Cnossen, M.C., van der Brande, R., Lingsma, H.F. et al. (3 more authors) (2018) Prehospital trauma care among 68 European neurotrauma centers : results of the CENTER-TBI provider profiling questionnaires. Journal of Neurotrauma, 36 (1). pp. 176-181. ISSN 0897-7151
Abstract
The first hour following traumatic brain injury (TBI) is considered crucial to prevent death and disability. It is, however, not established yet how the prehospital care should be organized to optimize recovery during the first hour. The objective of the current study was to examine variation in prehospital trauma care across Europe aiming to inform comparative effectiveness analyses on care for neurotrauma patients. A survey on prehospital trauma care was sent to 68 neurotrauma centers from 20 European countries participating in the Collaborative European NeuroTrauma Effectiveness Research in TBI (CENTER-TBI) study. The survey was developed using literature review and expert opinion and was pilot tested in 16 centers. All participants completed the questionnaire. Advanced life support was used in half of the centers (n = 35; 52%), whereas the other centers used mainly basic life support (n = 26; 38%). A mobile medical team (MMT) could be dispatched 24/7 in most centers (n = 66; 97%). Helicopters were used in approximately half of the centers to transport the MMT to the scene (n = 39; 57%) and the patient to the hospital (n = 31, 46%). Half of the centers used a stay-and-play approach at the scene (n = 37; 55%), while the others used a scoop-and-run approach or another policy. We found wide variation in prehospital trauma care across Europe. This may reflect differences in socio-economic situations, geographic differences, and a general lack of strong evidence for some aspects of prehospital care. The current variation provides the opportunity to study the effectiveness of prehospital interventions and systems of care in comparative effectiveness research.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2018 Mary Ann Liebert, Inc. This is an author-produced version of a paper subsequently published in Journal of Neurotrauma. Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | comparative effectiveness research; Europe; prehospital trauma care; survey; traumatic brain injury |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Health and Related Research (Sheffield) > ScHARR - Sheffield Centre for Health and Related Research |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 16 Dec 2019 12:55 |
Last Modified: | 19 Dec 2019 15:39 |
Status: | Published |
Publisher: | Mary Ann Liebert Inc |
Refereed: | Yes |
Identification Number: | 10.1089/neu.2018.5712 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:154598 |