Improving Indo-US Traumatic Brain Injury Outcomes – Collaborative Head Injury and Adherence to Guidelines (CHIRAG) Study. 

In collaboration with the Jay Prakash Narayan Apex Trauma Center in New Delhi, India, Monica Vavilala (Anesthesiology) of Harborview Injury Prevention & Research Center (HIPRC) is leading a team of UW researchers & clinicians to improve traumatic brain injury (TBI) outcomes in the US & India. The guiding hypothesis is that adherence predicts outcomes, and that developing an interdisciplinary TBI care pathway will increase adherence & improve outcomes after TBI.

The CHIRAG  project goal has 3 specific aims to improve TBI outcomes in both nations:

• To develop a severe Traumatic Brain Injury (TBI) adherence scorecard that quantifies adherence to evidence based TBI guidelines & examines the prevalence & temporal profile of secondary insults after TBI

• To use the adherence scorecard to determine the relationship between adherence & to evidence based severe TBI guidelines & patient outcomes

• To examine barriers to adherence of evidence based TBI guidelines and develop a new interdisciplinary TBI care pathway that improves adherence, decreases secondary insults & improves outcomes after severe TBI.

The guiding hypothesis is that adherence predicts outcomes, and that developing an interdisciplinary TBI care pathway will increase adherence & improve outcomes after TBI.

In addition to Dr. Vavilala, University of Washington investigators are: 
Charles Mock, MD- surgery, Frederick Rivara, MD-Pediatrics, James Hecker, MD - Anesthesiology,  Deepak Sharma, MD -Anesthesiology, Kalpana Kanal, PhD, DABR –Diagnostic Physics/Radiology, Dr.Nithya Kannan-HIPRC

Jay Prakash Narayan Apex Trauma Center collaborators are:
Hari Hara Dash, MD, Deepak Gupta, MD, and AK Mahapatra, MD.