Evidence map›Paper›PMID 36624517›Full record

ArticleWorld journal of emergency surgery : WJES2023

Early management of isolated severe traumatic brain injury patients in a hospital without neurosurgical capabilities: a consensus and clinical recommendations of the World Society of Emergency Surgery (WSES).

Edoardo Picetti, Fausto Catena, Fikri Abu-Zidan, Luca Ansaloni, Rocco A Armonda, Miklosh Bala, Zsolt J Balogh, Alessandro Bertuccio, Walt L Biffl, Pierre Bouzat and 40 more

Erratum issuedAbstract readConsensus Statement
PubMed Full text at PMC Publisher
In one paragraph

Article in World journal of emergency surgery : WJES, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

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  14. Neuroimaging and neuromonitoring access in Mexico, where to focus?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Observational
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

50 authors.

Edoardo PicettiDepartment of Anesthesia and Intensive Care, Parma University Hospital, Parma, Italy. edoardopicetti@hotmail.com.
Fausto CatenaDepartment of General and Emergency Surgery, Bufalini Hospital, Cesena, Italy.
Fikri Abu-ZidanThe Research Office, College of Medicine and Health Sciences, United Arab Emirates University, Al-Ain, United Arab Emirates.
Luca AnsaloniUnit of General Surgery, San Matteo Hospital Pavia, University of Pavia, Pavia, Italy.
Rocco A ArmondaDepartment of Neurosurgery, 71541MedStar Georgetown University Hospital, Washington, DC, USA.
Miklosh BalaAcute Care Surgery and Trauma Unit, Department of General Surgery, Hadassah Medical Center and Faculty of Medicine, Hebrew University of Jerusalem Kiriat Hadassah, Jerusalem, Israel.
Zsolt J BaloghDepartment of Traumatology, John Hunter Hospital, Hunter Medical Research Institute and University of Newcastle, Newcastle, NSW, Australia.
Alessandro BertuccioDepartment of Neurosurgery, SS Antonio E Biagio E Cesare Arrigo Alessandria Hospital, Alessandria, Italy.
Walt L BifflScripps Clinic Medical Group, La Jolla, CA, USA.
Pierre BouzatInserm, U1216, CHU Grenoble Alpes, Grenoble Institut Neurosciences, Université Grenoble Alpes, Grenoble, France.
Andras BukiDepartment of Neurosurgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Davide CerastiNeuroradiology Unit, Azienda Ospedaliero-Universitaria of Parma, Parma, Italy.
Randall M ChesnutDepartment of Neurological Surgery, University of Washington, Seattle, WA, USA.
Giuseppe CiterioSchool of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy.
Federico CoccoliniDepartment of Emergency and Trauma Surgery, Pisa University Hospital, Pisa, Italy.
Raul CoimbraRiverside University Health System Medical Center, Loma Linda University School of Medicine, Riverside, CA, USA.
Carlo ConiglioDepartment of Anesthesia, Intensive Care and Prehospital Emergency, Ospedale Maggiore Carlo Alberto Pizzardi, Bologna, Italy.
Enrico FainardiNeuroradiology Unit, Department of Experimental and Clinical Biomedical Sciences, University of Florence, Florence, Italy.
Deepak GuptaDepartment of Neurosurgery, Neurosciences Centre and JPN Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, India.
Jennifer M GurneyDepartment of Trauma, San Antonio Military Medical Center and the U.S. Army Institute of Surgical Research, San Antonio, TX, 78234, USA.
Gregory W J HawrylukCleveland Clinic, 762 S. Cleveland-Massillon Rd, Akron, OH, 44333, USA.
Raimund HelbokNeurological Intensive Care Unit, Department of Neurology, Medical University of Innsbruck, Innsbruck, Austria.
Peter J A HutchinsonDepartment of Neurosurgery, Department of Clinical Neurosciences, University of Cambridge, Cambridge, UK.
Corrado IaccarinoNeurosurgery Unit, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Azienda Ospedaliero-Universitaria di Modena, Modena, Italy.
Angelos KoliasNational Institute for Health Research Global Health Research Group on Neurotrauma, University of Cambridge, Cambridge, UK.
Ronald W MaierHarborview Medical Center, University of Washington, Seattle, WA, USA.
Matthew J MartinDivision of Trauma and Acute Care Surgery, Los Angeles County + USC Medical Center, Los Angeles, CA, USA.
