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Comparison of Care System and Treatment Approaches for Patients with Traumatic Brain Injury in China versus Europe:A CENTER-TBI Survey Study

Authors :
Feng, Junfeng
Van Veen, Ernest
Yang, Chun
Huijben, Jilske A.
Lingsma, Hester F.
Gao, Guoyi
Jiang, Jiyao
Maas, Andrew I.r.
Åkerlund, Cecilia
Amrein, Krisztina
Andelic, Nada
Andreassen, Lasse
Anke, Audny
Antoni, Anna
Audibert, Gérard
Azouvi, Philippe
Azzolini, Maria Luisa
Bartels, Ronald
Barzó, Pál
Beauvais, Romuald
Beer, Ronny
Bellander, Bo-michael
Belli, Antonio
Benali, Habib
Berardino, Maurizio
Beretta, Luigi
Blaabjerg, Morten
Bragge, Peter
Brazinova, Alexandra
Brinck, Vibeke
Brooker, Joanne
Brorsson, Camilla
Buki, Andras
Bullinger, Monika
Cabeleira, Manuel
Caccioppola, Alessio
Calappi, Emiliana
Calvi, Maria Rosa
Cameron, Peter
Lozano, Guillermo Carbayo
Carbonara, Marco
Cavallo, Simona
Chevallard, Giorgio
Chieregato, Arturo
Citerio, Giuseppe
Care, Neurointensive
Ceyisakar, Iris
Clusmann, Hans
Coburn, Mark
Kondziella, Daniel
Feng, Junfeng
Van Veen, Ernest
Yang, Chun
Huijben, Jilske A.
Lingsma, Hester F.
Gao, Guoyi
Jiang, Jiyao
Maas, Andrew I.r.
Åkerlund, Cecilia
Amrein, Krisztina
Andelic, Nada
Andreassen, Lasse
Anke, Audny
Antoni, Anna
Audibert, Gérard
Azouvi, Philippe
Azzolini, Maria Luisa
Bartels, Ronald
Barzó, Pál
Beauvais, Romuald
Beer, Ronny
Bellander, Bo-michael
Belli, Antonio
Benali, Habib
Berardino, Maurizio
Beretta, Luigi
Blaabjerg, Morten
Bragge, Peter
Brazinova, Alexandra
Brinck, Vibeke
Brooker, Joanne
Brorsson, Camilla
Buki, Andras
Bullinger, Monika
Cabeleira, Manuel
Caccioppola, Alessio
Calappi, Emiliana
Calvi, Maria Rosa
Cameron, Peter
Lozano, Guillermo Carbayo
Carbonara, Marco
Cavallo, Simona
Chevallard, Giorgio
Chieregato, Arturo
Citerio, Giuseppe
Care, Neurointensive
Ceyisakar, Iris
Clusmann, Hans
Coburn, Mark
Kondziella, Daniel
Source :
Feng , J , Van Veen , E , Yang , C , Huijben , J A , Lingsma , H F , Gao , G , Jiang , J , Maas , A I R , Åkerlund , C , Amrein , K , Andelic , N , Andreassen , L , Anke , A , Antoni , A , Audibert , G , Azouvi , P , Azzolini , M L , Bartels , R , Barzó , P , Beauvais , R , Beer , R , Bellander , B , Belli , A , Benali , H , Berardino , M , Beretta , L , Blaabjerg , M , Bragge , P , Brazinova , A , Brinck , V , Brooker , J , Brorsson , C , Buki , A , Bullinger , M , Cabeleira , M , Caccioppola , A , Calappi , E , Calvi , M R , Cameron , P , Lozano , G C , Carbonara , M , Cavallo , S , Chevallard , G , Chieregato , A , Citerio , G , Care , N , Ceyisakar , I , Clusmann , H , Coburn , M , Kondziella , D & the Collaborative European NeuroTrauma Effectiveness Research in Traumatic Brain Injury (CENTER-TBI) Investigators and Participants 2020 , ' Comparison of Care System and Treatment Approaches for Patients with Traumatic Brain Injury in China versus Europe : A CENTER-TBI Survey Study ' , Journal of Neurotrauma , vol. 37 , no. 16 , pp. 1806-1817 .
Publication Year :
2020

Abstract

Traumatic brain injury (TBI) poses a huge public health and societal problem worldwide. Uncertainty exists on how care system and treatment approaches for TBI worked in China may differ from those in Europe. Better knowledge on this is important to facilitate interpretation of findings reported by Chinese researchers and to inform opportunities for collaborative studies. We aimed to investigate concordance and variations in TBI care between Chinese and European neurotrauma centers. Investigators from 52 centers in China and 68 in Europe involved in the Collaborative European Neuro Trauma Effectiveness Research in Traumatic Brain Injury (CENTER-TBI) study were invited to complete provider profiling (PP) questionnaires, which covered the main aspects of care system and treatment approaches of TBI care. Participating Chinese and European centers were mainly publicly funded and academic. More centers in China indicated available dedicated neuro-intensive care than those in Europe (98% vs. 60%), and treatment decisions in the ICU were mainly determined by neurosurgeons (58%) in China while in Europe, (neuro)intensivists often took the lead (61%). The ambulance dispatching system was automatic in half of Chinese centers (49%), whereas selective dispatching was more common in European centers (74%). For treatment of refractory intracranial hypertension, a decompressive craniectomy was more frequently regarded as general policy in China compared with in Europe (89% vs. 45%). We observed both concordance and substantial variations with regard to the various aspects of TBI care between Chinese and European centers. These findings are fundamental to guide future research and offer opportunities for collaborative comparative effectiveness research to identify best practices.

Details

Database :
OAIster
Journal :
Feng , J , Van Veen , E , Yang , C , Huijben , J A , Lingsma , H F , Gao , G , Jiang , J , Maas , A I R , Åkerlund , C , Amrein , K , Andelic , N , Andreassen , L , Anke , A , Antoni , A , Audibert , G , Azouvi , P , Azzolini , M L , Bartels , R , Barzó , P , Beauvais , R , Beer , R , Bellander , B , Belli , A , Benali , H , Berardino , M , Beretta , L , Blaabjerg , M , Bragge , P , Brazinova , A , Brinck , V , Brooker , J , Brorsson , C , Buki , A , Bullinger , M , Cabeleira , M , Caccioppola , A , Calappi , E , Calvi , M R , Cameron , P , Lozano , G C , Carbonara , M , Cavallo , S , Chevallard , G , Chieregato , A , Citerio , G , Care , N , Ceyisakar , I , Clusmann , H , Coburn , M , Kondziella , D & the Collaborative European NeuroTrauma Effectiveness Research in Traumatic Brain Injury (CENTER-TBI) Investigators and Participants 2020 , ' Comparison of Care System and Treatment Approaches for Patients with Traumatic Brain Injury in China versus Europe : A CENTER-TBI Survey Study ' , Journal of Neurotrauma , vol. 37 , no. 16 , pp. 1806-1817 .
Notes :
English
Publication Type :
Electronic Resource
Accession number :
edsoai.on1322759556
Document Type :
Electronic Resource