma Surgery, Medical University Vienna, Vienna, Austria

    the CENTER-TBI Collaborators

  65. Oslo University Hospital · University Hospital of North Norway · University of Oslo · Centre Hospitalier Régional et Universitaire de Nancy · Medical University of Vienna

    Affiliation as printed

    Department of Anesthesiology & Intensive Care, University Hospital Nancy, Nancy, France

    Department of Neurosurgery, University Hospital Northern Norway, Tromso, Norway

    Department of Physical Medicine and Rehabilitation, Uni-versity Hospital Northern Norway, Tromso, Norway

    Division of Surgery and Clinical Neuroscience, Department of Physical Medicine and Rehabilitation, Oslo University Hospital and University of Oslo, Oslo, Norway

    Trauma Surgery, Medical University Vienna, Vienna, Austria

    the CENTER-TBI Collaborators

  66. Assistance Publique – Hôpitaux de Paris · Monash University

    Affiliation as printed

    ANZIC Research Centre, Monash University, Department of Epidemiology and Preventive Medicine, Melbourne, Victoria, Australia

    Anesthesie-Re ´animation, Assistance Publique-Hopitaux de Paris, Paris, France

  67. Oslo University Hospital · University Hospital of North Norway · University of Oslo · Centre Hospitalier Régional et Universitaire de Nancy · Medical University of Vienna

    Affiliation as printed

    Department of Anesthesiology & Intensive Care, University Hospital Nancy, Nancy, France

    Department of Neurosurgery, University Hospital Northern Norway, Tromso, Norway

    Department of Physical Medicine and Rehabilitation, Uni-versity Hospital Northern Norway, Tromso, Norway

    Division of Surgery and Clinical Neuroscience, Department of Physical Medicine and Rehabilitation, Oslo University Hospital and University of Oslo, Oslo, Norway

    Trauma Surgery, Medical University Vienna, Vienna, Austria

    the CENTER-TBI Collaborators

  68. Oslo University Hospital · University Hospital of North Norway · University of Oslo · Centre Hospitalier Régional et Universitaire de Nancy · Medical University of Vienna

    Affiliation as printed

    Department of Anesthesiology & Intensive Care, University Hospital Nancy, Nancy, France

    Department of Neurosurgery, University Hospital Northern Norway, Tromso, Norway

    Department of Physical Medicine and Rehabilitation, Uni-versity Hospital Northern Norway, Tromso, Norway

    Division of Surgery and Clinical Neuroscience, Department of Physical Medicine and Rehabilitation, Oslo University Hospital and University of Oslo, Oslo, Norway

    Trauma Surgery, Medical University Vienna, Vienna, Austria

    the CENTER-TBI Collaborators

  69. Oslo University Hospital · University Hospital of North Norway · University of Oslo · Centre Hospitalier Régional et Universitaire de Nancy · Medical University of Vienna

    Affiliation as printed

    Department of Anesthesiology & Intensive Care, University Hospital Nancy, Nancy, France

    Department of Neurosurgery, University Hospital Northern Norway, Tromso, Norway

    Department of Physical Medicine and Rehabilitation, Uni-versity Hospital Northern Norway, Tromso, Norway

    Division of Surgery and Clinical Neuroscience, Department of Physical Medicine and Rehabilitation, Oslo University Hospital and University of Oslo, Oslo, Norway

    Trauma Surgery, Medical University Vienna, Vienna, Austria

    the CENTER-TBI Collaborators

  70. Oslo University Hospital · University Hospital of North Norway · University of Oslo · Centre Hospitalier Régional et Universitaire de Nancy · Medical University of Vienna

    Affiliation as printed

    Department of Anesthesiology & Intensive Care, University Hospital Nancy, Nancy, France

    Department of Neurosurgery, University Hospital Northern Norway, Tromso, Norway

    Department of Physical Medicine and Rehabilitation, Uni-versity Hospital Northern Norway, Tromso, Norway

    Division of Surgery and Clinical Neuroscience, Department of Physical Medicine and Rehabilitation, Oslo University Hospital and University of Oslo, Oslo, Norway

    Trauma Surgery, Medical University Vienna, Vienna, Austria

    the CENTER-TBI Collaborators

  71. Erasmus MC

    Affiliation as printed

    Department of Public Health, Erasmus Medical Center, Rotterdam, The Netherlands

  72. Oslo University Hospital · University Hospital of North Norway · University of Oslo · Centre Hospitalier Régional et Universitaire de Nancy · Medical University of Vienna

