SwePub
Sök i LIBRIS databas

  Utökad sökning

onr:"swepub:oai:DiVA.org:umu-167483"
 

Sökning: onr:"swepub:oai:DiVA.org:umu-167483" > Variation in monito...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004497naa a2200637 4500
001oai:DiVA.org:umu-167483
003SwePub
008200122s2017 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:136504553
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1674832 URI
0247 a https://doi.org/10.1186/s13054-017-1816-92 DOI
0247 a http://kipublications.ki.se/Default.aspx?queryparsed=id:1365045532 URI
040 a (SwePub)umud (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Cnossen, Maryse C.4 aut
2451 0a Variation in monitoring and treatment policies for intracranial hypertension in traumatic brain injury :b a survey in 66 neurotrauma centers participating in the CENTER-TBI study
264 c 2017-09-06
264 1b Springer,c 2017
338 a print2 rdacarrier
520 a BACKGROUND: No definitive evidence exists on how intracranial hypertension should be treated in patients with traumatic brain injury (TBI). It is therefore likely that centers and practitioners individually balance potential benefits and risks of different intracranial pressure (ICP) management strategies, resulting in practice variation. The aim of this study was to examine variation in monitoring and treatment policies for intracranial hypertension in patients with TBI.METHODS: A 29-item survey on ICP monitoring and treatment was developed on the basis of literature and expert opinion, and it was pilot-tested in 16 centers. The questionnaire was sent to 68 neurotrauma centers participating in the Collaborative European Neurotrauma Effectiveness Research in Traumatic Brain Injury (CENTER-TBI) study.RESULTS: The survey was completed by 66 centers (97% response rate). Centers were mainly academic hospitals (n = 60, 91%) and designated level I trauma centers (n = 44, 67%). The Brain Trauma Foundation guidelines were used in 49 (74%) centers. Approximately 90% of the participants (n = 58) indicated placing an ICP monitor in patients with severe TBI and computed tomographic abnormalities. There was no consensus on other indications or on peri-insertion precautions. We found wide variation in the use of first- and second-tier treatments for elevated ICP. Approximately half of the centers were classified as using a relatively aggressive approach to ICP monitoring and treatment (n = 32, 48%), whereas the others were considered more conservative (n = 34, 52%).CONCLUSIONS: Substantial variation was found regarding monitoring and treatment policies in patients with TBI and intracranial hypertension. The results of this survey indicate a lack of consensus between European neurotrauma centers and provide an opportunity and necessity for comparative effectiveness research.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Neurologi0 (SwePub)302072 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Neurology0 (SwePub)302072 hsv//eng
653 a Comparative effectiveness research
653 a ICP
653 a ICU
653 a Intracranial hypertension
653 a Survey
653 a Traumatic brain injury
653 a neurokirurgi
653 a Neurosurgery
7001 a Huijben, Jilske A.4 aut
7001 a van der Jagt, Mathieu4 aut
7001 a Volovici, Victor4 aut
7001 a van Essen, Thomas4 aut
7001 a Polinder, Suzanne4 aut
7001 a Nelson, Davidu Karolinska Institutet4 aut
7001 a Ercole, Ari4 aut
7001 a Stocchetti, Nino4 aut
7001 a Citerio, Giuseppe4 aut
7001 a Peul, Wilco C.4 aut
7001 a Maas, Andrew I. R.4 aut
7001 a Menon, David4 aut
7001 a Steyerberg, Ewout W.4 aut
7001 a Lingsma, Hester F.4 aut
7001 a Koskinen, Lars-Owe D.,d 1955-4 ctb
7001 a Brorsson, Camillau Umeå universitet,Anestesiologi och intensivvård0 (Swepub:umu)brca0001
7102 a Karolinska Institutetb Anestesiologi och intensivvård4 org
7730 t Critical Cared : Springerg 21:1q 21:1x 1364-8535x 1466-609X
8564 u https://doi.org/10.1186/s13054-017-1816-9y Fulltext
8564 u https://doi.org/10.1186/s13054-017-1816-9
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-167483
8564 8u https://doi.org/10.1186/s13054-017-1816-9
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:136504553

Hitta via bibliotek

Till lärosätets databas

Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.

 
pil uppåt Stäng

Kopiera och spara länken för att återkomma till aktuell vy