Variation in neurosurgical management of traumatic brain injury: a survey in 68 centers participating in the CENTER-TBI study
Background: Neurosurgical management of traumatic brain injury (TBI) is challenging, with only low-quality evidence. We aimed to explore differences in neurosurgical strategies for TBI across Europe. Methods: A survey was sent to 68 centers participating in the Collaborative European Neurotrauma Eff...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article (Journal) |
| Language: | English |
| Published: |
2019
|
| In: |
Acta neurochirurgica
Year: 2018, Volume: 161, Issue: 3, Pages: 435-449 |
| ISSN: | 0942-0940 |
| DOI: | 10.1007/s00701-018-3761-z |
| Online Access: | Verlag, Volltext: https://doi.org/10.1007/s00701-018-3761-z
|
| Author Notes: | Thomas A. van Essen [und 319 weitere] on behalf of the CENTER-TBI Investigators and Participants* |
MARC
| LEADER | 00000caa a2200000 c 4500 | ||
|---|---|---|---|
| 001 | 1669414396 | ||
| 003 | DE-627 | ||
| 005 | 20220816193343.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 190718r20192018xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1007/s00701-018-3761-z |2 doi | |
| 035 | |a (DE-627)1669414396 | ||
| 035 | |a (DE-599)KXP1669414396 | ||
| 035 | |a (OCoLC)1341233954 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rda | ||
| 041 | |a eng | ||
| 084 | |a 33 |2 sdnb | ||
| 100 | 1 | |a Essen, Thomas van |e VerfasserIn |0 (DE-588)1190840006 |0 (DE-627)1669416119 |4 aut | |
| 245 | 1 | 0 | |a Variation in neurosurgical management of traumatic brain injury |b a survey in 68 centers participating in the CENTER-TBI study |c Thomas A. van Essen [und 319 weitere] on behalf of the CENTER-TBI Investigators and Participants* |
| 264 | 1 | |c 2019 | |
| 300 | |a 15 | ||
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a First Online: 19 December 2018 | ||
| 500 | |a Gesehen am 18.07.2019 | ||
| 500 | |a *CENTER-TBI Investigators and Participants: Cecilia Ackerlund, Christopher Beynon, Oliver Sakowitz, Edgar Santos, Alexander Younsi [und 315 weitere] | ||
| 520 | |a Background: Neurosurgical management of traumatic brain injury (TBI) is challenging, with only low-quality evidence. We aimed to explore differences in neurosurgical strategies for TBI across Europe. Methods: A survey was sent to 68 centers participating in the Collaborative European Neurotrauma Effectiveness Research in Traumatic Brain Injury (CENTER-TBI) study. The questionnaire contained 21 questions, including the decision when to operate (or not) on traumatic acute subdural hematoma (ASDH) and intracerebral hematoma (ICH), and when to perform a decompressive craniectomy (DC) in raised intracranial pressure (ICP).Results: The survey was completed by 68 centers (100%). On average, 10 neurosurgeons work in each trauma center. In all centers, a neurosurgeon was available within 30 min. Forty percent of responders reported a thickness or volume threshold for evacuation of an ASDH. Most responders (78%) decide on a primary DC in evacuating an ASDH during the operation, when swelling is present. For ICH, 3% would perform an evacuation directly to prevent secondary deterioration and 66% only in case of clinical deterioration. Most respondents (91%) reported to consider a DC for refractory high ICP. The reported cut-off ICP for DC in refractory high ICP, however, differed: 60% uses 25 mmHg, 18% 30 mmHg, and 17% 20 mmHg. Treatment strategies varied substantially between regions, specifically for the threshold for ASDH surgery and DC for refractory raised ICP. Also within center variation was present: 31% reported variation within the hospital for inserting an ICP monitor and 43% for evacuating mass lesions.ConclusionDespite a homogeneous organization, considerable practice variation exists of neurosurgical strategies for TBI in Europe. These results provide an incentive for comparative effectiveness research to determine elements of effective neurosurgical care. | ||
| 534 | |c 2018 | ||
| 650 | 4 | |a Acute subdural hematoma | |
| 650 | 4 | |a Neurosurgery | |
| 650 | 4 | |a Practice variation | |
| 650 | 4 | |a Traumatic brain injury | |