Geert MeyfroidtDepartment of Intensive Care, University Hospitals Leuven, Louvain, Belgium.
David O OkonkwoDepartment of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Frank RasuloDepartment of Anesthesia, Critical Care and Emergency, Spedali Civili University Hospital, Brescia, Italy.
Sandro RizoliSurgery Department, Section of Trauma Surgery, Hamad General Hospital (HGH), Doha, Qatar.
Andres RubianoINUB-MEDITECH Research Group, Institute of Neurosciences, Universidad El Bosque, Bogotá, Colombia.
Juan SahuquilloDepartment of Neurosurgery, Vall d'Hebron University Hospital, Universitat Autònoma de Barcelona, Barcelona, Spain.
Valerie G SamsTrauma Critical Care and Acute Care Surgery, Air Force Center for Sustainment of Trauma and Readiness Skills, University of Cincinnati Medical Center, Cincinnati, OH, USA.
Franco ServadeiDepartment of Biomedical Sciences, Humanitas University, Pieve Emanuele, Milan, Italy.
Deepak SharmaDepartment of Anesthesiology and Pain Medicine and Neurological Surgery, University of Washington, Seattle, WA, USA.
Lori ShutterDepartment of Critical Care Medicine, UPMC/University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Philip F StahelCollege of Osteopathic Medicine, Rocky Vista University, Parker, CO, USA.
Fabio S TacconeDepartment of Intensive Care, Hôpital Universitaire de Bruxelles, Brussels, Belgium.
Andrew UdyDepartment of Intensive Care and Hyperbaric Medicine, The Alfred, Melbourne, VIC, 3004, Australia.
Tommaso ZoerleDepartment of Pathophysiology and Transplantation, University of Milan, Milan, Italy.
Vanni AgnolettiAnesthesia and Intensive Care Unit, AUSL Romagna, M. Bufalini Hospital, Cesena, Italy.
Francesca BraviHealthcare Administration, Santa Maria Delle Croci Hospital, Ravenna, Italy.
Belinda De SimoneDepartment of General, Digestive and Metabolic Minimally Invasive Surgery, Centre Hospitalier Intercommunal De Poissy/St Germain en Laye, Poissy, France.
Yoram KlugerDepartment of General Surgery, Rambam Health Care Campus, Haifa, Israel.
Costanza MartinoDepartment of Anesthesiology and Acute Care, Umberto I Hospital of Lugo, Ausl Della Romagna, Lugo, Italy.
Ernest E MooreErnest E Moore Shock Trauma Center at Denver Health, University of Colorado, Denver, CO, USA.
Massimo SartelliDepartment of Surgery, Macerata Hospital, Macerata, Italy.
Dieter WeberDepartment of General Surgery, Royal Perth Hospital, The University of Western Australia, Perth, Australia.
Chiara RobbaAnesthesia and Intensive Care, San Martino Policlinico Hospital, IRCCS for Oncology and Neuroscience, Genoa, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSevere traumatic brain-injured (TBI) patients should be primarily admitted to a hub trauma center (hospital with neurosurgical capabilities) to allow immediate delivery of appropriate care in a specialized environment. Sometimes, severe TBI patients are admitted to a spoke hospital (hospital without neurosurgical capabilities), and scarce data are available regarding the optimal management of severe isolated TBI patients who do not have immediate access to neurosurgical care.

methodsA multidisciplinary consensus panel composed of 41 physicians selected for their established clinical and scientific expertise in the acute management of TBI patients with different specializations (anesthesia/intensive care, neurocritical care, acute care surgery, neurosurgery and neuroradiology) was established. The consensus was endorsed by the World Society of Emergency Surgery, and a modified Delphi approach was adopted.

resultsA total of 28 statements were proposed and discussed. Consensus was reached on 22 strong recommendations and 3 weak recommendations. In three cases, where consensus was not reached, no recommendation was provided.

conclusionsThis consensus provides practical recommendations to support clinician's decision making in the management of isolated severe TBI patients in centers without neurosurgical capabilities and during transfer to a hub center.

Indexed as

Brain Injuries, TraumaticBrainHospitalizationHospitalsHumansNeurosurgical ProceduresHubManagementSpokeTransferTraumatic brain injury

Identifiers

PMID36624517
PMCPMC9830860

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