Early management of adult traumatic spinal cord injury in patients with polytrauma: a consensus and clinical recommendations jointly developed by the World Society of Emergency Surgery (WSES) & the European Association of Neurosurgical Societies (EANS)

The early management of polytrauma patients with traumatic spinal cord injury (tSCI) is a major challenge. Sparse data is available to provide optimal care in this scenario and worldwide variability in clinical practice has been documented in recent studies. A multidisciplinary consensus panel of ph...

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Published inWorld journal of emergency surgery Vol. 19; no. 1; p. 4
Main Authors Picetti, Edoardo, Demetriades, Andreas K, Catena, Fausto, Aarabi, Bizhan, Abu-Zidan, Fikri M, Alves, Oscar L, Ansaloni, Luca, Armonda, Rocco A, Badenes, Rafael, Bala, Miklosh, Balogh, Zsolt J, Barbanera, Andrea, Bertuccio, Alessandro, Biffl, Walter L, Bouzat, Pierre, Buki, Andras, Castano-Leon, Ana Maria, Cerasti, Davide, Citerio, Giuseppe, Coccolini, Federico, Coimbra, Raul, Coniglio, Carlo, Costa, Francesco, De Iure, Federico, Depreitere, Bart, Fainardi, Enrico, Fehlings, Michael J, Gabrovsky, Nikolay, Godoy, Daniel Agustin, Gruen, Peter, Gupta, Deepak, Hawryluk, Gregory W J, Helbok, Raimund, Hossain, Iftakher, Hutchinson, Peter J, Iaccarino, Corrado, Inaba, Kenji, Ivanov, Marcel, Kaprovoy, Stanislav, Kirkpatrick, Andrew W, Klein, Sam, Kolias, Angelos, Konovalov, Nikolay A, Lagares, Alfonso, Lippa, Laura, Loza-Gomez, Angelica, Luoto, Teemu M, Maas, Andrew I R, Maciejczak, Andrzej, Maier, Ronald V, Marklund, Niklas, Martin, Matthew J, Melloni, Ilaria, Mendoza-Lattes, Sergio, Meyfroidt, Geert, Munari, Marina, Napolitano, Lena M, Okonkwo, David O, Otomo, Yasuhiro, Papadopoulos, Marios C, Petr, Ondra, Peul, Wilco C, Pudkrong, Aichholz K, Qasim, Zaffer, Rasulo, Frank, Reizinho, Carla, Ringel, Florian, Rizoli, Sandro, Rostami, Elham, Rubiano, Andres M, Russo, Emanuele, Sarwal, Aarti, Schwab, Jan M, Servadei, Franco, Sharma, Deepak, Sharif, Salman, Shiban, Ehab, Shutter, Lori, Stahel, Philip F, Taccone, Fabio S, Terpolilli, Nicole A, Thomé, Claudius, Toth, Peter, Tsitsopoulos, Parmenion P, Udy, Andrew, Vaccaro, Alexander R, Varon, Albert J, Vavilala, Monica S, Younsi, Alexander, Zackova, Monika, Zoerle, Tommaso, Robba, Chiara
Format Journal Article
LanguageEnglish
Published England BioMed Central 18.01.2024
BMC
Subjects
Adult
Agreements
Anemia
Back surgery
Cardiovascular disease
Clinical decision making
Consensus
Emergency medical care
Hemorrhage
Human health and pathology
Humans
Hypotension
Hypoxia
Life Sciences
Management
Medical imaging
Mortality
Multiple Trauma - surgery
Neurosurgery
Polytrauma
Spinal cord injuries
Spinal Cord Injuries - complications
Spinal Cord Injuries - surgery
Surgeons
Trauma
Traumatic brain injury
Traumatic spinal cord injury
Traumatic spinal cord injury
Polytrauma
Management
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Abstract The early management of polytrauma patients with traumatic spinal cord injury (tSCI) is a major challenge. Sparse data is available to provide optimal care in this scenario and worldwide variability in clinical practice has been documented in recent studies. A multidisciplinary consensus panel of physicians selected for their established clinical and scientific expertise in the acute management of tSCI polytrauma patients with different specializations was established. The World Society of Emergency Surgery (WSES) and the European Association of Neurosurgical Societies (EANS) endorsed the consensus, and a modified Delphi approach was adopted. A total of 17 statements were proposed and discussed. A consensus was reached generating 17 recommendations (16 strong and 1 weak). This consensus provides practical recommendations to support a clinician's decision making in the management of tSCI polytrauma patients.
