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Verfasst von:Winkel, Jordi de [VerfasserIn]   i
 van der Jagt, Mathieu [VerfasserIn]   i
 Lingsma, Hester F. [VerfasserIn]   i
 Roozenbeek, Bob [VerfasserIn]   i
 Calvillo, Eusebia [VerfasserIn]   i
 Chou, Sherry H.-Y. [VerfasserIn]   i
 Dziedzic, Peter H. [VerfasserIn]   i
 Etminan, Nima [VerfasserIn]   i
 Huang, Judy [VerfasserIn]   i
 Ko, Nerissa U. [VerfasserIn]   i
 Loch MacDonald, Robert [VerfasserIn]   i
 Martin, Renee L. [VerfasserIn]   i
 Potu, Niteesh R. [VerfasserIn]   i
 Venkatasubba Rao, Chethan P. [VerfasserIn]   i
 Vergouwen, Mervyn D. I. [VerfasserIn]   i
 Suarez, Jose I. [VerfasserIn]   i
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

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