| 700 | 1 | |a Beynon, Christopher |d 1980- |e VerfasserIn |0 (DE-588)136046258 |0 (DE-627)57442931X |0 (DE-576)300798806 |4 aut | |
| 700 | 1 | |a Sakowitz, Oliver |d 1971- |e VerfasserIn |0 (DE-588)123767075 |0 (DE-627)706419928 |0 (DE-576)293869189 |4 aut | |
| 700 | 1 | |a Santos, Edgar |d 1982- |e VerfasserIn |0 (DE-588)1048580407 |0 (DE-627)780674537 |0 (DE-576)402410882 |4 aut | |
| 700 | 1 | |a Younsi, Alexander |d 1985- |e VerfasserIn |0 (DE-588)104607508X |0 (DE-627)775681547 |0 (DE-576)39935882X |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Acta neurochirurgica |d Wien [u.a.] : Springer, 1950 |g 161(2019), 3, Seite 435-449 |h Online-Ressource |w (DE-627)265508398 |w (DE-600)1464215-3 |w (DE-576)074889729 |x 0942-0940 |7 nnas |a Variation in neurosurgical management of traumatic brain injury a survey in 68 centers participating in the CENTER-TBI study |
| 773 | 1 | 8 | |g volume:161 |g year:2019 |g number:3 |g pages:435-449 |g extent:15 |a Variation in neurosurgical management of traumatic brain injury a survey in 68 centers participating in the CENTER-TBI study |
| 856 | 4 | 0 | |u https://doi.org/10.1007/s00701-018-3761-z |x Verlag |x Resolving-System |3 Volltext |
| 951 | |a AR | ||
| 992 | |a 20190718 | ||
| 993 | |a Article | ||
| 994 | |a 2019 | ||
| 998 | |g 104607508X |a Younsi, Alexander |m 104607508X:Younsi, Alexander |d 910000 |d 911200 |e 910000PY104607508X |e 911200PY104607508X |k 0/910000/ |k 1/910000/911200/ |p 316 | ||
| 998 | |g 1048580407 |a Santos, Edgar |m 1048580407:Santos, Edgar |d 910000 |d 911200 |e 910000PS1048580407 |e 911200PS1048580407 |k 0/910000/ |k 1/910000/911200/ |p 238 | ||
| 998 | |g 123767075 |a Sakowitz, Oliver |m 123767075:Sakowitz, Oliver |d 50000 |e 50000PS123767075 |k 0/50000/ |p 234 | ||
| 998 | |g 136046258 |a Beynon, Christopher |m 136046258:Beynon, Christopher |d 910000 |d 911200 |e 910000PB136046258 |e 911200PB136046258 |k 0/910000/ |k 1/910000/911200/ |p 43 | ||
| 999 | |a KXP-PPN1669414396 |e 349473612X | ||
| BIB | |a Y | ||
| SER | |a journal | ||
| JSO | |a {"id":{"eki":["1669414396"],"doi":["10.1007/s00701-018-3761-z"]},"type":{"media":"Online-Ressource","bibl":"article-journal"},"physDesc":[{"extent":"15 S."}],"relHost":[{"origin":[{"dateIssuedKey":"1950","publisherPlace":"Wien [u.a.]","dateIssuedDisp":"1950-","publisher":"Springer"}],"recId":"265508398","id":{"eki":["265508398"],"issn":["0942-0940"],"zdb":["1464215-3"]},"type":{"bibl":"periodical","media":"Online-Ressource"},"part":{"extent":"15","year":"2019","volume":"161","text":"161(2019), 3, Seite 435-449","pages":"435-449","issue":"3"},"pubHistory":["1.1950/51 -"],"disp":"Variation in neurosurgical management of traumatic brain injury a survey in 68 centers participating in the CENTER-TBI studyActa neurochirurgica","note":["Gesehen am 15.01.2025","Ab 2022 Fortsetzung der Druck-Ausgabe"],"physDesc":[{"extent":"Online-Ressource"}],"title":[{"subtitle":"the European journal of neurosurgery","title":"Acta neurochirurgica","title_sort":"Acta neurochirurgica"}],"language":["ger","eng"]}],"title":[{"title_sort":"Variation in neurosurgical management of traumatic brain injury","title":"Variation in neurosurgical management of traumatic brain injury","subtitle":"a survey in 68 centers participating in the CENTER-TBI study"}],"language":["eng"],"person":[{"display":"Essen, Thomas van","role":"aut","family":"Essen","given":"Thomas van"},{"family":"Beynon","given":"Christopher","display":"Beynon, Christopher","role":"aut"},{"family":"Sakowitz","given":"Oliver","display":"Sakowitz, Oliver","role":"aut"},{"role":"aut","display":"Santos, Edgar","given":"Edgar","family":"Santos"},{"family":"Younsi","given":"Alexander","display":"Younsi, Alexander","role":"aut"}],"origin":[{"dateIssuedDisp":"2019","dateIssuedKey":"2019"}],"name":{"displayForm":["Thomas A. van Essen [und 319 weitere] on behalf of the CENTER-TBI Investigators and Participants*"]},"recId":"1669414396","note":["First Online: 19 December 2018","Gesehen am 18.07.2019","*CENTER-TBI Investigators and Participants: Cecilia Ackerlund, Christopher Beynon, Oliver Sakowitz, Edgar Santos, Alexander Younsi [und 315 weitere]"]} | ||
| SRT | |a ESSENTHOMAVARIATIONI2019 | ||