دورية أكاديمية
Severe Pediatric TBI Management in a Middle-Income Country and a High-Income Country: A Comparative Assessment of Two Centers.
| العنوان: | Severe Pediatric TBI Management in a Middle-Income Country and a High-Income Country: A Comparative Assessment of Two Centers. |
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| المؤلفون: | Arango JI; Department of Neurosurgery, Barrow Neurological Institute, Phoenix, AZ, United States.; Phoenix Children's Hospital, Phoenix, AZ, United States., George L; Department of Neurosurgery, College of Medicine Phoenix, University of Arizona, Phoenix, AZ, United States., Griswold DP; Department of Neurosurgery, University of Cambridge, Cambridge, United Kingdom.; School of Medicine, Stanford University, Stanford, CA, United States., Johnson ED; School of Medicine, University of Pittsburgh, Pittsburgh, PA, United States., Suarez MN; School of Medicine, South Colombian University, Neiva, Colombia., Caquimbo LD; School of Medicine, South Colombian University, Neiva, Colombia., Molano M; School of Medicine, South Colombian University, Neiva, Colombia.; MEDITECH Foundation, Cali, Colombia., Echeverri RA; MEDITECH Foundation, Cali, Colombia.; Neurological Surgery Service, Vallesalud Clinic, Cali, Colombia.; INUB-MEDITECH Research Group, Neuroscience Institute, El Bosque University, Bogotá, Colombia., Rubiano AM; MEDITECH Foundation, Cali, Colombia.; Neurological Surgery Service, Vallesalud Clinic, Cali, Colombia.; INUB-MEDITECH Research Group, Neuroscience Institute, El Bosque University, Bogotá, Colombia., Adelson PD; Department of Neurosurgery, Barrow Neurological Institute, Phoenix, AZ, United States.; Phoenix Children's Hospital, Phoenix, AZ, United States. |
| المصدر: | Frontiers in surgery [Front Surg] 2021 Aug 12; Vol. 8, pp. 670546. Date of Electronic Publication: 2021 Aug 12 (Print Publication: 2021). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Frontiers Media S.A Country of Publication: Switzerland NLM ID: 101645127 Publication Model: eCollection Cited Medium: Print ISSN: 2296-875X (Print) Linking ISSN: 2296875X NLM ISO Abbreviation: Front Surg Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: Lausanne : Frontiers Media S.A., [2014]- |
| مستخلص: | Background: Traumatic brain injury (TBI) is a global public health issue with over 10 million deaths or hospitalizations each year. However, access to specialized care is dependent on institutional resources and public health policy. Phoenix Children's Hospital USA (PCH) and the Neiva University Hospital, Colombia (NUH) compared the management and outcomes of pediatric patients with severe TBI over 5 years to establish differences between outcomes of patients managed in countries of varying resources availability. Methods: We conducted a retrospective review of individuals between 0 and 17 years of age, with a diagnosis of severe TBI and admitted to PCH and NUH between 2010 and 2015. Data collected included Glasgow coma scores, intensive care unit monitoring, and Glasgow outcome scores. Pearson Chi-square, Fisher exact, T -test, or Wilcoxon-rank sum test was used to compare outcomes. Results: One hundred and one subjects met the inclusion criteria. NUH employed intracranial pressure monitoring less frequently than PCH ( p = 0.000), but surgical decompression and subdural evacuation were higher at PCH ( p = 0.031 and p = 0.003). Mortality rates were similar between the institutions (15% PCH, 17% NUH) as were functional outcomes (52% PCH, 54% NUH). Conclusions: Differences between centers included time to specialized care and utilization of monitoring. No significant differences were evidenced in survival and the overall functional outcomes. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2021 Arango, George, Griswold, Johnson, Suarez, Caquimbo, Molano, Echeverri, Rubiano and Adelson.) |
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| فهرسة مساهمة: | Keywords: TBI; global health; pediatric; pediatric neurosurgery; traumatic brain injury |
| تواريخ الأحداث: | Date Created: 20210830 Latest Revision: 20240814 |
| رمز التحديث: | 20240814 |
| مُعرف محوري في PubMed: | PMC8387927 |
| DOI: | 10.3389/fsurg.2021.670546 |
| PMID: | 34458313 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2296-875X |
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| DOI: | 10.3389/fsurg.2021.670546 |