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Prognostication and...
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Sarigul, BuseTuzla Public Hospital, Tuzla, Istanbul, Turkey
(författare)
Prognostication and Goals of Care Decisions in Severe Traumatic Brain Injury : A Survey of The Seattle International Severe Traumatic Brain Injury Consensus Conference Working Group
- Artikel/kapitelEngelska2023
Förlag, utgivningsår, omfång ...
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2023-03-18
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Mary Ann Liebert,2023
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printrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:oru-105896
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https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-105896URI
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https://doi.org/10.1089/neu.2022.0414DOI
Kompletterande språkuppgifter
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Språk:engelska
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Sammanfattning på:engelska
Ingår i deldatabas
Klassifikation
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
Anmärkningar
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Funding agencies:National Institute for Health Research (NIHR) Adler/Geirsch Attorney at Law American Association of Neurological Surgeons/Congress of Neurological Surgeons Section on Neurotrauma and Critical Care, Bard BrainTrauma Foundation DePuy Hemedex Integra Neurointensive Care Section of the European Society of Intensive Care Medicine Neurosurgical Society of Australasia Medtronic Moberg Research National University of Singapore Neuroptics Raumedic Sophysa Stryker Zoll
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Best practice guidelines have advanced severe traumatic brain injury (TBI) care; however, there is little that currently informs goals of care decisions and processes despite their importance and frequency. Panelists from the Seattle International severe traumatic Brain Injury Consensus Conference (SIBICC) participated in a survey consisting of 24 questions. Questions queried use of prognostic calculators, variability in and responsibility for goals of care decisions, and acceptability of neurological outcomes, as well as putative means of improving decisions that might limit care. A total of 97.6% of the 42 SIBICC panelists completed the survey. Responses to most questions were highly variable. Overall, panelists reported infrequent use of prognostic calculators, and observed variability in patient prognostication and goals of care decisions. They felt that it would be beneficial for physicians to improve consensus on what constitutes an acceptable neurological outcome as well as what chance of achieving that outcome is acceptable. Panelists felt that the public should help to define what constitutes a good outcome and expressed some support for a "nihilism guard." More than 50% of panelists felt that if it was certain to be permanent, a vegetative state or lower severe disability would justify a withdrawal of care decision, whereas 15% felt that upper severe disability justified such a decision. Whether conceptualizing an ideal or existing prognostic calculator to predict death or an unacceptable outcome, on average a 64-69% chance of a poor outcome was felt to justify treatment withdrawal. These results demonstrate important variability in goals of care decision making and a desire to reduce this variability. Our panel of recognized TBI experts opined on the neurological outcomes and chances of those outcomes that might prompt consideration of care withdrawal; however, imprecision of prognostication and existing prognostication tools is a significant impediment to standardizing the approach to care-limiting decisions.
Ämnesord och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Bell, Randy S.Uniformed Services University of Health Sciences, Avera Brain and Spine Institute, Sioux Falls, South Dakota, USA
(författare)
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Chesnut, RandallDepartments of Neurological Surgery and Orthopaedic Surgery, School of Global Health, Harborview Medical Center, University of Washington, Seattle, Washington, USA
(författare)
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Aguilera, SergioAlmirante Nef Naval Hospital, Viña del Mar, Chile
(författare)
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Büki, Andras,1966-Örebro universitet,Institutionen för medicinska vetenskaper,Department of Neurosurgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden(Swepub:oru)asbi
(författare)
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Citerio, GiuseppeSchool of Medicine and Surgery, University of Milan-Bicocca, Milan, Italy; NeuroIntensive Care, Department of Neuroscience, IRCCS Fondazione San Gerardo dei Tintori, Monza, Italy
(författare)
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Cooper, D. JamieIntensive Care Medicine, Australian and New Zealand Intensive Care Research Centre, Alfred Hospital, Melbourne, Victoria, Australia
(författare)
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Diaz-Arrastia, RamonDepartment of Neurology, University of Pennsylvania Perelman School of Medicine, Penn Presbyterian Medical Center, Philadelphia, Pennsylvania, USA
(författare)
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Diringer, MichaelDepartment of Neurology, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, Missouri, USA
(författare)
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Figaji, AnthonyDepartment of Neurosurgery, Division of Neurosurgery and Neuroscience Institute, University of Cape Town, Groote Schuur Hospital, Cape Town, South Africa
(författare)
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Gao, GuoyiDivision of Neurotrauma, Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China
(författare)
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Geocadin, Romergryko G.Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
(författare)
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Ghajar, JamshidDepartment of Neurosurgery, Stanford Neuroscience Health Center, Palo Alto, California, USA
(författare)
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Harris, OdetteBrain Trauma Foundation, Palo Alto, California, USA
(författare)
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Hoffer, AlanUniversity Hospitals of Cleveland, Cleveland, Ohio, USA
(författare)
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Hutchinson, PeterDivision of Neurosurgery, Department of Clinical Neurosciences, Addenbrooke's Hospital, Department of Medicine, University of Cambridge, Cambridge, United Kingdom
(författare)
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Joseph, MathewDepartment of Neurological Sciences, Christian Medical College, Vellore, Tamil Nadu, India
(författare)
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Kitagawa, RyanVivian L Smith Department of Neurosurgery, McGovern Medical School at UTHealth, Houston, Texas, USA
(författare)
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Manley, GeoffreyDepartment of Neurosurgery, University of California San Francisco, San Francisco General Hospital & Trauma Center, San Francisco, California, USA
(författare)
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Mayer, Stephan A.Westchester Medical Center, New York Medical College, Valhalla, New York, USA
(författare)
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Menon, David K.Division of Anaesthesia, Department of Medicine, University of Cambridge, Cambridge, United Kingdom
(författare)
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Meyfroidt, GeertDepartment and Laboratory of Intensive Care Medicine, University Hospitals Leuven and KU Leuven, Leuven, Belgium
(författare)