AbstractList BackgroundThe early management of polytrauma patients with traumatic spinal cord injury (tSCI) is a major challenge. Sparse data is available to provide optimal care in this scenario and worldwide variability in clinical practice has been documented in recent studies.MethodsA multidisciplinary consensus panel of physicians selected for their established clinical and scientific expertise in the acute management of tSCI polytrauma patients with different specializations was established. The World Society of Emergency Surgery (WSES) and the European Association of Neurosurgical Societies (EANS) endorsed the consensus, and a modified Delphi approach was adopted.ResultsA total of 17 statements were proposed and discussed. A consensus was reached generating 17 recommendations (16 strong and 1 weak).ConclusionsThis consensus provides practical recommendations to support a clinician’s decision making in the management of tSCI polytrauma patients.
The early management of polytrauma patients with traumatic spinal cord injury (tSCI) is a major challenge. Sparse data is available to provide optimal care in this scenario and worldwide variability in clinical practice has been documented in recent studies. A multidisciplinary consensus panel of physicians selected for their established clinical and scientific expertise in the acute management of tSCI polytrauma patients with different specializations was established. The World Society of Emergency Surgery (WSES) and the European Association of Neurosurgical Societies (EANS) endorsed the consensus, and a modified Delphi approach was adopted. A total of 17 statements were proposed and discussed. A consensus was reached generating 17 recommendations (16 strong and 1 weak). This consensus provides practical recommendations to support a clinician's decision making in the management of tSCI polytrauma patients.
Abstract Background The early management of polytrauma patients with traumatic spinal cord injury (tSCI) is a major challenge. Sparse data is available to provide optimal care in this scenario and worldwide variability in clinical practice has been documented in recent studies. Methods A multidisciplinary consensus panel of physicians selected for their established clinical and scientific expertise in the acute management of tSCI polytrauma patients with different specializations was established. The World Society of Emergency Surgery (WSES) and the European Association of Neurosurgical Societies (EANS) endorsed the consensus, and a modified Delphi approach was adopted. Results A total of 17 statements were proposed and discussed. A consensus was reached generating 17 recommendations (16 strong and 1 weak). Conclusions This consensus provides practical recommendations to support a clinician’s decision making in the management of tSCI polytrauma patients.
ArticleNumber 4
Author Pudkrong, Aichholz K
Reizinho, Carla
Munari, Marina
Maas, Andrew I R
Maier, Ronald V
Sharif, Salman
Varon, Albert J
Coniglio, Carlo
Tsitsopoulos, Parmenion P
Peul, Wilco C
Konovalov, Nikolay A
Qasim, Zaffer
Russo, Emanuele
Gruen, Peter
Martin, Matthew J
De Iure, Federico
Rasulo, Frank
Kirkpatrick, Andrew W
Klein, Sam
Okonkwo, David O
Hossain, Iftakher
Barbanera, Andrea
Picetti, Edoardo
Zackova, Monika
Catena, Fausto
Badenes, Rafael
Alves, Oscar L
Buki, Andras
Coimbra, Raul
Hutchinson, Peter J
Kaprovoy, Stanislav
Rubiano, Andres M
Depreitere, Bart
Iaccarino, Corrado
Papadopoulos, Marios C
Aarabi, Bizhan
Lagares, Alfonso
Loza-Gomez, Angelica
Udy, Andrew
Ansaloni, Luca
Godoy, Daniel Agustin
Robba, Chiara
Coccolini, Federico
Gupta, Deepak
Demetriades, Andreas K
Citerio, Giuseppe
Vavilala, Monica S
Terpolilli, Nicole A
Hawryluk, Gregory W J
Bouzat, Pierre
Armonda, Rocco A
Napolitano, Lena M
Otomo, Yasuhiro
Abu-Zidan, Fikri M
Costa, Francesco
Rizoli, Sandro
Marklund, Niklas
Ringel, Florian
Shutter, Lori
Younsi, Alexander
Helbok, Raimund
Kolias, Angelo
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  organization: Department of Surgery, University of Washington, Seattle, WA, USA
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– sequence: 52
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  surname: Martin
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  organization: University of Southern California, Los Angeles, CA, USA
– sequence: 53
  givenname: Ilaria
  surname: Melloni
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– sequence: 54
  givenname: Sergio
  surname: Mendoza-Lattes
