Worldwide Organization of Neurocritical Care: Results from the PRINCE Study Part 1.
Details
State: Public
Version: Final published version
License: Not specified
Serval ID
serval:BIB_751CD403B393
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Worldwide Organization of Neurocritical Care: Results from the PRINCE Study Part 1.
Journal
Neurocritical care
Working group(s)
PRINCE Study Investigators
Contributor(s)
Layon A.J., Sarwal A., Ali A., Lele A., Jarquin-Valdivia A.A., Misiewska-Kaczur A., Ahmad A., Deeb A.M., Jabbary A.A., Fathy A., Chan A., Kern A., Georgiadis A., Gritsan A., Bshabshe A.A., Malek A., Schiefecker A., Neto A.R., Hassan A., Zahrani ARA, Sukumaran A.V., Sarma A.K., Aneman A., Kramer A., Naidech A., Lacerda Gallardo A.J., Miller A., O'Connor A., Kim A., Afshinnik A., Katila A., Paulson A., Parra A., Rosengart A., Almemari A., Sanchez B., Ray B., McCrum B., Tegedor B.V., Nathan B., Tan B., Emanuel B., Pfaulser B., Nazliel B., Gil B., Hightower B., Francis B., Roberts B., Chaudhry B., Romero C., Graffagnino C., Berghe C., Hobohm C., Dias C., Bradford C., Basignani C., Chang C., Venkatasubba Rao C.P., Junker C., Lazaridis C., McArthur C., Williamson C., Hebert C., Ethan Kahn D., Harvey D., Laskowitz D.T., Milzman D., Chung D., Greer D., Seder D., Miller D.W., Barge D., Roberts D., Jordan D., Bhonagiri D., Nair D., Aggarwal D.G., Kutsogiannis D.J., Laiwattana D., Pinto D.B., Bautista D., Perez D., Herrera E.A., Singares E.S., Manno E., Wilensky E.M., Giraldo E.A., Jenkinson E., Yarad E., Zavala E., Tesoro E., Eskiogly E., Bershad E.M., Rosenthal E., Coronel E.B., Gordon E., Salgado E., Poch E.J., Calvillo E., Eriksson E., Taccone F.S., Al-Suwaidan F., Sorond F., Bilotta F., Goldenberg F.D., Rosciani F., Bass F., Bernard F., Julian F.B., Rasulo F., Rincon F., Santos G., Anderson G., Henderson G., Meyfroidt G., Sung G., Wong GKC, Aguilar G., Rodriguez-Vega G., Tamayo G., Johnston G., Kapinos G., Abrego G.C., Paul G., Xu G., Domeniconi G., Dugan G., Murthy HHK, Peled H., Zraiki H., Alvarez H., Rodgers H., Vaitkevicius H., Schumacher H.C., Kobata H., Al-Jehani H., Lopez Delgado H.J., Olmecah H.M., Madrinan-Navia H., Tran H., Seppelt I., Schirotzek I., Medary I.B., Maldonado I.L., da Silva IRF, Hemphill Iii J.C., Javier Provencio J., Mora J.E., Abdullah J.M., Langdon J.R., Claassen J., de Oliveira J., Shilkin J., Horn J., Teitelbaum J., Frank J.I., Fletcher J.J., Berkeley J., Kim J., Kirkwood J., Welbourne J., Song J., Domingues JRS, Paxton J., Falla J., Lokin J., Dissin J., Bonomo J., Martinez J.E., Mejia-Mantilla J.H., Ramirez-Arce J., Palo J.E., Moretti J.I., Suarez J.I., Gonzalez JRY, Levine J.M., Medow J., Pou JAL, Ciro J.D., Paucar JLC, Wright J.C., Bosel J., Martinez J., Mijangos-Mendez J.C., Chalela J., Granillo J.F., Sohal J., Hirsch K.G., Donaldson K., Cummings K., Hubner K.E., Wartenberg K., Goyal K., Sheth K., Kunze K., O'Phelan K., Sheehan K., Altaweel L., Cross L., Barrachina L.G., Kuisle L., Connolyy L.S., Tack L., Johnson L., Shutter L., Pelunkova L., Ramos-Gomez L.A., Camputaro L.A., Kamran Athar M., Madhusudan M., Hashmi M., Mokhtari M., Jibaja M., Muller MCA, Costilla M., Mirski M., Ochoa M.E., Pegoli M., Dujardin M.F., Allasia M., Teran M.D., Gorman M., Chapman M., Amatangelo M., Nagayama M., Dickinson M., Koenig M., Moreda M., Berman M., De Georgia M., Kuiper M., O'Leary M., Rodricks M., Schneck M., Torbey M., DeFilippis M., Meeker M., Allen M., Llano M., Villalobos M., Treggiari M., Tuppeny M., Sharaby M., Kottapally M., McNett M., McBride M., Gomez M., Varga M., Kumar M., Yazbeck M.F., Smith M., Stevenson Porter N., Hammond N., Karanjia N., Sokhal N., Singhal N.S., Badjatia N., Maldonado N., Ko N., Marinoff N., Hernandez O., Krauchi O.R., Sanchez O., Gomez O., Rivera O.S., Gilvaz P.C., Raffa P., Varelas P., Promsin P., Merlani P., Shushma P., Allan P., Biston P., Vespa P., Amorim P., de Azambuja Rodrigues P.M., Hopkins P., Hantson P., Vanamoorthy P., Gupta P., Garvin R., Badenes R., Damani R., Helbok R., Dhar R., Rawal R., Carandang R., Guisado R., Luengo R.G., Sajjad R., Davis R., Rison R.A., Hoesch R., Murillo R., Smith R., Ball R., Beer R., Reshi R.A., Landry R., Puvanendiran S., Ansari S., Mukaddam S., Garg S., Mishra S., Clark S., Napolitano S., Pattnaik S., Vosylius S., John S., Josephson S.A., Glickman S., Brehaut S.S., Shiraz S.A., Aguilera S., Sternberg S., Chou S., Vallance S., Lasocki S., Schoenenberger S., Bird S., Finfer S., Shieber S., Vadi S., Samavedam S., Cordina S., Feske S., Glassner S., Dixit S., Dowling S., Tena S.A., Bowling S., Francken S., Muehlschlegel S., Renard S., Poli S., Carter T., Bleck T.P., Trim T., Breitenfeld T., Van Bui T., Shukla U., Sinha V., Rajajee V., Aiyagari V., McCredie V., Svigelj V., Verma V., Rao V.A., David Freeman W., Smith W.S., Videtta W., Habre W., Hall W., Coplin W.M., Abdo W.F., Wittebole X., Titova Y.
ISSN
1556-0961 (Electronic)
ISSN-L
1541-6933
Publication state
Published
Issued date
02/2020
Peer-reviewed
Oui
Volume
32
Number
1
Pages
172-179
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Publication Status: ppublish
Abstract
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).
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.
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%).
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.
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.
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%).
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.
Keywords
Critical care, Neurocritical care, Observational study, Outcomes, Prospective
Pubmed
Create date
24/06/2019 8:51
Last modification date
14/01/2022 8:10
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