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Michael, Daniel B.Department of Neurosurgery, Oakland University William Beaumont School of Medicine, Beaumont Health, Michigan Head & Spine Institute, Southfield, Michigan, USA
(författare)
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Oddo, MauroDirectorate of Innovation and Clinical Research, CHUV-Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland
(författare)
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Okonkwo, David O.Departments of Neurological Surgery, Neurology and Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
(författare)
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Patel, Mayur B.Critical Illness, Brain Dysfunction, and Survivorship Center; Center for Health Services Research; Tennessee Valley Healthcare System, Veterans Affairs Medical Center; Section of Surgical Sciences, Department of Surgery, Division of Acute Care Surgery Vanderbilt University Medical Center, Nashville, Tennessee, USA
(författare)
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Robertson, ClaudiaDepartment of Neurosurgery, Baylor College of Medicine, Houston, Texas, USA
(författare)
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Rosenfeld, Jeffrey V.Department of Neurosurgery, The Alfred Hospital, Melbourne, Victoria, Australia; Department of Surgery, Central Clinical School, Monash University, Melbourne, Victoria, Australia
(författare)
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Rubiano, Andres M.INUB/MEDITECH Research Group, Neurosciences Institute, El Bosque University, Bogotá, Colombia; MEDITECH Foundation, Clinical Research, Cali, Colombia
(författare)
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Sahuquillo, JuanDepartment of Neurosurgery, Vall d'Hebron University Hospital, Universitat Autònoma de Barcelona, Spain
(författare)
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Servadei, FrancoDepartment of Neurosurgery, IRCCS Humanitas Research Hospital and Humanitas University, Milano, Italy
(författare)
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Shutter, LoriCritical Care Medicine, Neurology and Neurological Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
(författare)
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Stein, Deborah D.Program in Trauma, University of Maryland School of Medicine, Baltimore, Maryland, USA
(författare)
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Stocchetti, NinoDepartment of Pathophysiology and Transplantation, Dipartimento Fisiopatologia e Trapianti Universita di Milano, Scuola di Specializzazione Anestesia, Rianimazione, Terapia Intensiva e del Dolore, Neurorianimazione, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico Milano, Milano, Italy
(författare)
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Taccone, Fabio SilvioDepartment of Intensive Care, Hospital Erasme, Université Libre de Bruxelles (ULB) Brussels, Belgium
(författare)
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Timmons, Shelly D.Department of Neurological Surgery, Indiana University School of Medicine, Indiana, USA
(författare)
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Tsai, EveDivision of Neurosurgery, Department of Surgery, University of Ottawa, The Ottawa Hospital, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada
(författare)
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Ullman, Jamie S.Department of Neurosurgery, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York, USA
(författare)
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Vespa, PaulDepartment of Neurosurgery and Neurology, UCLA School of Medicine, Neurocritical Care, Ronald Reagan UCLA Medical Center, UCLA Medical Center, Santa Monica, California, USA
(författare)
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Videtta, WalterIntensive Care Medicine, Posadas Hospital, Buenos Aires, Argentina
(författare)
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Wright, David W.Department of Emergency Medicine, Emory University School of Medicine, Atlanta, Georgia, USA
(författare)
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Zammit, ChristopherDepartment of Emergency Medicine, University of Rochester Medical Center, School of Medicine and Dentistry, Rochester, New York, USA
(författare)
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Hawryluk, Gregory W. J.Neurological Institute, Akron General Hospital, Fairlawn, Ohio, USA
(författare)
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Tuzla Public Hospital, Tuzla, Istanbul, TurkeyUniformed Services University of Health Sciences, Avera Brain and Spine Institute, Sioux Falls, South Dakota, USA
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Journal of Neurotrauma: Mary Ann Liebert40:15-16, s. 1707-17170897-71511557-9042
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Till lärosätets databas
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Sarigul, Buse
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Bell, Randy S.
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Chesnut, Randall
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Aguilera, Sergio
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Büki, Andras, 19 ...
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Citerio, Giusepp ...
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visa fler...
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Cooper, D. Jamie
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Diaz-Arrastia, R ...
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Diringer, Michae ...
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Figaji, Anthony
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Gao, Guoyi
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Geocadin, Romerg ...
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Ghajar, Jamshid
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Harris, Odette
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Hoffer, Alan
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Hutchinson, Pete ...
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Joseph, Mathew
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Kitagawa, Ryan
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Manley, Geoffrey
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Mayer, Stephan A ...
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Menon, David K.
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Meyfroidt, Geert
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Michael, Daniel ...
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Oddo, Mauro
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Okonkwo, David O ...
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Patel, Mayur B.
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Robertson, Claud ...
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Rosenfeld, Jeffr ...
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Rubiano, Andres ...
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Sahuquillo, Juan
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Servadei, Franco
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Shutter, Lori
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Stein, Deborah D ...
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Stocchetti, Nino
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Taccone, Fabio S ...
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Timmons, Shelly ...
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Tsai, Eve
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Ullman, Jamie S.
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Vespa, Paul
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Videtta, Walter
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Wright, David W.
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Zammit, Christop ...
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Hawryluk, Gregor ...
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