Dutch Prospective Observational Study on Prehospital Treatment of Severe Traumatic Brain Injury: The BRAIN-PROTECT Study Protocol

Autor: Bossers, SM, Boer, C, Greuters, S, Bloemers, FW, den Hartog, Dennis, Van Lieshout, Esther M.M., Hoogerwerf, N, Innemee, G, van der Naalt, J, Absalom, AR, Peerdeman, SM, Visser, M, Loer, S, Schober, P, Boer, D, Goslings, JC, van Helden, SH, Hesselink, DA, van Aken, G, Beishuizen, A, Egberink, RE, ter Bogt, N, de Jongh, MAC, Lansink, K, Roks, G, Joosse, P, Ponsen, KJ, van Spengler, LL, Aspers, S, de Leeuw, MA, Schwarte, LA, Toor, A, Houmes, RJM, Ditshuizen, Jan, van Voorden, Tea, Edwards, MJR, Dercksen, B, Spanjersberg, R, Venema, L, Weelink, E, Reininga, HF
Přispěvatelé: Surgery, Emergency Medicine, Anesthesiology, IOO, ACS - Diabetes & metabolism, ACS - Microcirculation, APH - Quality of Care, Amsterdam Movement Sciences - Restoration and Development, Other Research, Neurosurgery, AII - Inflammatory diseases, APH - Methodology, Critical care, Anesthesiology, Peri-operative and Emergency medicine (CAPE), Molecular Neuroscience and Ageing Research (MOLAR)
Rok vydání: 2019
Předmět:
Adult
Male
medicine.medical_specialty
Emergency Medical Services
Adolescent
Traumatic brain injury
Psychological intervention
030204 cardiovascular system & hematology
Emergency Nursing
Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18]
03 medical and health sciences
Young Adult
0302 clinical medicine
Clinical Protocols
Trauma Centers
Epidemiology
Brain Injuries
Traumatic

Emergency medical services
Medicine
Humans
Glasgow Coma Scale
Prospective Studies
Registries
Child
Aged
Netherlands
Aged
80 and over

business.industry
Mortality rate
Head injury
Infant
030208 emergency & critical care medicine
Middle Aged
medicine.disease
Reconstructive and regenerative medicine Radboud Institute for Molecular Life Sciences [Radboudumc 10]
Child
Preschool

Emergency medicine
Emergency Medicine
Observational study
Female
business
Zdroj: Prehospital Emergency Care, 23(6), 820-827. Taylor & Francis Ltd
PREHOSPITAL EMERGENCY CARE, 23(6), 820-827. Taylor and Francis Ltd.
Bossers, S M, Boer, C, Greuters, S, Bloemers, F W, Den Hartog, D, Van Lieshout, E M M, Hoogerwerf, N, Innemee, G, van der Naalt, J, Absalom, A R, Peerdeman, S M, de Visser, M, Loer, S & Schober, P 2019, ' Dutch Prospective Observational Study on Prehospital Treatment of Severe Traumatic Brain Injury : The BRAIN-PROTECT Study Protocol ', PREHOSPITAL EMERGENCY CARE, vol. 23, no. 6, pp. 820-827 . https://doi.org/10.1080/10903127.2019.1587126
Prehospital emergency care, 23, 820-827
Prehospital emergency care, 23, 6, pp. 820-827
Prehospital emergency care : official journal of the National Association of EMS Physicians and the National Association of State EMS Directors, 23(6), 820-827. Taylor & Francis Group
ISSN: 1090-3127
DOI: 10.1080/10903127.2019.1587126
Popis: Contains fulltext : 215205.pdf (Publisher’s version ) (Open Access) Background: Severe traumatic brain injury (TBI) is associated with a high mortality rate and those that survive commonly have permanent disability. While there is a broad consensus that appropriate prehospital treatment is crucial for a favorable neurological outcome, evidence to support currently applied treatment strategies is scarce. In particular, the relationship between prehospital treatments and patient outcomes is unclear. The BRAIN-PROTECT study therefore aims to identify prehospital treatment strategies associated with beneficial or detrimental outcomes. Here, we present the study protocol. Study Protocol: BRAIN-PROTECT is the acronym for BRAin INjury: Prehospital Registry of Outcome, Treatments and Epidemiology of Cerebral Trauma. It is a prospective observational study on the prehospital treatment of patients with suspected severe TBI in the Netherlands. Prehospital epidemiology, interventions, medication strategies, and nonmedical factors that may affect outcome are studied. Multivariable regression based modeling will be used to identify confounder-adjusted relationships between these factors and patient outcomes, including mortality at 30 days (primary outcome) or mortality and functional neurological outcome at 1 year (secondary outcomes). Patients in whom severe TBI is suspected during prehospital treatment (Glasgow Coma Scale score
Databáze: OpenAIRE