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dc.contributor.authorFoks, Kelly A
dc.contributor.authorCnossen, Maryse C
dc.contributor.authorDippel, Diederik WJ
dc.contributor.authorMaas, Andrew IR
dc.contributor.authorMenon, David
dc.contributor.authorvan der Naalt, Joukje
dc.contributor.authorSteyerberg, Ewout W
dc.contributor.authorLingsma, Hester F
dc.contributor.authorPolinder, Suzanne
dc.date.accessioned2018-11-20T00:31:39Z
dc.date.available2018-11-20T00:31:39Z
dc.date.issued2017-09-01
dc.identifier.issn0897-7151
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/285483
dc.description.abstractPrevious studies have indicated that there is no consensus about management of mild traumatic brain injury (mTBI) at the emergency department (ED) and during hospital admission. We aim to study variability between management policies for TBI patients at the ED and at the hospital ward across Europe. Centers participating in the Collaborative European NeuroTrauma Effectiveness Research in Traumatic Brain Injury (CENTER-TBI) study received questionnaires about different phases of TBI care. These questionnaires included 71 questions about TBI management at the ED and at the hospital ward. We found differences in how centers defined mTBI. For example, 40 centers (59%) defined mTBI as a Glasgow Coma Scale (GCS) score between 13 and 15 and 26 (38%) defined it as a GCS score between 14 and 15. At the ED various guidelines for the use of head computed tomography (CT) in mTBI patients were used; 32 centers (49%) used national guidelines, 10 centers (15%) local guidelines, and 14 centers (21%) used no guidelines at all. Also, differences in indication for admission between centers were found. After ED discharge, 7 centers (10%) scheduled a routine follow-up appointment, whereas 38 (54%) did so only after ward admission. In conclusion, large between-center variation exists in policies for diagnostics, admission, and discharge decisions in patients with mTBI at the ED and in the hospital. Guidelines are not always operational in centers, and reported policies systematically diverge from what is recommended in those guidelines. The results of this study may be useful in the understanding of mTBI care in Europe and show the need for further studies on the effectiveness of different policies on outcome.
dc.format.mediumPrint-Electronic
dc.languageeng
dc.publisherMary Ann Liebert Inc
dc.titleManagement of Mild Traumatic Brain Injury at the Emergency Department and Hospital Admission in Europe: A Survey of 71 Neurotrauma Centers Participating in the CENTER-TBI Study.
dc.typeArticle
prism.endingPage2535
prism.issueIdentifier17
prism.publicationDate2017
prism.publicationNameJ Neurotrauma
prism.startingPage2529
prism.volume34
dc.identifier.doi10.17863/CAM.32841
rioxxterms.versionofrecord10.1089/neu.2016.4919
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2017-09
dc.contributor.orcidMenon, David [0000-0002-3228-9692]
dc.identifier.eissn1557-9042
rioxxterms.typeJournal Article/Review
cam.issuedOnline2017-06-28
rioxxterms.freetoread.startdate2018-04-11


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