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About:
Worldwide Organization of Neurocritical Care: Results from the PRINCE Study Part 1
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wasabi.inria.fr
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Academic Article
research paper
schema:ScholarlyArticle
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type
Academic Article
research paper
schema:ScholarlyArticle
isDefinedBy
Covid-on-the-Web dataset
title
Worldwide Organization of Neurocritical Care: Results from the PRINCE Study Part 1
Creator
Bauza, Colleen
Calvillo, Eusebia
Claude, J
Georgiadis, Alexandros
Iii, Hemphill
Leroux, Peter
Martin, Renee
Oddo, Mauro
Rao, Chethan
Suarez, Jose
Sung, Gene
Taccone, Fabio
source
PMC
abstract
INTRODUCTION: Neurocritical care focuses on the care of critically ill patients with an acute neurologic disorder and has grown significantly in the past few years. However, there is a lack of data that describe the scope of practice of neurointensivists and epidemiological data on the types of patients and treatments used in neurocritical care units worldwide. To address these issues, we designed a multicenter, international, point-prevalence, cross-sectional, prospective, observational, non-interventional study in the setting of neurocritical care (PRINCE Study). METHODS: In this manuscript, we analyzed data from the initial phase of the study that included registration, hospital, and intensive care unit (ICU) organizations. We present here descriptive statistics to summarize data from the registration case report form. We performed the Kruskal–Wallis test followed by the Dunn procedure to test for differences in practices among world regions. RESULTS: We analyzed information submitted by 257 participating sites from 47 countries. The majority of those sites, 119 (46.3%), were in North America, 44 (17.2%) in Europe, 34 (13.3%) in Asia, 9 (3.5%) in the Middle East, 34 (13.3%) in Latin America, and 14 (5.5%) in Oceania. Most ICUs are from academic institutions (73.4%) located in large urban centers (44% > 1 million inhabitants). We found significant differences in hospital and ICU organization, resource allocation, and use of patient management protocols. The highest nursing/patient ratio was in Oceania (100% 1:1). Dedicated Advanced Practiced Providers are mostly present in North America (73.7%) and are uncommon in Oceania (7.7%) and the Middle East (0%). The presence of dedicated respiratory therapist is common in North America (85%), Middle East (85%), and Latin America (84%) but less common in Europe (26%) and Oceania (7.7%). The presence of dedicated pharmacist is highest in North America (89%) and Oceania (85%) and least common in Latin America (38%). The majority of respondents reported having a dedicated neuro-ICU (67% overall; highest in North America: 82%; and lowest in Oceania: 14%). CONCLUSION: The PRINCE Study results suggest that there is significant variability in the delivery of neurocritical care. The study also shows it is feasible to undertake international collaborations to gather global data about the practice of neurocritical care. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s12028-019-00750-3) contains supplementary material, which is available to authorized users.
has issue date
2019-06-07
(
xsd:dateTime
)
bibo:doi
10.1007/s12028-019-00750-3
bibo:pmid
31175567
has license
no-cc
sha1sum (hex)
c37419b164b1167c4ea7022bd168d4abe38444b3
schema:url
https://doi.org/10.1007/s12028-019-00750-3
resource representing a document's title
Worldwide Organization of Neurocritical Care: Results from the PRINCE Study Part 1
has PubMed Central identifier
PMC7223982
has PubMed identifier
31175567
schema:publication
Neurocrit Care
resource representing a document's body
covid:c37419b164b1167c4ea7022bd168d4abe38444b3#body_text
is
schema:about
of
named entity 'neurocritical care'
named entity 'prospective'
named entity 'NON-INTERVENTIONAL STUDY'
covid:arg/c37419b164b1167c4ea7022bd168d4abe38444b3
named entity 'epidemiological'
named entity 'However'
named entity 'patients'
named entity 'cross-sectional'
named entity 'neurocritical care'
named entity 'Neurocritical Care'
named entity 'Neurointensive Care'
named entity 'Chinese University of Hong Kong'
named entity 'neurosurgical'
named entity 'fellowship training programs'
named entity 'hospital settings'
named entity 'Electronic Data Capture'
named entity 'resource allocation'
named entity 'ICUs'
named entity 'Neurocritical Care Society'
named entity 'Chinese University of Hong Kong'
named entity 'Latin America'
named entity 'Canada'
named entity 'Case Report'
named entity 'resuscitation'
named entity '3, 4'
named entity 'Neurointensive care'
named entity 'statistically significant'
named entity 'ICUs'
named entity 'ICU'
named entity 'North America'
named entity 'Mexico'
named entity 'North America'
named entity 'Canada'
named entity 'neurocritical care'
named entity 'neurocritical care'
named entity 'India'
named entity 'Europe'
named entity 'acute ischemic stroke'
named entity 'neurocritical care'
named entity 'neurocritical care'
named entity 'ascending polyneuropathy'
named entity 'Clinical Trials'
named entity 'Descriptive statistics'
named entity 'Neurocritical care'
named entity 'Critical Care'
named entity 'Europe'
named entity 'Asia'
named entity 'North America'
named entity 'Stroke'
named entity 'brain injuries'
named entity 'Neurointensive care'
named entity 'critical care'
named entity 'neurocritical care'
named entity 'Africa'
named entity 'multidisciplinary'
named entity 'Houston'
named entity 'neurocritical care'
named entity 'Canadian'
named entity 'nonprofit organization'
named entity 'fellowship training programs'
named entity 'Neurocritical Care'
named entity 'Spain'
named entity 'neurocritical care'
named entity 'ICUs'
named entity 'Ethics'
named entity 'daily activities'
named entity 'PowerPoint'
named entity 'epidemiological data'
named entity 'PRINCE PI'
named entity 'Society of Intensive Care Medicine'
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