The Dubrava Model-A Novel Approach in Treating Acutely Neurotraumatized Patients in Rural Areas: A Proposal for Management
| Autor: | Marina Raguž, Darko Chudy, Fadi Almahariq, Domagoj Dlaka, Anđelo Kaštelančić, Dominik Romić, Petar Marčinković, Darko Orešković |
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| Rok vydání: | 2019 |
| Předmět: |
business.industry
General Neuroscience rural areas acute neurotrauma the Dubrava model medicine.disease 030218 nuclear medicine & medical imaging lcsh:RC321-571 03 medical and health sciences 0302 clinical medicine medicine Original Article Neurology (clinical) Medical emergency Rural area business Socioeconomic status lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry 030217 neurology & neurosurgery |
| Zdroj: | Journal of Neurosciences in Rural Practice Journal of Neurosciences in Rural Practice, Vol 10, Iss 03, Pp 446-451 (2019) |
| ISSN: | 0976-3147 |
| Popis: | Introduction Neurotrauma is one of the leading causes of death and disabilities nowadays and represents one of the largest socioeconomic problems in rich countries, as well as developing ones. A satisfying, medically viable, and cost-effective model of managing acutely neurotraumatized patients, especially ones who come from distant and/or rural areas, has yet to be found. Patient outcome after acute neurotrauma depends on many factors of which the possibility of urgent treatment by an experienced specialist team has a crucial role. Here, we present our own way of managing acutely neurotraumatized patients from distant places which is unique in Croatia, the Dubrava model. Methods We present our 5-year experience cooperating with general hospitals in four neighboring cities (Ĉakovec, Bjelovar, Sisak, and Koprivnica) in managing, operating, and taking care of acutely neurotraumatized patients. Results More than 300 surgeries have been performed in these hospitals through the Dubrava model. Our experience so far provides encouraging results that this system could also be successfully implemented in other institutions. Furthermore, we recorded an increased number of surgeries each year, as well as a good mutual cooperation with the local general hospitals. Discussion This trauma managing model is one of a kind in Croatia. We argue that it is not only better for the patients, providing them with better chances of survival, and disability-free recovery, but is also far superior in many ways to the dominant and currently prevalent way of treating these patients in other parts of Croatia. Conclusion The Dubrava model of treating patients in rural and distant areas is a reliable and proven model with many benefits and as such its implementation should be considered in other institutions as well. |
| Databáze: | OpenAIRE |
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