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  organization: Department of Orthopaedics, Duke University, Durham, NC, USA
– sequence: 55
  givenname: Geert
  surname: Meyfroidt
  fullname: Meyfroidt, Geert
  organization: Department and Laboratory of Intensive Care Medicine, University Hospitals Leuven and KU Leuven, Louvain, Belgium
– sequence: 56
  givenname: Marina
  surname: Munari
  fullname: Munari, Marina
  organization: Neuro-Intensive Care Unit, University Hospital of Padova, Padua, Italy
– sequence: 57
  givenname: Lena M
  surname: Napolitano
  fullname: Napolitano, Lena M
  organization: Department of Surgery, University of Michigan Health System, Ann Arbor, MI, USA
– sequence: 58
  givenname: David O
  surname: Okonkwo
  fullname: Okonkwo, David O
  organization: Department of Neurological Surgery, University of Pittsburgh, Pittsburgh, PA, USA
– sequence: 59
  givenname: Yasuhiro
  surname: Otomo
  fullname: Otomo, Yasuhiro
  organization: National Disaster Medical Center, Tokyo, Japan
– sequence: 60
  givenname: Marios C
  surname: Papadopoulos
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  organization: Academic Neurosurgery Unit, St. George's, University of London, London, UK
– sequence: 61
  givenname: Ondra
  surname: Petr
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  organization: Department of Neurosurgery, Medical University Innsbruck, Innsbruck, Austria
– sequence: 62
  givenname: Wilco C
  surname: Peul
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  organization: Leiden University Neurosurgical Centre Holland, HMC-HAGA The Hague & LUMC Leiden, Leiden, The Netherlands
– sequence: 63
  givenname: Aichholz K
  surname: Pudkrong
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  organization: Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, WA, USA
– sequence: 64
  givenname: Zaffer
  surname: Qasim
  fullname: Qasim, Zaffer
  organization: Department of Emergency Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
– sequence: 65
  givenname: Frank
  surname: Rasulo
  fullname: Rasulo, Frank
  organization: Department of Neuroanesthesia and Neurocritical Care, Spedali Civili University Affiliated Hospital of Brescia, Brescia, Italy
– sequence: 66
  givenname: Carla
  surname: Reizinho
  fullname: Reizinho, Carla
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– sequence: 67
  givenname: Florian
  surname: Ringel
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  organization: Department of Neurosurgery, University Hospital Mainz, Mainz, Germany
– sequence: 68
  givenname: Sandro
  surname: Rizoli
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  organization: Trauma Surgery Department, Hamad General Hospital, HMC, Doha, Qatar
– sequence: 69
  givenname: Elham
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  organization: Section of Neurosurgery, Department of Medical Sciences, Uppsala University, Uppsala, Sweden
– sequence: 70
  givenname: Andres M
  surname: Rubiano
  fullname: Rubiano, Andres M
  organization: Neurosciences Institute, El Bosque University, Bogotá, Colombia
– sequence: 71
  givenname: Emanuele
  surname: Russo
  fullname: Russo, Emanuele
  organization: Anesthesia and Intensive Care Unit, AUSL Romagna, M.Bufalini Hospital, Cesena, Italy
– sequence: 72
  givenname: Aarti
  surname: Sarwal
  fullname: Sarwal, Aarti
  organization: Department of Neurology, Atrium Wake Forest School of Medicine, Winston Salem, NC, USA
– sequence: 73
  givenname: Jan M
  surname: Schwab
  fullname: Schwab, Jan M
  organization: Belford Center for Spinal Cord Injury and Departments of Neurology and Neuroscience, Wexner Medical Center, The Ohio State University, Columbus, OH, USA
– sequence: 74
  givenname: Franco
  surname: Servadei
  fullname: Servadei, Franco
  organization: Humanitas Research Hospital-IRCCS & Humanitas University, Rozzano, Milan, Italy
– sequence: 75
  givenname: Deepak
  surname: Sharma
  fullname: Sharma, Deepak
  organization: Neuroanesthesia & Perioperative Neuroscience, University of Washington, Seattle, WA, USA
– sequence: 76
  givenname: Salman
  surname: Sharif
  fullname: Sharif, Salman
  organization: Department of Neurosurgery, Liaquat National Hospital, Karachi, Pakistan
– sequence: 77
  givenname: Ehab
  surname: Shiban
  fullname: Shiban, Ehab
  organization: Department of Neurosurgery, University Hospital Augsburg, Augsburg, Germany
– sequence: 78
  givenname: Lori
  surname: Shutter
  fullname: Shutter, Lori
