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

Modin, Albert ; Wickbom, Fredrik LU ; Kamis, Christian and Undén, Johan LU (2023) In Health Science Reports 6(11).
Abstract

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... (More)

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 However, some of these are outdated and several hospitals used local guidelines not based upon reliable evidence-based methodology.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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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
critical care medicine, emergency medicine, health economics and evaluation, radiology & imaging
in
Health Science Reports
volume
6
issue
11
article number
e1651
publisher
John Wiley & Sons Inc.
external identifiers
  • pmid:37915367
  • scopus:85175828425
ISSN
2398-8835
DOI
10.1002/hsr2.1651
language
English
LU publication?
yes
id
684ea74b-ce2b-4064-9619-b9984af3e9ea
date added to LUP
2023-11-24 14:20:26
date last changed
2024-04-21 17:10:39
@article{684ea74b-ce2b-4064-9619-b9984af3e9ea,
  abstract     = {{<p>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 &gt; 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.</p>}},
  author       = {{Modin, Albert and Wickbom, Fredrik and Kamis, Christian and Undén, Johan}},
  issn         = {{2398-8835}},
  keywords     = {{critical care medicine; emergency medicine; health economics and evaluation; radiology & imaging}},
  language     = {{eng}},
  number       = {{11}},
  publisher    = {{John Wiley & Sons Inc.}},
  series       = {{Health Science Reports}},
  title        = {{Management of traumatic brain injury in adult—A cross-sectional national study}},
  url          = {{http://dx.doi.org/10.1002/hsr2.1651}},
  doi          = {{10.1002/hsr2.1651}},
  volume       = {{6}},
  year         = {{2023}},
}