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

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 co...

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Published inWorld journal of emergency surgery Vol. 19; no. 1
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, Ma, 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, Aa, 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 BioMed Central Ltd 18.01.2024
Subjects
Medical colleges
Medicine
Practice
Spinal cord injuries
Surgery
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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. Keywords: Traumatic spinal cord injury, Polytrauma, Management
AbstractList 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.
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. Keywords: Traumatic spinal cord injury, Polytrauma, Management
Audience Academic
Author Pudkrong, Aichholz K
Reizinho, Carla
Munari, Marina
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
De Iure, Federico
Rasulo, Frank
Kirkpatrick, Andrew W
Klein, Sam
Okonkwo, David O
Hawryluk, Gregory W. J
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
Ma
Robba, Chiara
Coccolini, Federico
Gupta, Deepak
Demetriades, Andreas K
Citerio, Giuseppe
Vavilala, Monica S
Terpolilli, Nicole A
Bouzat, Pierre
Sarwal, Aa
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, Angelos
Maas, Andrew I. R
Sh
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DOI 10.1186/s13017-023-00525-4
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Snippet Background The early management of polytrauma patients with traumatic spinal cord injury (tSCI) is a major challenge. Sparse data is available to provide...
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...
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SubjectTerms Medical colleges
Medicine
Practice
Spinal cord injuries
Surgery
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
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