Few data exist regarding the management of severe head injury in non-neurosurgical centres within the UK.
We aimed to discover the number of intensive care units admitting head injury patients, the number of patients admitted annually, and the monitoring and treatment methods followed.
Questionnaires were sent to the senior nurse and consultant in 263 intensive care units within non-neurosurgical hospitals.
The response rate was 78.8%, with at least one response received from 93.2% of hospitals.
The severely head injured were routinely admitted in 56.7% of units.
Approximately 2100 patients are admitted annually, a mean of 15 per unit.
Intracranial pressure monitoring is routine in only 9% of units and 7% are without 24-h facilities for CT, a cause for concern.
More encouragingly, 63% of hospitals have access to rehabilitation facilities.
Distribution of guidelines to all intensive care units participating in the care of head injury may improve management and outcome.
Mots-clés Pascal : Traumatisme, Crânioencéphalique, Grave, Royaume Uni, Europe, Unité soin intensif, Monitorage, Pression intracrânienne, Réhabilitation, Conduite à tenir, Epidémiologie, Protocole thérapeutique, Traitement, Homme, Système nerveux pathologie, Système nerveux central pathologie, Encéphale pathologie, Système ostéoarticulaire pathologie, Crâne pathologie
Mots-clés Pascal anglais : Trauma, Craniocerebral, Severe, United Kingdom, Europe, Intensive care unit, Monitoring, Intracranial pressure, Rehabilitation, Clinical management, Epidemiology, Therapeutic protocol, Treatment, Human, Nervous system diseases, Central nervous system disease, Cerebral disorder, Diseases of the osteoarticular system, Skull disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0143697
Code Inist : 002B16B. Création : 21/07/1998.