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- W2477272989 abstract "The generalizability of United States-based Brain Trauma Foundation (BTF) guidelines in regions and countries outside the United States, where resources and trauma systems may differ substantially has not been investigated.[1] In recently published article, the researchers examined the adherence to accepted BTF clinical guidelines for management of severe traumatic brain injury (TBI) in two different tertiary level institutions: Jai Prakash Narayan Apex Trauma Center in New Delhi, India, and Harborview Medical Center (HMC) in Seattle, Washington, United States.[2] The researchers also examined long-term outcomes in patients with severe TBI at each institution. Each center recruited 200 patients. The baseline patient characteristics were largely similar at two centers except for higher incidences of extracranial injuries at HMC. An overall guideline adherence rate was > 70% at both sites. Mortality rate in Delhi was 24% at hospital discharge, and in Seattle was 26.5%. Moreover, an adherence rate > 65% was associated with nearly twofold lower inpatient mortality in Delhi. In contrast, there was no relationship between guideline adherence and inpatient mortality in Seattle. This indicates that the inhospital outcome after intervention or management in acute stage does not differ in different trauma systems when the management protocol is guideline driven." @default.
- W2477272989 created "2016-08-23" @default.
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- W2477272989 date "2016-07-26" @default.
- W2477272989 modified "2023-09-24" @default.
- W2477272989 title "Tale of Two Cities: Collaborative Head Injury and Guidelines Study" @default.
- W2477272989 doi "https://doi.org/10.1055/s-0036-1586221" @default.
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