Early management of isolated severe traumatic brain injury patients in a hospital without neurosurgical capabilities

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...

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Autores: Picetti, Edoardo, Catena, Fausto|||0000-0001-5558-9965, Abu-Zidan, Fikri, Ansaloni, Luca|||0000-0001-6427-0307, Armonda, Rocco A., Bala, Miklosh|||0000-0002-1504-6162, Balogh, Zsolt J., Bertuccio, Alessandro, Biffl, Walt L., Bouzat, Pierre, Buki, Andras, Cerasti, Davide, Chesnut, Randall M.|||0000-0001-6377-3666, Citerio, Giuseppe|||0000-0002-5374-3161, Coccolini, Federico|||0000-0001-6364-4186, Coimbra, Raul, Coniglio, Carlo, Fainardi, Enrico, Gupta, Deepak, Gurney, Jennifer M., Hawrylux, Gregory W. J., Helbok, Raimund, Hutchinson, Peter J. A., Iaccarino, Corrado, Kolias, Angelos, Maier, Ronald W., Martin, Matthew J., Meyfroidt, Geert, Okonkwo, David O., Rasulo, Frank, Rizoli, Sandro, Rubiano, Andres, Sahuquillo Barris, Juan|||0000-0003-0713-5875, Sams, Valerie G., Servadei, Franco, Sharma, Deepak, Shutter, Lori, Stahel, Philip F., Taccone, Fabio Silvio, Udy, Andrew A.|||0000-0002-6284-2022, Zoerle, Tommaso, Agnoletti, Vanni, Bravi, Francesca, De Simone, Belinda|||0000-0002-7956-3097, Kluger, Yoram, Martino, Costanza, Moore, Ernest, Sartelli, Massimo|||0000-0003-3202-7542, Weber, Dieter, Robba, Chiara|||0000-0003-1628-3845
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:281584
Acceso en línea:https://ddd.uab.cat/record/281584
https://dx.doi.org/urn:doi:10.1186/s13017-022-00468-2
Access Level:acceso abierto
Palabra clave:Hub
Management
Spoke
Transfer
Traumatic brain injury
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spelling Early management of isolated severe traumatic brain injury patients in a hospital without neurosurgical capabilitiesa consensus and clinical recommendations of the World Society of Emergency Surgery (WSES)Picetti, EdoardoCatena, Fausto|||0000-0001-5558-9965Abu-Zidan, FikriAnsaloni, Luca|||0000-0001-6427-0307Armonda, Rocco A.Bala, Miklosh|||0000-0002-1504-6162Balogh, Zsolt J.Bertuccio, AlessandroBiffl, Walt L.Bouzat, PierreBuki, AndrasCerasti, DavideChesnut, Randall M.|||0000-0001-6377-3666Citerio, Giuseppe|||0000-0002-5374-3161Coccolini, Federico|||0000-0001-6364-4186Coimbra, RaulConiglio, CarloFainardi, EnricoGupta, DeepakGurney, Jennifer M.Hawrylux, Gregory W. J.Helbok, RaimundHutchinson, Peter J. A.Iaccarino, CorradoKolias, AngelosMaier, Ronald W.Martin, Matthew J.Meyfroidt, GeertOkonkwo, David O.Rasulo, FrankRizoli, SandroRubiano, AndresSahuquillo Barris, Juan|||0000-0003-0713-5875Sams, Valerie G.Servadei, FrancoSharma, DeepakShutter, LoriStahel, Philip F.Taccone, Fabio SilvioUdy, Andrew A.|||0000-0002-6284-2022Zoerle, TommasoAgnoletti, VanniBravi, FrancescaDe Simone, Belinda|||0000-0002-7956-3097Kluger, YoramMartino, CostanzaMoore, ErnestSartelli, Massimo|||0000-0003-3202-7542Weber, DieterRobba, Chiara|||0000-0003-1628-3845HubManagementSpokeTransferTraumatic brain injurySevere 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.Universitat Autònoma de Barcelona 22023-01-0120232023-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/281584https://dx.doi.org/urn:doi:10.1186/s13017-022-00468-2reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest 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.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:2815842026-06-06T12:50:31Z
dc.title.none.fl_str_mv 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)
title Early management of isolated severe traumatic brain injury patients in a hospital without neurosurgical capabilities
spellingShingle Early management of isolated severe traumatic brain injury patients in a hospital without neurosurgical capabilities
Picetti, Edoardo
Hub
Management
Spoke
Transfer
Traumatic brain injury
title_short Early management of isolated severe traumatic brain injury patients in a hospital without neurosurgical capabilities
title_full Early management of isolated severe traumatic brain injury patients in a hospital without neurosurgical capabilities
title_fullStr Early management of isolated severe traumatic brain injury patients in a hospital without neurosurgical capabilities
title_full_unstemmed Early management of isolated severe traumatic brain injury patients in a hospital without neurosurgical capabilities
title_sort Early management of isolated severe traumatic brain injury patients in a hospital without neurosurgical capabilities
dc.creator.none.fl_str_mv Picetti, Edoardo
Catena, Fausto|||0000-0001-5558-9965
Abu-Zidan, Fikri
Ansaloni, Luca|||0000-0001-6427-0307
Armonda, Rocco A.
Bala, Miklosh|||0000-0002-1504-6162
Balogh, Zsolt J.
Bertuccio, Alessandro
Biffl, Walt L.
