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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)
Department of Anesthesia and Intensive Care, Parma University Hospital, Parma, Italy.
Department of General and Emergency Surgery, Bufalini Hospital, Cesena, Italy.
The Research Office, College of Medicine and Health Sciences, United Arab Emirates University, Al-Ain, United Arab Emirates.
Unit of General Surgery, San Matteo Hospital Pavia, University of Pavia, Pavia, Italy.
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2023 (English)In: World Journal of Emergency Surgery, E-ISSN 1749-7922, Vol. 18, no 1, article id 5Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: 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.

METHODS: 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.

RESULTS: 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.

CONCLUSIONS: 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.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2023. Vol. 18, no 1, article id 5
Keywords [en]
Hub, Management, Spoke, Transfer, Traumatic brain injury
National Category
Neurology
Identifiers
URN: urn:nbn:se:oru:diva-103176DOI: 10.1186/s13017-022-00468-2ISI: 000913722100003PubMedID: 36624517Scopus ID: 2-s2.0-85145957640OAI: oai:DiVA.org:oru-103176DiVA, id: diva2:1729962
Note

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). Picetti, E., Catena, F., Abu-Zidan, F. et al. World J Emerg Surg 18, 29 (2023). https://doi.org/10.1186/s13017-023-00489-5

Available from: 2023-01-23 Created: 2023-01-23 Last updated: 2024-09-04Bibliographically approved

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