    Affiliation as printed

    Department of Anesthesiology & Intensive Care, University Hospital Nancy, Nancy, France

    Department of Neurosurgery, University Hospital Northern Norway, Tromso, Norway

    Department of Physical Medicine and Rehabilitation, Uni-versity Hospital Northern Norway, Tromso, Norway

    Division of Surgery and Clinical Neuroscience, Department of Physical Medicine and Rehabilitation, Oslo University Hospital and University of Oslo, Oslo, Norway

    Trauma Surgery, Medical University Vienna, Vienna, Austria

    the CENTER-TBI Collaborators

  73. Oslo University Hospital · University Hospital of North Norway · University of Oslo · Centre Hospitalier Régional et Universitaire de Nancy · Medical University of Vienna

    Affiliation as printed

    Department of Anesthesiology & Intensive Care, University Hospital Nancy, Nancy, France

    Department of Neurosurgery, University Hospital Northern Norway, Tromso, Norway

    Department of Physical Medicine and Rehabilitation, Uni-versity Hospital Northern Norway, Tromso, Norway

    Division of Surgery and Clinical Neuroscience, Department of Physical Medicine and Rehabilitation, Oslo University Hospital and University of Oslo, Oslo, Norway

    Trauma Surgery, Medical University Vienna, Vienna, Austria

    the CENTER-TBI Collaborators

  74. Oslo University Hospital · University Hospital of North Norway · University of Oslo · Centre Hospitalier Régional et Universitaire de Nancy · Medical University of Vienna

    Affiliation as printed

    Department of Anesthesiology & Intensive Care, University Hospital Nancy, Nancy, France

    Department of Neurosurgery, University Hospital Northern Norway, Tromso, Norway

    Department of Physical Medicine and Rehabilitation, Uni-versity Hospital Northern Norway, Tromso, Norway

    Division of Surgery and Clinical Neuroscience, Department of Physical Medicine and Rehabilitation, Oslo University Hospital and University of Oslo, Oslo, Norway

    Trauma Surgery, Medical University Vienna, Vienna, Austria

    the CENTER-TBI Collaborators

  75. Erasmus MC

    Affiliation as printed

    Department of Public Health, Erasmus Medical Center-

    University Medical Center, Rotterdam, The Netherlands

  76. Oslo University Hospital · University Hospital of North Norway · University of Oslo · Centre Hospitalier Régional et Universitaire de Nancy · Medical University of Vienna

    Affiliation as printed

    Department of Anesthesiology & Intensive Care, University Hospital Nancy, Nancy, France

    Department of Neurosurgery, University Hospital Northern Norway, Tromso, Norway

    Department of Physical Medicine and Rehabilitation, Uni-versity Hospital Northern Norway, Tromso, Norway

    Division of Surgery and Clinical Neuroscience, Department of Physical Medicine and Rehabilitation, Oslo University Hospital and University of Oslo, Oslo, Norway

    Trauma Surgery, Medical University Vienna, Vienna, Austria

    the CENTER-TBI Collaborators

  77. All India Institute of Medical Sciences

    Affiliation as printed

    Department of Neurosurgery, Neurosciences Centre & JPN Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, India

  78. Erasmus MC

    Affiliation as printed

    Department of Public Health, Erasmus Medical Center-

    University Medical Center, Rotterdam, The Netherlands

  79. Erasmus MC

    Affiliation as printed

    Department of Neurosurgery, Erasmus MC, Rotterdam, The Netherlands

  80. Oslo University Hospital · University Hospital of North Norway · University of Oslo · Centre Hospitalier Régional et Universitaire de Nancy · Medical University of Vienna

    Affiliation as printed

    Department of Anesthesiology & Intensive Care, University Hospital Nancy, Nancy, France

    Department of Neurosurgery, University Hospital Northern Norway, Tromso, Norway

    Department of Physical Medicine and Rehabilitation, Uni-versity Hospital Northern Norway, Tromso, Norway

    Division of Surgery and Clinical Neuroscience, Department of Physical Medicine and Rehabilitation, Oslo University Hospital and University of Oslo, Oslo, Norway

    Trauma Surgery, Medical University Vienna, Vienna, Austria

    the CENTER-TBI Collaborators

  81. Oslo University Hospital · Innsbruck Medical University · Universität Innsbruck

    Affiliation as printed

    Department of Neurology, Neurological Intensive Care Unit, Medical University of Innsbruck, Innsbruck, Austria

