Imperial College London

ProfessorDanielRueckert

Faculty of EngineeringDepartment of Computing

Head of Department of Computing
 
 
 
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Contact

 

+44 (0)20 7594 8333d.rueckert Website

 
 
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Location

 

568Huxley BuildingSouth Kensington Campus

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Summary

 

Publications

Citation

BibTex format

@article{van:2018:10.1007/s00701-018-3761-z,
author = {van, Essen TA and den, Boogert HF and Cnossen, MC and de, Ruiter GCW and Haitsma, I and Polinder, S and Steyerberg, EW and Menon, D and Maas, AIR and Lingsma, HF and Peul, WC and Cecilia, A and Hadie, A and Vanni, A and Judith, A and Krisztina, A and Norberto, A and Nada, A and Lasse, A and Azasevac, A and Audny, A and Anna, A and Hilko, A and Gerard, A and Kaspars, A and Philippe, A and Luisa, AM and Camelia, B and Rafael, B and Ronald, B and Pal, B and Ursula, B and Romuald, B and Ronny, B and Francisco, Javier B and Bo-Michael, B and Antonio, B and Remy, B and Habib, B and Thierry, B and Maurizio, B and Luigi, B and Christopher, B and Federico, B and Harald, B and Erta, B and Morten, B and Hugo, DB and Pierre, B and Peter, B and Alexandra, B and Vibeke, B and Joanne, B and Camilla, B and Andras, B and Monika, B and Emiliana, C and Rosa, CM and Peter, C and Lozano, Guillermo C and Marco, C and Elsa, C and Carpenter, K and Ana, M C-L and Francesco, C and Giorgio, C and Arturo, C and G},
doi = {10.1007/s00701-018-3761-z},
journal = {Acta Neurochirurgica},
pages = {435--449},
title = {Variation in neurosurgical management of traumatic brain injury: A survey in 68 centers participating in the CENTER-TBI study},
url = {http://dx.doi.org/10.1007/s00701-018-3761-z},
volume = {161},
year = {2018}
}

RIS format (EndNote, RefMan)

