| |  Online-Ressource |
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| Verfasst von: | Winkel, Jordi de [VerfasserIn]  |
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| | van der Jagt, Mathieu [VerfasserIn] |
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| | Lingsma, Hester F. [VerfasserIn] |
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| | Roozenbeek, Bob [VerfasserIn] |
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| | Calvillo, Eusebia [VerfasserIn] |
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| | Chou, Sherry H.-Y. [VerfasserIn] |
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| | Dziedzic, Peter H. [VerfasserIn] |
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| | Etminan, Nima [VerfasserIn] |
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| | Huang, Judy [VerfasserIn] |
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| | Ko, Nerissa U. [VerfasserIn] |
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| | Loch MacDonald, Robert [VerfasserIn] |
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| | Martin, Renee L. [VerfasserIn] |
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| | Potu, Niteesh R. [VerfasserIn] |
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| | Venkatasubba Rao, Chethan P. [VerfasserIn] |
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| | Vergouwen, Mervyn D. I. [VerfasserIn] |
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| | Suarez, Jose I. [VerfasserIn] |
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| Titel: | International Practice Variability in Treatment of Aneurysmal Subarachnoid Hemorrhage |
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| 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 |
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| E-Jahr: | 2021 |
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| Jahr: | 14 February 2021 |
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| Umfang: | 14 S. |
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| Fussnoten: | Gesehen am 22.04.2021 |
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| Titel Quelle: | Enthalten in: Journal of Clinical Medicine |
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| Ort Quelle: | Basel : MDPI, 2012 |
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| Jahr Quelle: | 2021 |
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| Band/Heft Quelle: | 10(2021), 4, Artikel-ID 762, Seite 1-14 |
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| ISSN Quelle: | 2077-0383 |
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| 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. |
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| DOI: | doi:10.3390/jcm10040762 |
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| 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 |
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| | Volltext: https://www.mdpi.com/2077-0383/10/4/762 |
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| | DOI: https://doi.org/10.3390/jcm10040762 |
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| Datenträger: | Online-Ressource |
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| Sprache: | eng |
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| Sach-SW: | aneurysm treatment |
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| | delayed cerebral ischemia |
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| | fluid management |
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| | outcome |
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| | practice variation |
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| | subarachnoid hemorrhage |
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| | vasospasm |
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| K10plus-PPN: | 1755750307 |
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| Verknüpfungen: | → Zeitschrift |
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International Practice Variability in Treatment of Aneurysmal Subarachnoid Hemorrhage / Winkel, Jordi de [VerfasserIn]; 14 February 2021 (Online-Ressource)
