Management of traumatic brain injury in adult-A cross-sectional national study

被引:1
|
作者
Modin, Albert [1 ,4 ]
Wickbom, Fredrik [2 ]
Kamis, Christian [1 ]
Unden, Johan [2 ,3 ]
机构
[1] Hallands Hosp, Dept Surg, Halmstad, Sweden
[2] Hallands Hosp, Dept Operat & Intens Care, Halmstad, Sweden
[3] Lund Univ, Inst Clin Sci, Lund, Sweden
[4] Hallands Hosp Halmstad, Dept Surg, Hallands Sjukhus, S-30185 Halmstad, Sweden
关键词
emergency medicine; critical care medicine; health economics and evaluation; radiology & imaging; MINOR HEAD-INJURIES; RISK-FACTORS; POSTCONCUSSION SYMPTOMS; COMPUTED-TOMOGRAPHY; MILD; RADIATION; HOSPITALS;
D O I
10.1002/hsr2.1651
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: Mild traumatic brain injury (mTBI) is a common cause for seeking care. Previous studies have shown considerable variations in TBI management. New guidelines may have influenced management routines.Methods: This is a descriptive cross-sectional study, collecting data through structured questionnaires. All Swedish emergency hospitals that manage and treat adult patients with mTBI (Reaction Level Scale [RLS] 1-3, Glasgow Coma Scale [GCS] 13-15, age > 18 years) for the initial 24 h after injury were included in this study.Results: The response rate among hospitals fulfilling the study criteria's was 61/67 (91%). We observed a distinct predominance of nonspecialists being responsible for the initial management of these patients, with general surgeons and ED-physicians being the dominating specialties. A total of 45/61 (74%) of the hospitals use a guideline when managing TBI, with 12 hospitals (20%) stating that no guideline was used.Conclusion: In general, established guidelines are used for the management of TBI in Sweden. However, some of these are outdated and several hospitals used local guidelines not based upon reliable evidence-based methodology. Most patients with TBI are managed by nonspecialist doctors, stressing the need of a reliable guideline.
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页数:9
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