Acute Traumatic Subdural Hematomas - When (and why) do we stop? The atSDH-stop survey.

IF 0.8 4区 医学 Q4 CLINICAL NEUROLOGY
Lidia Dias, Paulo Nogueira, João Pedro Oliveira, José Cabral
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引用次数: 0

Abstract

Objective: This study investigates the decision-making process among neurosurgeons regarding the surgical management of Acute Subdural Hematomas (ASDH), focusing on the role of non-classical Brain Trauma Foundation (BTF) factors such as brainstem reflexes, hypocoagulation, and patient comorbidity, alongside traditional guidelines.

Methods: We conducted an international survey that presented neurosurgeons with real-case scenarios, designed to assess the impact of both traditional and non-traditional prognostic indicators on their surgical decisions. The survey also collected demographic data to examine potential correlations with decision-making preferences.

Results: The survey garnered 67 responses from neurosurgeons across 22 countries, revealing a reliance on non-classical BTF factors in decision-making for ASDH cases with a potentially poor prognosis. No significant correlations were found between these decision-making practices and the surgeons' demographic characteristics.

Conclusion: The findings highlight the complexity and nuanced nature of surgical decision-making in ASDH management, underlining the importance of non-traditional prognostic factors. The results advocate for further research to refine clinical guidelines, ensuring they encapsulate the breadth of factors considered in practice, thereby enhancing patient-centered care.

急性外伤性硬膜下血肿-何时(以及为什么)停止治疗?atsdh停止调查。
目的:本研究探讨神经外科医生对急性硬膜下血肿(ASDH)手术治疗的决策过程,重点关注非经典脑外伤基础(BTF)因素,如脑干反射、低凝和患者合并症,以及传统指南的作用。方法:我们进行了一项国际调查,向神经外科医生展示了真实案例,旨在评估传统和非传统预后指标对其手术决策的影响。该调查还收集了人口统计数据,以检查决策偏好的潜在相关性。结果:该调查收集了来自22个国家的67名神经外科医生的回复,揭示了对非经典BTF因素在潜在预后不良的ASDH病例决策中的依赖。这些决策实践与外科医生的人口统计学特征之间没有明显的相关性。结论:研究结果强调了ASDH治疗中手术决策的复杂性和微妙性,强调了非传统预后因素的重要性。结果提倡进一步的研究,以完善临床指导方针,确保他们封装在实践中考虑的因素的广度,从而加强以病人为中心的护理。
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来源期刊
CiteScore
2.30
自引率
0.00%
发文量
90
期刊介绍: The Journal of Neurological Surgery Part A: Central European Neurosurgery (JNLS A) is a major publication from the world''s leading publisher in neurosurgery. JNLS A currently serves as the official organ of several national neurosurgery societies. JNLS A is a peer-reviewed journal publishing original research, review articles, and technical notes covering all aspects of neurological surgery. The focus of JNLS A includes microsurgery as well as the latest minimally invasive techniques, such as stereotactic-guided surgery, endoscopy, and endovascular procedures. JNLS A covers purely neurosurgical topics.
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