Surgical decision making in the setting of severe traumatic brain injury: A survey of neurosurgeons.

ABSTRACT: BACKGROUND:Surgical decision-making in severe traumatic brain injury (TBI) is complex. Neurosurgeons weigh risks and benefits of interventions that have the potential to both maximize the chance of recovery and prolong suffering. Inaccurate prognostication can lead to over- or under-estimation of outcomes and influence treatment recommendations. OBJECTIVE:To evaluate the impact of evidence-based risk estimates on neurosurgeon treatment recommendations and prognostic beliefs in severe TBI. METHODS:In a survey-based randomized experiment, a total of 139 neurosurgeons were presented with two hypothetical patient with severe TBI and subdural hematoma; the intervention group received additional evidence-based risk estimates for each patient. The main outcome was neurosurgeon treatment recommend

SUBMITTER: Williamson T 

PROVIDER: S-EPMC7051065 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature