Evidence map›Paper›PMID 41759502›Full record

ArticleArquivos de neuro-psiquiatria2026

Is it time to develop neurocritical care education in Brazil? Analysis of the Brazilian national survey on education in neurocritical care.

Thire Baggio Machado Marazzi, Millene Rodrigues Camilo, Thiago Oscar Goulart, Pedro Vitale Mendes, Pedro Kurtz, Gisele Sampaio Silva, Octávio Marques Pontes-Neto

Abstract read
In one paragraph

Article in Arquivos de neuro-psiquiatria, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Thire Baggio Machado MarazziUniversidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Neurociências e Ciências do Comportamento, Ribeirão Preto SP, Brazil.ORCID 0000-0002-2613-490X
Millene Rodrigues CamiloUniversidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Neurociências e Ciências do Comportamento, Ribeirão Preto SP, Brazil.ORCID 0000-0002-0310-6033
Thiago Oscar GoulartUniversity of Toronto, Temerty Faculty of Medicine, Department of Neurology, Toronto ON, Canada.ORCID 0009-0004-3785-2263
Pedro Vitale MendesUniversidade de São Paulo, Faculdade de Medicina, Departamento de Medicina Interna, São Paulo SP, Brazil.ORCID 0000-0002-6062-9105
Pedro KurtzInstituto D'Or de Pesquisa e Ensino, Rio de Janeiro RJ, Brazil.ORCID 0000-0002-4469-8645
Gisele Sampaio SilvaUniversidade Federal de São Paulo, Escola Paulista de Medicina, Departamento de Neurologia, São Paulo SP, Brazil.ORCID 0000-0002-3247-3123
Octávio Marques Pontes-NetoUniversidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Neurociências e Ciências do Comportamento, Ribeirão Preto SP, Brazil.ORCID 0000-0003-0317-843X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neurocritical care (NCC) education involves integrating knowledge and skills into various complex areas. While the USA, Canada, and Europe regulate didactic core training for medical residencies and fellowships, the quantity and quality of these training programs in Brazil remain unclear.To assess how NCC training is currently integrated into neurology and intensive care residency programs in Brazil.A cross-sectional survey composed of 27 multiple-choice and short-answer questions was distributed by email to professionals registered in national congresses and medical organizations. Data regarding exposure to NCC training, duration, supervision, infrastructure, and self-perceived competencies were analyzed.A total of 208 responses from 82 centers across 14 Brazilian states were included. Respondents were primarily neurologists (58.2%) and intensivists (28.2%). Only 50.5% reported receiving NCC training during residency, typically lasting more than 4 weeks. Training predominantly occurred in intensive care units with 5 to 20 beds, supervised by intensivists. However, exposure to specialized skills was limited: 23% to transcranial Doppler, 21% to electroencephalogram (EEG) interpretation, and 24% to multimodal neuromonitoring. Confidence in managing complex cases was suboptimal, with 56% reporting confidence in postcardiac arrest care, 47% in refractory intracranial hypertension, and 40% in spinal cord trauma.Neurocritical care education in Brazil is heterogeneous and remains at an early stage of development. Most residents receive limited exposure to advanced neurocritical skills, resulting in low confidence to independently manage highly complex conditions. Standardized, competency-based training programs are urgently needed to enhance professional preparedness and potentially improve patient outcomes in NCC.

Indexed as

Critical CareInternship and ResidencyNeurologyBrazilClinical CompetenceCross-Sectional StudiesHumansSurveys and QuestionnairesTime Factors

Identifiers

PMID41759502
PMCPMC12948466

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.