  organization: Department of Critical Care Medicine, Neurology and Neurosurgery, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
– sequence: 79
  givenname: Philip F
  surname: Stahel
  fullname: Stahel, Philip F
  organization: Department of Surgery, Brody School of Medicine, East Carolina University, Greenville, NC, USA
– sequence: 80
  givenname: Fabio S
  surname: Taccone
  fullname: Taccone, Fabio S
  organization: Department of Intensive Care, Hopital Universitaire de Bruxelles (HUB), Université Libre de Bruxelles (ULB), Brussels, Belgium
– sequence: 81
  givenname: Nicole A
  surname: Terpolilli
  fullname: Terpolilli, Nicole A
  organization: Department of Neurosurgery, LMU Hospital, Ludwig-Maximilian-University Munich, Munich, Germany
– sequence: 82
  givenname: Claudius
  surname: Thomé
  fullname: Thomé, Claudius
  organization: Department of Neurosurgery, Medical University Innsbruck, Innsbruck, Austria
– sequence: 83
  givenname: Peter
  surname: Toth
  fullname: Toth, Peter
  organization: Department of Neurosurgery, Medical School, University of Pecs, Pecs, Hungary
– sequence: 84
  givenname: Parmenion P
  surname: Tsitsopoulos
  fullname: Tsitsopoulos, Parmenion P
  organization: Department of Neurosurgery, Hippokration General Hospital, Aristotle University School of Medicine, Thessaloníki, Greece
– sequence: 85
  givenname: Andrew
  surname: Udy
  fullname: Udy, Andrew
  organization: Department of Intensive Care and Hyperbaric Medicine, The Alfred, Melbourne, VIC, 3004, Australia
– sequence: 86
  givenname: Alexander R
  surname: Vaccaro
  fullname: Vaccaro, Alexander R
  organization: Department of Orthopedic Surgery, Delaware Valley Spinal Cord Injury Center, Rothman Orthopedics, Sidney Kimmel Medical Center of Thomas Jefferson University, Philadelphia, PA, USA
– sequence: 87
  givenname: Albert J
  surname: Varon
  fullname: Varon, Albert J
  organization: Department of Anesthesiology, Perioperative Medicine, and Pain Management, University of Miami Miller School of Medicine/Ryder Trauma Center, Miami, FL, USA
– sequence: 88
  givenname: Monica S
  surname: Vavilala
  fullname: Vavilala, Monica S
  organization: Department of Anesthesiology and Pain Medicine, University of Washington, Seattle, WA, USA
– sequence: 89
  givenname: Alexander
  surname: Younsi
  fullname: Younsi, Alexander
  organization: Department of Neurosurgery, Heidelberg University Hospital, Heidelberg, Germany
– sequence: 90
  givenname: Monika
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Issue 1
Keywords Traumatic spinal cord injury
Polytrauma
Management
Language English
License 2024. The Author(s).
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Snippet The early management of polytrauma patients with traumatic spinal cord injury (tSCI) is a major challenge. Sparse data is available to provide optimal care in...
BackgroundThe early management of polytrauma patients with traumatic spinal cord injury (tSCI) is a major challenge. Sparse data is available to provide...
BACKGROUNDThe early management of polytrauma patients with traumatic spinal cord injury (tSCI) is a major challenge. Sparse data is available to provide...
Abstract Background The early management of polytrauma patients with traumatic spinal cord injury (tSCI) is a major challenge. Sparse data is available to...
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StartPage 4
SubjectTerms Adult
Agreements
Anemia
Back surgery
Cardiovascular disease
Clinical decision making
Consensus
Emergency medical care
Hemorrhage
Human health and pathology
Humans
Hypotension
Hypoxia
Life Sciences
Management
Medical imaging
Mortality
Multiple Trauma - surgery
Neurosurgery
Polytrauma
Spinal cord injuries
Spinal Cord Injuries - complications
Spinal Cord Injuries - surgery
Surgeons
Trauma
Traumatic brain injury
Traumatic spinal cord injury
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Title Early management of adult traumatic spinal cord injury in patients with polytrauma: a consensus and clinical recommendations jointly developed by the World Society of Emergency Surgery (WSES) & the European Association of Neurosurgical Societies (EANS)
URI https://www.ncbi.nlm.nih.gov/pubmed/38238783
https://www.proquest.com/docview/2925676450
https://www.proquest.com/docview/2917553584
https://hal.science/hal-04820295
https://pubmed.ncbi.nlm.nih.gov/PMC10795357
https://doaj.org/article/5e113505b98c450d9a7716a8eec9a813
Volume 19
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