Management of severe traumatic brain injury in regions with limited resources

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dc.contributor.authorGriswold, Dylan Paul
dc.contributor.authorJibaja, Manuel
dc.contributor.authorRabinstein, Alejandro A.
dc.contributor.authorGodoy, Daniel Agustín
dc.contributor.authorRubiano, Andrés Mariano
dc.contributor.orcidRubiano, Andrés Mariano [0000-0001-8931-3254]
dc.date.accessioned2022-11-21T21:52:37Z
dc.date.available2022-11-21T21:52:37Z
dc.date.issued2021
dc.description.abstractenglishImportance: Severe traumatic brain injury (sTBI) is a critical health problem in regions of limited resources (RLRs). Younger populations are among the most impacted. The objective of this review is to analyze recent consensus-based algorithms, protocols and guidelines proposed for the care of patients with TBI in RLRs. Observations: The principal mechanisms for sTBI in RLRs are road traffic injuries (RTIs) and violence. Limitations of care include suboptimal or non-existent pre-hospital care, overburdened emergency services, lack of trained human resources, and surgical and intensive care. Low-cost neuromonitoring systems are currently in testing, and formal neurotrauma registries are forming to evaluate both long-term outcomes and best practices at every level of care from hospital transport to the emergency department (ED), to the operating room and intensive care unit (ICU). Conclusions and Relevance: The burden of sTBI is highest in RLRs. As working-age adults are the predominantly affected age-group, an increase in disability-adjusted life years (DALYs) generates a loss of economic growth in regions where economic growth is needed most. Four multi-institutional collaborations between high-income countries (HICs) and LMICs have developed evidence and consensus-based documents focused on capacity building for sTBI care as a means of addressing this substantial burden of disease.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1080/02699052.2021.1972149
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.issn0269-9052
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlrepourl:https://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/9279
dc.language.isoeng
dc.publisherTaylor and Francis Ltd.spa
dc.publisher.journalBrain Injuryspa
dc.relation.ispartofseriesBrain Injury, 0269-9052, Vol 35, Num 11, 2021, pag 1317-1325spa
dc.relation.urihttps://www.tandfonline.com/doi/full/10.1080/02699052.2021.1972149
dc.rights.accessrightsinfo:eu-repo/semantics/closedAccess
dc.rights.accessrightshttps://purl.org/coar/access_right/c_14cb
dc.rights.accessrightsAcceso cerrado
dc.subjectLesión cerebral traumáticaspa
dc.subjectPIBMspa
dc.subjectDirectricesspa
dc.subjectNeurotraumaspa
dc.subjectProtocolosspa
dc.subject.keywordsTraumatic brain injuryspa
dc.subject.keywordsLMICsspa
dc.subject.keywordsGuidelinesspa
dc.subject.keywordsNeurotraumaspa
dc.subject.keywordsProtocolsspa
dc.titleManagement of severe traumatic brain injury in regions with limited resourcesspa
dc.title.translatedManagement of severe traumatic brain injury in regions with limited resourcesspa
dc.type.coarhttps://purl.org/coar/resource_type/c_6501
dc.type.coarversionhttps://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.driverinfo:eu-repo/semantics/article
dc.type.hasversioninfo:eu-repo/semantics/publishedVersion
dc.type.localArtículo de revista

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