Early management of isolated severe traumatic brain injury patients in a hospital without neurosurgical capabilities : a consensus and clinical recommendations of the World Society of Emergency Surgery (WSES)
Picetti, Edoardo (University Hospital of Parma)
Catena, Fausto (Bufalini Hospital)
Abu-Zidan, Fikri (United Arab Emirates University. The Research Office, College of Medicine and Health Sciences)
Ansaloni, Luca (University of Pavia. Unit of General Surgery, San Matteo Hospital Pavia)
Armonda, Rocco A. (MedStar Washington Hospital Center)
Bala, Miklosh (Hebrew University of Jerusalem Kiriat Hadassah. Acute Care Surgery and Trauma Unit, Department of General Surgery, Hadassah Medical Center and Faculty of Medicine)
Balogh, Zsolt J. (Hunter Medical Research Institute and University of Newcastle. Department of Traumatology, John Hunter Hospital)
Bertuccio, Alessandro (Department of Neurosurgery, SS Antonio E Biagio E Cesare Arrigo Alessandria Hospital, Alessandria, Italy)
Biffl, Walt L. (Scripps Clinic Medical Group)
Bouzat, Pierre (Université Grenoble Alpes. Inserm, U1216, CHU Grenoble Alpes, Grenoble Institut Neurosciences)
Buki, Andras (Örebro University. Department of Neurosurgery, Faculty of Medicine and Health)
Cerasti, Davide (Azienda Ospedaliero-Universitaria of Parma. Neuroradiology Unit)
Chesnut, Randall M. (University of Washington. Department of Global Health)
Citerio, Giuseppe (ASST Monza. Neuroscience Department, NeuroIntensive Care Unit, Hospital San Gerardo)
Coccolini, Federico (Pisa University Hospital. Department of Emergency and Trauma Surgery)
Coimbra, Raul (Loma Linda University School of Medicine. Riverside University Health System Medical Center)
Coniglio, Carlo (Ospedale Maggiore Carlo Alberto Pizzardi. Department of Anesthesia, Intensive Care and Prehospital Emergency)
Fainardi, Enrico (University of Florence. Neuroradiology Unit, Department of Experimental and Clinical Biomedical Sciences)
Gupta, Deepak (All India Institute of Medical Sciences. Department of Neurosurgery, Neurosciences Centre and JPN Apex Trauma Centre)
Gurney, Jennifer M. (JBSA Fort Sam Houston. The Department of Defense Center of Excellence for Trauma, Joint Trauma System (JTS))
Hawrylux, Gregory W. J. (Cleveland Clinic)
Helbok, Raimund (Medical University of Innsbruck. Neurological Intensive Care Unit, Department of Neurology)
Hutchinson, Peter J. A. (University of Cambridge. Department of Neurosurgery, Department of Clinical Neurosciences)
Iaccarino, Corrado (Azienda Ospedaliero-Universitaria di Modena. Neurosurgery Unit, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia)
Kolias, Angelos (University of Cambridge. Division of Neurosurgery, Department of Clinical Neurosciences, Addenbrooke's Hospital)
Maier, Ronald W. (University of Washington. Harborview Medical Center)
Martin, Matthew J. (Los Angeles County + USC Medical Center. Division of Trauma and Acute Care Surgery)
Meyfroidt, Geert (Katholieke Universiteit Leuven. Laboratory of Intensive Care Medicine)
Okonkwo, David O. (University of Pittsburgh Medical Center. Department of Neurological Surgery)
Rasulo, Frank (Spedali Civili University Hospital. Department of Anesthesia, Critical Care and Emergency)
Rizoli, Sandro (Hamad General Hospital (HGH). Surgery Department, Section of Trauma Surgery)
Rubiano, Andres (Universidad El Bosque. INUB-MEDITECH Research Group, Institute of Neurosciences)
Sahuquillo Barris, Juan (Hospital Universitari Vall d'Hebron)
Sams, Valerie G. (University of Cincinnati Medical Center. Trauma Critical Care and Acute Care Surgery, Air Force Center for Sustainment of Trauma and Readiness Skills)
Servadei, Franco (IRCCS Humanitas Research Hospital. Department of Neurosurgery)
Sharma, Deepak (University of Washington. Department of Anesthesiology and Pain Medicine and Neurological Surgery)
Shutter, Lori (UPMC/University of Pittsburgh School of Medicine. Department of Critical Care Medicine)
Stahel, Philip F. (Rocky Vista University. College of Osteopathic Medicine)
Taccone, Fabio S. (Hôpital Universitaire de Bruxelles. Department of Intensive Care)
Udy, Andrew (The Alfred. Department of Intensive Care and Hyperbaric Medicine)
Zoerle, Tommaso (Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico. Department of Anesthesia, Critical Care and Emergency)
Agnoletti, Vanni (M. Bufalini Hospital. Anesthesia and Intensive Care Unit, AUSL Romagna)
Bravi, Francesca (Santa Maria Delle Croci Hospital. Healthcare Administration)
De Simone, Belinda (Centre Hospitalier Intercommunal De Poissy/St Germain en Laye. Department of General, Digestive and Metabolic Minimally Invasive Surgery)
Kluger, Yoram (Rambam Health Care Campus. Department of General Surgery)
Martino, Costanza (Department of Anesthesiology and Acute Care, Umberto I Hospital of Lugo, Ausl Della Romagna, Lugo, Italy)
Moore, Ernest E. (University of Colorado. Ernest E Moore Shock Trauma Center at Denver Health)
Sartelli, Massimo (Department of Surgery, Macerata Hospital, Macerata, Italy)
Weber, Dieter (The University of Western Australia. Department of General Surgery, Royal Perth Hospital)
Robba, Chiara (University of Genoa. Department of Surgical Sciences and Integrated Sciences)
Universitat Autònoma de Barcelona