    Department of Neurosurgery, Oslo University Hospital, Oslo, Norway

  82. University of Stirling

    Affiliation as printed

    Division of Psychology, University of Stirling, Stirling, United Kingdom

  83. Erasmus MC

    Affiliation as printed

    Department of Public Health, Erasmus Medical Center-

    University Medical Center, Rotterdam, The Netherlands

  84. University of Cambridge · Addenbrooke's Hospital

    Affiliation as printed

    Division of Neurosurgery, Department of Clinical Neu-rosciences, Addenbrooke's Hospital & University of Cambridge, Cambridge, United Kingdom

  85. University Medical Center Groningen · University of Groningen

    Affiliation as printed

    Department of Neurology, University of Groningen, Uni-versity Medical Center Groningen, Groningen, The Netherlands

  86. Sheffield Teaching Hospitals NHS Foundation Trust

    Affiliation as printed

    Neurointensive Care, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, United Kingdom

  87. Affiliation as printed

    Quesgen Systems Inc., Burlingame, California, USA

  88. Oslo University Hospital · University Hospital of North Norway · University of Oslo · Centre Hospitalier Régional et Universitaire de Nancy · Medical University of Vienna

    Affiliation as printed

    Department of Anesthesiology & Intensive Care, University Hospital Nancy, Nancy, France

    Department of Neurosurgery, University Hospital Northern Norway, Tromso, Norway

    Department of Physical Medicine and Rehabilitation, Uni-versity Hospital Northern Norway, Tromso, Norway

    Division of Surgery and Clinical Neuroscience, Department of Physical Medicine and Rehabilitation, Oslo University Hospital and University of Oslo, Oslo, Norway

    Trauma Surgery, Medical University Vienna, Vienna, Austria

    the CENTER-TBI Collaborators

  89. Oslo University Hospital · University Hospital of North Norway · University of Oslo · Centre Hospitalier Régional et Universitaire de Nancy · Medical University of Vienna

    Affiliation as printed

    Department of Anesthesiology & Intensive Care, University Hospital Nancy, Nancy, France

    Department of Neurosurgery, University Hospital Northern Norway, Tromso, Norway

    Department of Physical Medicine and Rehabilitation, Uni-versity Hospital Northern Norway, Tromso, Norway

    Division of Surgery and Clinical Neuroscience, Department of Physical Medicine and Rehabilitation, Oslo University Hospital and University of Oslo, Oslo, Norway

    Trauma Surgery, Medical University Vienna, Vienna, Austria

    the CENTER-TBI Collaborators

  90. Oslo University Hospital · University Hospital of North Norway · University of Oslo · Centre Hospitalier Régional et Universitaire de Nancy · Medical University of Vienna

    Affiliation as printed

    Department of Anesthesiology & Intensive Care, University Hospital Nancy, Nancy, France

    Department of Neurosurgery, University Hospital Northern Norway, Tromso, Norway

    Department of Physical Medicine and Rehabilitation, Uni-versity Hospital Northern Norway, Tromso, Norway

    Division of Surgery and Clinical Neuroscience, Department of Physical Medicine and Rehabilitation, Oslo University Hospital and University of Oslo, Oslo, Norway

    Trauma Surgery, Medical University Vienna, Vienna, Austria

    the CENTER-TBI Collaborators

  91. Oslo University Hospital · University Hospital of North Norway · University of Oslo · Centre Hospitalier Régional et Universitaire de Nancy · Medical University of Vienna

    Affiliation as printed

    Department of Anesthesiology & Intensive Care, University Hospital Nancy, Nancy, France

    Department of Neurosurgery, University Hospital Northern Norway, Tromso, Norway

    Department of Physical Medicine and Rehabilitation, Uni-versity Hospital Northern Norway, Tromso, Norway

    Division of Surgery and Clinical Neuroscience, Department of Physical Medicine and Rehabilitation, Oslo University Hospital and University of Oslo, Oslo, Norway

    Trauma Surgery, Medical University Vienna, Vienna, Austria

    the CENTER-TBI Collaborators

  92. University of Cambridge · Erasmus MC · Addenbrooke's Hospital

    Affiliation as printed

    Department of Intensive Care and Department of Ethics and Philosophy of Medicine, Erasmus Medical Center, Rotterdam, The Netherlands

    Division of Neurosurgery, Department of Clinical Neu-rosciences, Addenbrooke's Hospital & University of Cambridge, Cambridge, United Kingdom

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References 48