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- W1965804971 abstract "In this issue of The Lancet Neurology, Jose Pineda and colleagues 1 Pineda JA Leonard JR Mazotas IG et al. Effect of implementation of a paediatric neurocritical care programme on outcomes after severe traumatic brain injury: a retrospective cohort study. Lancet Neurol. 2012; (published online November 28.)http://dx.doi.org/10.1016/S1474-4422(12)70269-7 PubMed Google Scholar report improvements in outcome from severe traumatic brain injury associated with implementation of a paediatric neurocritical care programme. The study was based on a retrospective comparison between patients during two 6 year intervals, before and after implementation of the programme. Implementation of the programme resulted in reduction in mortality from 11% to 3% and in unfavourable discharge disposition (death or to an inpatient facility) for survivors from 52% to 33%. These effects could not be explained by potential confounders, including admission case mix, changes in discharge decision making, or secular trends in outcome outside their institution. Effect of implementation of a paediatric neurocritical care programme on outcomes after severe traumatic brain injury: a retrospective cohort studyOutcomes for children with traumatic brain injury can be improved by altering the care system in a way that stably implements a cooperative programme of accepted best practice. Full-Text PDF" @default.
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- W1965804971 date "2013-01-01" @default.
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- W1965804971 title "Integrated approaches to paediatric neurocritical care in traumatic brain injury" @default.
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- W1965804971 doi "https://doi.org/10.1016/s1474-4422(12)70272-7" @default.
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