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evel III; Care management, level III. Epidemiological, level III; Care management, level III. Intracranial pressure monitor (ICPm) procedure rates are a quality metric for American College of Surgeons trauma center verification. However, ICPm procedure rates may not accurately reflect the quality of care in TBI. We hypothesized that ICPm and craniotomy/craniectomy procedure rates for severe TBI vary across the United States by geography and institution. We identified all patients with a severe traumatic brain injury (head Abbreviated Injury Sca