| Online-Ressource |
Verfasst von: | Winkel, Jordi de [VerfasserIn]  |
| van der Jagt, Mathieu [VerfasserIn]  |
| Lingsma, Hester F. [VerfasserIn]  |
| Roozenbeek, Bob [VerfasserIn]  |
| Calvillo, Eusebia [VerfasserIn]  |
| Chou, Sherry H.-Y. [VerfasserIn]  |
| Dziedzic, Peter H. [VerfasserIn]  |
| Etminan, Nima [VerfasserIn]  |
| Huang, Judy [VerfasserIn]  |
| Ko, Nerissa U. [VerfasserIn]  |
| Loch MacDonald, Robert [VerfasserIn]  |
| Martin, Renee L. [VerfasserIn]  |
| Potu, Niteesh R. [VerfasserIn]  |
| Venkatasubba Rao, Chethan P. [VerfasserIn]  |
| Vergouwen, Mervyn D. I. [VerfasserIn]  |
| Suarez, Jose I. [VerfasserIn]  |
Titel: | International Practice Variability in Treatment of Aneurysmal Subarachnoid Hemorrhage |
Verf.angabe: | Jordi de Winkel, Mathieu van der Jagt, Hester F. Lingsma, Bob Roozenbeek, Eusebia Calvillo, Sherry H.-Y. Chou, Peter H. Dziedzic, Nima Etminan, Judy Huang, Nerissa U. Ko, Robert Loch MacDonald, Renee L. Martin, Niteesh R. Potu, Chethan P. Venkatasubba Rao, Mervyn D.I. Vergouwen, Jose I. Suarez |
E-Jahr: | 2021 |
Jahr: | 14 February 2021 |
Umfang: | 14 S. |
Fussnoten: | Gesehen am 22.04.2021 |
Titel Quelle: | Enthalten in: Journal of Clinical Medicine |
Ort Quelle: | Basel : MDPI, 2012 |
Jahr Quelle: | 2021 |
Band/Heft Quelle: | 10(2021), 4, Artikel-ID 762, Seite 1-14 |
ISSN Quelle: | 2077-0383 |
Abstract: | Prior research suggests substantial between-center differences in functional outcome following aneurysmal subarachnoid hemorrhage (aSAH). One hypothesis is that these differences are due to practice variability. To characterize practice variability, we sent a survey to 230 centers, of which 145 (63%) responded. Survey respondents indicated that an estimated 65% of ruptured aneurysms were treated endovascularly. Sixty-five percent of aneurysms were treated within 24 h of symptom onset, 18% within 24-48 h, and eight percent within 48-72 h. Centers in the United States (US) and Europe (EU) treat aneurysms more often endovascularly (72% and 70% vs. 51%, respectively, US vs. other p < 0.001, and EU vs. other p < 0.01) and more often within 24 h (77% and 64% vs. 46%, respectively, US vs. other p < 0.001, EU vs. other p < 0.01) compared to other centers. Most centers aim for euvolemia (96%) by administrating intravenous fluids to 0 (53%) or +500 mL/day (41%) net fluid balance. Induced hypertension is more often used in US centers (100%) than in EU (87%, p < 0.05) and other centers (81%, p < 0.05), and endovascular therapies for cerebral vasospasm are used more often in US centers than in other centers (91% and 60%, respectively, p < 0.05). We observed significant practice variability in aSAH treatment worldwide. Future comparative effectiveness research studies are needed to investigate how practice variation leads to differences in functional outcome. |
DOI: | doi:10.3390/jcm10040762 |
URL: | Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.
Volltext: https://doi.org/10.3390/jcm10040762 |
| Volltext: https://www.mdpi.com/2077-0383/10/4/762 |
| DOI: https://doi.org/10.3390/jcm10040762 |
Datenträger: | Online-Ressource |
Sprache: | eng |
Sach-SW: | aneurysm treatment |
| delayed cerebral ischemia |
| fluid management |
| outcome |
| practice variation |
| subarachnoid hemorrhage |
| vasospasm |
K10plus-PPN: | 1755750307 |
Verknüpfungen: | → Zeitschrift |
International Practice Variability in Treatment of Aneurysmal Subarachnoid Hemorrhage / Winkel, Jordi de [VerfasserIn]; 14 February 2021 (Online-Ressource)