TY  - JOUR
AB - BackgroundNeurosurgical management of traumatic brain injury (TBI) is challenging, with only low-quality evidence. We aimed to explore differences in neurosurgical strategies for TBI across Europe.MethodsA survey was sent to 68 centers participating in the Collaborative European Neurotrauma Effectiveness Research in Traumatic Brain Injury (CENTER-TBI) study. The questionnaire contained 21 questions, including the decision when to operate (or not) on traumatic acute subdural hematoma (ASDH) and intracerebral hematoma (ICH), and when to perform a decompressive craniectomy (DC) in raised intracranial pressure (ICP).ResultsThe survey was completed by 68 centers (100%). On average, 10 neurosurgeons work in each trauma center. In all centers, a neurosurgeon was available within 30 min. Forty percent of responders reported a thickness or volume threshold for evacuation of an ASDH. Most responders (78%) decide on a primary DC in evacuating an ASDH during the operation, when swelling is present. For ICH, 3% would perform an evacuation directly to prevent secondary deterioration and 66% only in case of clinical deterioration. Most respondents (91%) reported to consider a DC for refractory high ICP. The reported cut-off ICP for DC in refractory high ICP, however, differed: 60% uses 25 mmHg, 18% 30 mmHg, and 17% 20 mmHg. Treatment strategies varied substantially between regions, specifically for the threshold for ASDH surgery and DC for refractory raised ICP. Also within center variation was present: 31% reported variation within the hospital for inserting an ICP monitor and 43% for evacuating mass lesions.ConclusionDespite a homogeneous organization, considerable practice variation exists of neurosurgical strategies for TBI in Europe. These results provide an incentive for comparative effectiveness research to determine elements of effective neurosurgical care.
AU - van,Essen TA
AU - den,Boogert HF
AU - Cnossen,MC
AU - de,Ruiter GCW
AU - Haitsma,I
AU - Polinder,S
AU - Steyerberg,EW
AU - Menon,D
AU - Maas,AIR
AU - Lingsma,HF
AU - Peul,WC
AU - Cecilia,A
AU - Hadie,A
AU - Vanni,A
AU - Judith,A
AU - Krisztina,A
AU - Norberto,A
AU - Nada,A
AU - Lasse,A
AU - Azasevac,A
AU - Audny,A
AU - Anna,A
AU - Hilko,A
AU - Gerard,A
AU - Kaspars,A
AU - Philippe,A
AU - Luisa,AM
AU - Camelia,B
AU - Rafael,B
AU - Ronald,B
AU - Pal,B
AU - Ursula,B
AU - Romuald,B
AU - Ronny,B
AU - Francisco,Javier B
AU - Bo-Michael,B
AU - Antonio,B
AU - Remy,B
AU - Habib,B
AU - Thierry,B
AU - Maurizio,B
AU - Luigi,B
AU - Christopher,B
AU - Federico,B
AU - Harald,B
AU - Erta,B
AU - Morten,B
AU - Hugo,DB
AU - Pierre,B
AU - Peter,B
AU - Alexandra,B
AU - Vibeke,B
AU - Joanne,B
AU - Camilla,B
AU - Andras,B
AU - Monika,B
AU - Emiliana,C
AU - Rosa,CM
AU - Peter,C
AU - Lozano,Guillermo C
AU - Marco,C
AU - Elsa,C
AU - Carpenter,K
AU - Ana,M C-L
AU - Francesco,C
AU - Giorgio,C
AU - Arturo,C
AU - Giuseppe,C
AU - Maryse,C
AU - Mark,C
AU - Jonathan,C
AU - Lizzie,C-K
AU - Johnny,C
AU - Jamie,CD
AU - Marta,C
AU - Amra,C
AU - Nicola,C
AU - Endre,C
AU - Marek,C
AU - Claire,D-F
AU - Francois,D
AU - Pierre,D
AU - Helen,D
AU - Veronique,DK
AU - Francesco,DC
AU - Bart,D
AU - Godard,DRCW
AU - Dula,D
AU - Ding,S
AU - Diederik,D
AU - Abhishek,D
AU - Emma,D
AU - Jens,D
AU - Guy-Loup,D
AU - George,E
AU - Heiko,E
AU - Ari,E
AU - Patrick,E
AU - Erzsebet,E
AU - Martin,F
AU - Valery,FL
AU - Feng,J
AU - Kelly,F
AU - Francesca,F
AU - Gilles,F
AU - Ulderico,F
AU - Shirin,F
AU - Alex,F
AU - Pablo,G
AU - Damien,G
AU - Dashiell,G
AU - Gao,G
AU - Karin,G
AU - Pradeep,G
AU - Alexandre,G
AU - Lelde,G
AU - Benoit,G
AU - Ben,G
AU - Jagos,G
AU - Pedro,GA
AU - Francesca,G
AU - Russell,GL
AU - Deepak,G
AU - Juanita,HA
AU - Iain,H
AU - Jed,HA
AU - Raimund,H
AU - Eirik,H
AU - Daniel,H
AU - Astrid,H
AU - Stefan,H
AU - Lindsay,H
AU - Jilske,H
AU - Peter,HJ
AU - Kristine,HA
AU - Bram,J
AU - Stefan,J
AU - Mike,J
AU - Bojan,J
AU - Jiang,J-Y
AU - Kelly,J
AU - Konstantinos,K
AU - Mladen,K
AU - Ari,K
AU - Maija,K
AU - Thomas,K
AU - Riku,K
AU - Angelos,KG
AU - Balint,K
AU - Erwin,K
AU - Ksenija,K
AU - Daniel,K
AU - Lars-Owe,K
AU - Noemi,K
AU - Alfonso,L
AU - Linda,L
AU - Steven,L
AU - Fiona,L
AU - Christian,L
AU - Rolf,L
AU - Valerie,L
AU - Jin,L
AU - Leon,L
AU - Roger,L
AU - Hester,L
AU - Dirk,L
AU - Angels,L
AU - Andrew,MIR
AU - Stephen,M
AU - Marc,M
AU - Marek,M
AU - Sebastian,M
AU - Alex,M
AU - Geoffrey,M
AU - Didier,M
AU - Francisco,ML
AU - Costanza,M
AU - Armando,M
AU - Hugues,M
AU - Alessandro,M
AU - Julia,M
AU - Charles,M
AU - Catherine,M
AU - Bela,M
AU - David,M
AU - Tomas,M
AU - Cristina,M-K
AU - Davide,M
AU - Visakh,M
AU - Lynnette,M
AU - Holger,M
AU - Nandesh
DO - 10.1007/s00701-018-3761-z
EP - 449
PY - 2018///
SN - 0001-6268
SP - 435
TI - Variation in neurosurgical management of traumatic brain injury: A survey in 68 centers participating in the CENTER-TBI study
T2 - Acta Neurochirurgica
UR - http://dx.doi.org/10.1007/s00701-018-3761-z
UR - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000460607500002&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR - http://hdl.handle.net/10044/1/70188
VL - 161
ER -