학술논문

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)
Document Type
Source
World Journal of Emergency Surgery MultiPark: Multidisciplinary research focused on Parkinson´s disease. 19(1)
Subject
Management
Polytrauma
Traumatic spinal cord injury
Adult
Consensus
Humans
Multiple Trauma
Spinal Cord Injuries
adult
complication
consensus
human
multiple trauma
spinal cord injury
Medicin och hälsovetenskap
Hälsovetenskap
Hälso- och sjukvårdsorganisation
hälsopolitik och hälsoekonomi
Medical and Health Sciences
Health Sciences
Health Care Service and Management
Health Policy and Services and Health Economy
Language
English
ISSN
1749-7922
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.