Bouzat, Pierre
Buki, Andras
Cerasti, Davide
Chesnut, Randall M.|||0000-0001-6377-3666
Citerio, Giuseppe|||0000-0002-5374-3161
Coccolini, Federico|||0000-0001-6364-4186
Coimbra, Raul
Coniglio, Carlo
Fainardi, Enrico
Gupta, Deepak
Gurney, Jennifer M.
Hawrylux, Gregory W. J.
Helbok, Raimund
Hutchinson, Peter J. A.
Iaccarino, Corrado
Kolias, Angelos
Maier, Ronald W.
Martin, Matthew J.
Meyfroidt, Geert
Okonkwo, David O.
Rasulo, Frank
Rizoli, Sandro
Rubiano, Andres
Sahuquillo Barris, Juan|||0000-0003-0713-5875
Sams, Valerie G.
Servadei, Franco
Sharma, Deepak
Shutter, Lori
Stahel, Philip F.
Taccone, Fabio Silvio
Udy, Andrew A.|||0000-0002-6284-2022
Zoerle, Tommaso
Agnoletti, Vanni
Bravi, Francesca
De Simone, Belinda|||0000-0002-7956-3097
Kluger, Yoram
Martino, Costanza
Moore, Ernest
Sartelli, Massimo|||0000-0003-3202-7542
Weber, Dieter
Robba, Chiara|||0000-0003-1628-3845
author Picetti, Edoardo
author_facet Picetti, Edoardo
Catena, Fausto|||0000-0001-5558-9965
Abu-Zidan, Fikri
Ansaloni, Luca|||0000-0001-6427-0307
Armonda, Rocco A.
Bala, Miklosh|||0000-0002-1504-6162
Balogh, Zsolt J.
Bertuccio, Alessandro
Biffl, Walt L.
Bouzat, Pierre
Buki, Andras
Cerasti, Davide
Chesnut, Randall M.|||0000-0001-6377-3666
Citerio, Giuseppe|||0000-0002-5374-3161
Coccolini, Federico|||0000-0001-6364-4186
Coimbra, Raul
Coniglio, Carlo
Fainardi, Enrico
Gupta, Deepak
Gurney, Jennifer M.
Hawrylux, Gregory W. J.
Helbok, Raimund
Hutchinson, Peter J. A.
Iaccarino, Corrado
Kolias, Angelos
Maier, Ronald W.
Martin, Matthew J.
Meyfroidt, Geert
Okonkwo, David O.
Rasulo, Frank
Rizoli, Sandro
Rubiano, Andres
Sahuquillo Barris, Juan|||0000-0003-0713-5875
Sams, Valerie G.
Servadei, Franco
Sharma, Deepak
Shutter, Lori
Stahel, Philip F.
Taccone, Fabio Silvio
Udy, Andrew A.|||0000-0002-6284-2022
Zoerle, Tommaso
Agnoletti, Vanni
Bravi, Francesca
De Simone, Belinda|||0000-0002-7956-3097
Kluger, Yoram
Martino, Costanza
Moore, Ernest
Sartelli, Massimo|||0000-0003-3202-7542
Weber, Dieter
Robba, Chiara|||0000-0003-1628-3845
author_role author
author2 Catena, Fausto|||0000-0001-5558-9965
Abu-Zidan, Fikri
Ansaloni, Luca|||0000-0001-6427-0307
Armonda, Rocco A.
Bala, Miklosh|||0000-0002-1504-6162
Balogh, Zsolt J.
Bertuccio, Alessandro
Biffl, Walt L.
Bouzat, Pierre
Buki, Andras
Cerasti, Davide
Chesnut, Randall M.|||0000-0001-6377-3666
Citerio, Giuseppe|||0000-0002-5374-3161
Coccolini, Federico|||0000-0001-6364-4186
Coimbra, Raul
Coniglio, Carlo
Fainardi, Enrico
Gupta, Deepak
Gurney, Jennifer M.
Hawrylux, Gregory W. J.
Helbok, Raimund
Hutchinson, Peter J. A.
Iaccarino, Corrado
Kolias, Angelos
Maier, Ronald W.
Martin, Matthew J.
Meyfroidt, Geert
Okonkwo, David O.
Rasulo, Frank
Rizoli, Sandro
Rubiano, Andres
Sahuquillo Barris, Juan|||0000-0003-0713-5875
Sams, Valerie G.
Servadei, Franco
Sharma, Deepak
Shutter, Lori
Stahel, Philip F.
Taccone, Fabio Silvio
Udy, Andrew A.|||0000-0002-6284-2022
Zoerle, Tommaso
Agnoletti, Vanni
Bravi, Francesca
De Simone, Belinda|||0000-0002-7956-3097
Kluger, Yoram
Martino, Costanza
Moore, Ernest
Sartelli, Massimo|||0000-0003-3202-7542
Weber, Dieter
Robba, Chiara|||0000-0003-1628-3845
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universitat Autònoma de Barcelona
dc.subject.none.fl_str_mv Hub
Management
Spoke
Transfer
Traumatic brain injury
topic Hub
Management
Spoke
Transfer
Traumatic brain injury
description 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.
publishDate 2023
dc.date.none.fl_str_mv 2
2023-01-01
2023
2023-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/281584
https://dx.doi.org/urn:doi:10.1186/s13017-022-00468-2
url https://ddd.uab.cat/record/281584
https://dx.doi.org/urn:doi:10.1186/s13017-022-00468-2
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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