2017
DOI: 10.1177/0885066617706675
|View full text |Cite
|
Sign up to set email alerts
|

A Dedicated Neurological Intensive Care Unit Offers Improved Outcomes for Patients With Brain and Spine Injuries

Abstract: Our findings suggest that admission to a dedicated NeuroICU significantly improves the neurological outcomes of patients with brain and spine injuries, including their postoperative care, in Korea.

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
3
1

Citation Types

3
31
0

Year Published

2019
2019
2022
2022

Publication Types

Select...
4
3

Relationship

0
7

Authors

Journals

citations
Cited by 29 publications
(34 citation statements)
references
References 18 publications
3
31
0
Order By: Relevance
“…with fewer complications. 1,2,5,6,8,17,18 In line with this, care with dedicated neurointensivists was associated with better outcome compared to historical controls previous literature using a single-center registry in Korea. Therefore, it is not clear whether the difference was simply due to the differences in the level of care over time, management protocols, or the role of neurointensivists in the NICU.…”
Section: Discussionmentioning
confidence: 74%
See 3 more Smart Citations
“…with fewer complications. 1,2,5,6,8,17,18 In line with this, care with dedicated neurointensivists was associated with better outcome compared to historical controls previous literature using a single-center registry in Korea. Therefore, it is not clear whether the difference was simply due to the differences in the level of care over time, management protocols, or the role of neurointensivists in the NICU.…”
Section: Discussionmentioning
confidence: 74%
“…By contrast, three institutions with dedicated neurointensivisits already had stroke units for stroke patients, and the patients who need real ICU care were admitted to the NICU. Therefore, the baseline characteristics of the patients admitted to the ICU (using only AJ code) (n = 7,410) were not comparable, and more severe patients are in the NICU at the institutions with dedicated neurointensivists (initial NIHSS 14 IQR [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] in centers with neurointensivists [n = 473, 6.4%] vs. 6 IQR [2][3][4][5][6][7][8][9][10][11][12][13] in centers without neurointensivists [n = 6,937, 93.6%]) (Supplementary Table 1). Given that respiratory failure is the most common, but important complication in patients with NICU, we selected 1,045 patients with the support of mechanical ventilator among acute ischemic stroke (with neurointensivists group, n = 303 [64.1%, 303 out of 473] and without neurointensitivsts group, n = 1,102 [15.9%, 1,102 out of 6,937]), and then the baseline characteristics were comparable between the two groups ( Table 1).…”
Section: Discussionmentioning
confidence: 99%
See 2 more Smart Citations
“…Additionally, there are robust retrospective data showing similar benefit from deploying an NCC service in an institution previously without a subspecialty-led NCC team for the care of patients with ICH, ischemic stroke, traumatic brain injury (TBI), and subarachnoid hemorrhage [6][7][8][9][10][11][12][13][14][15]. The most recent data demonstrate benefit both in the USA and internationally [16][17][18][19][20]. The Standards manuscript, similar to the constructs in the ACS Committee on Trauma's Resources for the Optimal Care of the Injured Patient, bases its criteria largely on ICU structure and staffing in the USA, which may embrace a different structure and be underpinned by different resources.…”
mentioning
confidence: 99%