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(WFRF:(Helbok Raimund)) srt2:(2020)
 

Sökning: (WFRF:(Helbok Raimund)) srt2:(2020) > Changing care pathw...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004442naa a2200613 4500
001oai:DiVA.org:umu-171374
003SwePub
008200602s2020 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:143104014
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1713742 URI
0247 a https://doi.org/10.1007/s00134-020-05965-z2 DOI
0247 a http://kipublications.ki.se/Default.aspx?queryparsed=id:1431040142 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 Huijben, Jilske A4 aut
2451 0a Changing care pathways and between-center practice variations in intensive care for traumatic brain injury across Europe :b a CENTER-TBI analysis
264 c 2020-02-25
264 1b Springer Science and Business Media LLC,c 2020
338 a electronic2 rdacarrier
520 a 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.
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 Intensive care unit
653 a Intracranial pressure
653 a Outcome
653 a Traumatic brain injury
7001 a Wiegers, Eveline J A4 aut
7001 a Lingsma, Hester F4 aut
7001 a Citerio, Giuseppe4 aut
7001 a Maas, Andrew I R4 aut
7001 a Menon, David K4 aut
7001 a Ercole, Ari4 aut
7001 a Nelson, Davidu Karolinska Institutet4 aut
7001 a van der Jagt, Mathieu4 aut
7001 a Steyerberg, Ewout W4 aut
7001 a Helbok, Raimund4 aut
7001 a Lecky, Fiona4 aut
7001 a Peul, Wilco4 aut
7001 a Birg, Tatiana4 aut
7001 a Zoerle, Tommaso4 aut
7001 a Carbonara, Marco4 aut
7001 a Stocchetti, Nino4 aut
7001 a Brorsson, Camillau Umeå universitet,Anestesiologi och intensivvård4 ctb0 (Swepub:umu)brca0001
7102 a Karolinska Institutetb Anestesiologi och intensivvård4 org
7730 t Intensive Care Medicined : Springer Science and Business Media LLCg 46:5, s. 995-1004q 46:5<995-1004x 0342-4642x 1432-1238
8564 u https://doi.org/10.1007/s00134-020-05965-zy Fulltext
8564 u https://umu.diva-portal.org/smash/get/diva2:1433978/FULLTEXT01.pdfx primaryx Raw objecty fulltext:print
8564 u https://link.springer.com/content/pdf/10.1007/s00134-020-05965-z.pdf
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-171374
8564 8u https://doi.org/10.1007/s00134-020-05965-z
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:143104014

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