外伤性脑损伤急诊手术后的处理和结果——一项多中心、国际、前瞻性队列研究(全球神经创伤结局研究)

David Clark , Alexis Joannides , Omar Ibrahim Abdallah , Amos Olufemi Adeleye , Abdul Hafid Bajamal , Tom Bashford , Arnold Bhebhe , Hagos Biluts , Natalia Budohoska , Karol Budohoski , Iype Cherian , Niklas Marklund , Rocio Fernandez Mendez , Tony Figaji , Deepak Kumar Gupta , Corrado Iaccarino , Ali Ilunga , Mathew Joseph , Tariq Khan , Tsegazeab Laeke , Peter Hutchinson
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引用次数: 9

摘要

外伤性脑损伤(TBI)在世界范围内造成大量死亡和残疾,这一负担主要影响低收入和中等收入国家的个人。尽管如此,据报道,在TBI患者的护理方面存在相当大的地理差异。在此背景下,我们的目标是提供一个全面的国际流行病学特征,管理和世界范围内接受创伤性脑损伤(TBI)急诊手术患者的结局。全球神经创伤结局研究(GNOS)是一项多中心、国际、前瞻性观察队列研究。全球任何进行TBI急诊手术的单位都有资格参加。所有在2018年11月1日至2019年12月31日期间在特定参与单位连续30天内接受紧急手术的TBI患者都将被纳入其中。数据将通过一个安全的在线平台以匿名形式收集。本研究的主要结局指标为14天死亡率(或存活至出院,以先到者为准)。主要结果测量数据收集的最后一天是2月13日。次要结局指标包括返回手术室和手术部位感染。伦理与传播本项目不影响临床实践,在研究伦理审查后已被归类为临床审核。应要求并在中央研究小组审查拟议分析的科学有效性之后,将通过国家或国际匿名数据集向合作者提供对源数据的访问。
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Management and outcomes following emergency surgery for traumatic brain injury – A multi-centre, international, prospective cohort study (the Global Neurotrauma Outcomes Study)

Introduction

Traumatic brain injury (TBI) accounts for a significant amount of death and disability worldwide and the majority of this burden affects individuals in low-and-middle income countries. Despite this, considerable geographical differences have been reported in the care of TBI patients. On this background, we aim to provide a comprehensive international picture of the epidemiological characteristics, management and outcomes of patients undergoing emergency surgery for traumatic brain injury (TBI) worldwide.

Methods and analysis

The Global Neurotrauma Outcomes Study (GNOS) is a multi-centre, international, prospective observational cohort study. Any unit performing emergency surgery for TBI worldwide will be eligible to participate. All TBI patients who receive emergency surgery in any given consecutive 30-day period beginning between 1st of November 2018 and 31st of December 2019 in a given participating unit will be included. Data will be collected via a secure online platform in anonymised form. The primary outcome measures for the study will be 14-day mortality (or survival to hospital discharge, whichever comes first). Final day of data collection for the primary outcome measure is February 13th. Secondary outcome measures include return to theatre and surgical site infection.

Ethics and dissemination

This project will not affect clinical practice and has been classified as clinical audit following research ethics review. Access to source data will be made available to collaborators through national or international anonymised datasets on request and after review of the scientific validity of the proposed analysis by the central study team.

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期刊介绍: IJS Protocols is the first peer-reviewed, international, open access journal seeking to publish research protocols across across the full breadth of the surgical field. We are aim to provide rapid submission to decision times whilst maintaining a high quality peer-review process.
期刊最新文献
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