Fecha:	2023
Resumen:	Severe traumatic brain-injured (TBI) patients should be primarily admitted to a hub trauma center (hospital with neurosurgical capabilities) to allow immediate delivery of appropriate care in a specialized environment. Sometimes, severe TBI patients are admitted to a spoke hospital (hospital without neurosurgical capabilities), and scarce data are available regarding the optimal management of severe isolated TBI patients who do not have immediate access to neurosurgical care. A multidisciplinary consensus panel composed of 41 physicians selected for their established clinical and scientific expertise in the acute management of TBI patients with different specializations (anesthesia/intensive care, neurocritical care, acute care surgery, neurosurgery and neuroradiology) was established. The consensus was endorsed by the World Society of Emergency Surgery, and a modified Delphi approach was adopted. A total of 28 statements were proposed and discussed. Consensus was reached on 22 strong recommendations and 3 weak recommendations. In three cases, where consensus was not reached, no recommendation was provided. This consensus provides practical recommendations to support clinician's decision making in the management of isolated severe TBI patients in centers without neurosurgical capabilities and during transfer to a hub center. The online version contains supplementary material available at 10. 1186/s13017-022-00468-2.
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Hub ; Management ; Spoke ; Transfer ; Traumatic brain injury
Publicado en:	World Journal of Emergency Surgery : WJES, Vol. 18 (january 2023) , ISSN 1749-7922
Obra relacionada:	Picetti, Edoardo; Catena, Fausto; Abu-Zidan, Fikri; [et al.]. «Correction : Early management of isolated severe traumatic brain injury patients in a hospital without neurosurgical capabilities: a consensus and clinical recommendations of the World Society of Emergency Surgery (WSES)». World Journal of Emergency Surgery : WJES, Vol. 18 (april 2023) https://ddd.uab.cat/record/281404

Correcció de l'article: https://ddd.uab.cat/record/281404
DOI: 10.1186/s13017-022-00468-2
PMID: 36624517

12 p, 1.1 MB

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