Subarachnoid hemorrhage strikes without warning and results from rupture of an artery supplying the brain. Thirty percent do not survive, and half of those who do are permanently disabled.
The recommendation that patients receive care at high-volume centers is based on a comprehensive analysis of medical outcomes research conducted by an international panel of experts. The report found that relatively fewer patients are treated at high-volume centers, despite overwhelming evidence that care in more experienced centers will most likely result in definitive repair of the aneurysm and a good recovery.
"One important reason for better outcomes in large volume centers is that care is provided by specialized neurocritical care teams," said Dr. Paul Vespa, Director of Neurocritical Care at UCLA Medical Center and lead author of the report. "Once bleeding from the aneurysm is controlled, highly-specialized ICU care is required to detect and treat secondary complications. These complications are often just as deadly, if not more so, than the bleeding event."
Studies indicate that patients who come to a hospital with little experience in managing subarachnoid hemorrhage are rarely transferred to high-volume centers. "The main reason that patients are not transferred is that stroke care is not regionalized in the same way that it is for trauma. It is a patchwork system; sometimes it works, but more often it does not," says Dr. Stephan A. Mayer, Director of Neurocritical Care at Columbia University Medical Center and President of the Neurocritical Care Society.
Medical guidelines play an important role in guiding doctors, hospitals, and public policy as it relates to healthcare. According to Michael N. Diringer, Professor of Neurology and Neurosurgery at Washington University and Director of the Neurology/Neurosurgery Intensive Care Unit at Barnes-Jewish Hospital in St Louis, who chaired the consensus conference and co-authored the report, "None of the specific medications or treatments that we analyzed made nearly as much difference as where the patient is initially taken for treatment. These guidelines will hopefully alert patients, doctors, and hospital systems to the importance of regionalized care for brain aneurysm victims."
View the full summary report at: http://www.springerlink.com/content/u028t28013214524/
About the Neurocritical Care Society
The Neurocritical Care Society is an international not-for-profit organization composed of multiprofessional healthcare providers that are dedicated to improve the care and outcomes of patients with life-threatening neurological illnesses by promoting quality patient care, professional collaboration, research, training and advocacy. The organization's website is www.neurocriticalcare.org.CONTACT:
Janel Fick | EurekAlert!
Spread of deadly eye cancer halted in cells and animals
13.11.2018 | Johns Hopkins Medicine
Breakthrough in understanding how deadly pneumococcus avoids immune defenses
13.11.2018 | University of Liverpool
Biochips have been developed at TU Wien (Vienna), on which tissue can be produced and examined. This allows supplying the tissue with different substances in a very controlled way.
Cultivating human cells in the Petri dish is not a big challenge today. Producing artificial tissue, however, permeated by fine blood vessels, is a much more...
Faster and secure data communication: This is the goal of a new joint project involving physicists from the University of Würzburg. The German Federal Ministry of Education and Research funds the project with 14.8 million euro.
In our digital world data security and secure communication are becoming more and more important. Quantum communication is a promising approach to achieve...
On Saturday, 10 November 2018, the research icebreaker Polarstern will leave its homeport of Bremerhaven, bound for Cape Town, South Africa.
When choosing materials to make something, trade-offs need to be made between a host of properties, such as thickness, stiffness and weight. Depending on the application in question, finding just the right balance is the difference between success and failure
Now, a team of Penn Engineers has demonstrated a new material they call "nanocardboard," an ultrathin equivalent of corrugated paper cardboard. A square...
Physicists at ETH Zurich demonstrate how errors that occur during the manipulation of quantum system can be monitored and corrected on the fly
The field of quantum computation has seen tremendous progress in recent years. Bit by bit, quantum devices start to challenge conventional computers, at least...
09.11.2018 | Event News
06.11.2018 | Event News
23.10.2018 | Event News
13.11.2018 | Life Sciences
13.11.2018 | Life Sciences
13.11.2018 | Awards Funding