Sökning: onr:"swepub:oai:DiVA.org:umu-171374" >
Changing care pathw...
-
Huijben, Jilske A
(författare)
Changing care pathways and between-center practice variations in intensive care for traumatic brain injury across Europe : a CENTER-TBI analysis
- Artikel/kapitelEngelska2020
Förlag, utgivningsår, omfång ...
-
2020-02-25
-
Springer Science and Business Media LLC,2020
-
electronicrdacarrier
Nummerbeteckningar
-
LIBRIS-ID:oai:DiVA.org:umu-171374
-
https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-171374URI
-
https://doi.org/10.1007/s00134-020-05965-zDOI
-
http://kipublications.ki.se/Default.aspx?queryparsed=id:143104014URI
Kompletterande språkuppgifter
-
Språk:engelska
-
Sammanfattning på:engelska
Ingår i deldatabas
Klassifikation
-
Ämneskategori:ref swepub-contenttype
-
Ämneskategori:art swepub-publicationtype
Anmärkningar
-
PURPOSE: To describe ICU stay, selected management aspects, and outcome of Intensive Care Unit (ICU) patients with traumatic brain injury (TBI) in Europe, and to quantify variation across centers.METHODS: This is a prospective observational multicenter study conducted across 18 countries in Europe and Israel. Admission characteristics, clinical data, and outcome were described at patient- and center levels. Between-center variation in the total ICU population was quantified with the median odds ratio (MOR), with correction for case-mix and random variation between centers.RESULTS: A total of 2138 patients were admitted to the ICU, with median age of 49 years; 36% of which were mild TBI (Glasgow Coma Scale; GCS 13-15). Within, 72 h 636 (30%) were discharged and 128 (6%) died. Early deaths and long-stay patients (> 72 h) had more severe injuries based on the GCS and neuroimaging characteristics, compared with short-stay patients. Long-stay patients received more monitoring and were treated at higher intensity, and experienced worse 6-month outcome compared to short-stay patients. Between-center variations were prominent in the proportion of short-stay patients (MOR = 2.3, p < 0.001), use of intracranial pressure (ICP) monitoring (MOR = 2.5, p < 0.001) and aggressive treatments (MOR = 2.9, p < 0.001); and smaller in 6-month outcome (MOR = 1.2, p = 0.01).CONCLUSIONS: Half of contemporary TBI patients at the ICU have mild to moderate head injury. Substantial between-center variations exist in ICU stay and treatment policies, and less so in outcome. It remains unclear whether admission of short-stay patients represents appropriate prudence or inappropriate use of clinical resources.
Ämnesord och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
-
Wiegers, Eveline J A
(författare)
-
Lingsma, Hester F
(författare)
-
Citerio, Giuseppe
(författare)
-
Maas, Andrew I R
(författare)
-
Menon, David K
(författare)
-
Ercole, Ari
(författare)
-
Nelson, DavidKarolinska Institutet
(författare)
-
van der Jagt, Mathieu
(författare)
-
Steyerberg, Ewout W
(författare)
-
Helbok, Raimund
(författare)
-
Lecky, Fiona
(författare)
-
Peul, Wilco
(författare)
-
Birg, Tatiana
(författare)
-
Zoerle, Tommaso
(författare)
-
Carbonara, Marco
(författare)
-
Stocchetti, Nino
(författare)
-
Brorsson, CamillaUmeå universitet,Anestesiologi och intensivvård(Swepub:umu)brca0001
(bidragsgivare)
-
Karolinska InstitutetAnestesiologi och intensivvård
(creator_code:org_t)
Sammanhörande titlar
-
Ingår i:Intensive Care Medicine: Springer Science and Business Media LLC46:5, s. 995-10040342-46421432-1238
Internetlänk
Hitta via bibliotek
Till lärosätets databas
- Av författaren/redakt...
-
Huijben, Jilske ...
-
Wiegers, Eveline ...
-
Lingsma, Hester ...
-
Citerio, Giusepp ...
-
Maas, Andrew I R
-
Menon, David K
-
visa fler...
-
Ercole, Ari
-
Nelson, David
-
van der Jagt, Ma ...
-
Steyerberg, Ewou ...
-
Helbok, Raimund
-
Lecky, Fiona
-
Peul, Wilco
-
Birg, Tatiana
-
Zoerle, Tommaso
-
Carbonara, Marco
-
Stocchetti, Nino
-
Brorsson, Camill ...
-
visa färre...
- Om ämnet
-
- MEDICIN OCH HÄLSOVETENSKAP
-
MEDICIN OCH HÄLS ...
-
och Klinisk medicin
-
och Neurologi
- Artiklar i publikationen
-
Intensive Care M ...
- Av lärosätet
-
Umeå universitet
-
Karolinska Institutet