Worldwide Organization of Neurocritical Care: Results from the PRINCE Study Part 1.
Academic Medical Centers
Asia
Central Nervous System Diseases
/ therapy
Clinical Protocols
Critical Care
/ organization & administration
Delivery of Health Care
/ statistics & numerical data
Europe
Fellowships and Scholarships
Health Personnel
/ organization & administration
Humans
Intensive Care Units
/ organization & administration
Internationality
Internship and Residency
Latin America
Middle East
Neurology
Neurosurgery
North America
Oceania
Personnel Management
/ statistics & numerical data
Pharmacists
Physicians
Practice Guidelines as Topic
Resource Allocation
/ statistics & numerical data
Respiratory Therapy
Telemedicine
Tomography Scanners, X-Ray Computed
Transportation of Patients
Critical care
Neurocritical care
Observational study
Outcomes
Prospective
Journal
Neurocritical care
ISSN: 1556-0961
Titre abrégé: Neurocrit Care
Pays: United States
ID NLM: 101156086
Informations de publication
Date de publication:
02 2020
02 2020
Historique:
pubmed:
9
6
2019
medline:
9
2
2021
entrez:
9
6
2019
Statut:
ppublish
Résumé
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.
Identifiants
pubmed: 31175567
doi: 10.1007/s12028-019-00750-3
pii: 10.1007/s12028-019-00750-3
pmc: PMC7223982
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
172-179Investigateurs
A J Layon
(AJ)
Aarti Sarwal
(A)
Abbas Ali
(A)
Abhijit Lele
(A)
Adrian A Jarquin-Valdivia
(AA)
Agnieszka Misiewska-Kaczur
(A)
Ahmad Ahmad
(A)
Ahmad M Deeb
(AM)
Ahmed Al Jabbary
(AA)
Ahmed Fathy
(A)
Alexander Chan
(A)
Alexander Kern
(A)
Alexandros Georgiadis
(A)
Alexey Gritsan
(A)
Ali Al Bshabshe
(AA)
Ali Malek
(A)
Alois Schiefecker
(A)
Alvaro Reao Neto
(AR)
Ameer Hassan
(A)
Amer Rashed Al Zahrani
(ARA)
Anakara V Sukumaran
(AV)
Anand K Sarma
(AK)
Anders Aneman
(A)
Andreas Kramer
(A)
Andrew Naidech
(A)
Angel J Lacerda Gallardo
(AJ)
Angela Miller
(A)
Anne O'Connor
(A)
Anthony Kim
(A)
Arash Afshinnik
(A)
Ari Katila
(A)
Audrey Paulson
(A)
Augusto Parra
(A)
Axel Rosengart
(A)
Ayesha Almemari
(A)
Baltasar Sanchez
(B)
Banambar Ray
(B)
Barbara McCrum
(B)
Barbara Vidal Tegedor
(BV)
Barnett Nathan
(B)
Benedict Tan
(B)
Benjamin Emanuel
(B)
Bettina Pfaulser
(B)
Bijen Nazliel
(B)
Bladimir Gil
(B)
Bradley Hightower
(B)
Brandon Francis
(B)
Brigit Roberts
(B)
Burhan Chaudhry
(B)
Carlos Romero
(C)
Carmelo Graffagnino
(C)
Caroline Berghe
(C)
Carsten Hobohm
(C)
Celeste Dias
(C)
Celia Bradford
(C)
Cherlynn Basignani
(C)
Cherylee Chang
(C)
Chethan P Venkatasubba Rao
(CP)
Christopher Junker
(C)
Christos Lazaridis
(C)
Colin McArthur
(C)
Craig Williamson
(C)
Cullen Hebert
(C)
D Ethan Kahn
(D)
Daniel Harvey
(D)
Daniel T Laskowitz
(DT)
Dave Milzman
(D)
David Chung
(D)
David Greer
(D)
David Seder
(D)
David W Miller
(DW)
Deborah Barge
(D)
Debra Roberts
(D)
Dedrick Jordan
(D)
Deepak Bhonagiri
(D)
Deepak Nair
(D)
Deepesh G Aggarwal
(DG)
Demetrios Jim Kutsogiannis
(DJ)
Denchai Laiwattana
(D)
Diego Barahona Pinto
(DB)
Diego Bautista
(D)
Diego Perez
(D)
Edgar Avalos Herrera
(EA)
Eduardo Smith Singares
(ES)
Edward Manno
(E)
Eileen Maloney Wilensky
(EM)
Elias A Giraldo
(EA)
Elizabeth Jenkinson
(E)
Elizabeth Yarad
(E)
Elizabeth Zavala
(E)
Eljim Tesoro
(E)
Eric Eskiogly
(E)
Eric M Bershad
(EM)
Eric Rosenthal
(E)
Ermitaño Bautista Coronel
(EB)
Errol Gordon
(E)
Estuardo Salgado
(E)
Eugenio J Poch
(EJ)
Eusebia Calvillo
(E)
Evert Eriksson
(E)
Fabio S Taccone
(FS)
Faisal Al-Suwaidan
(F)
Farzaneh Sorond
(F)
Federico Bilotta
(F)
Fernando D Goldenberg
(FD)
Foda Rosciani
(F)
Francess Bass
(F)
Francis Bernard
(F)
Francisco Bernal Julian
(FB)
Frank Rasulo
(F)
Fred Rincon
(F)
Gabriela Santos
(G)
Gabriella Anderson
(G)
Galen Henderson
(G)
Geert Meyfroidt
(G)
Gene Sung
(G)
George K C Wong
(GKC)
Gerardo Aguilar
(G)
Gloria Rodriguez-Vega
(G)
Gonzalo Tamayo
(G)
Greg Johnston
(G)
Gregory Kapinos
(G)
Guadalupe Castillo Abrego
(GC)
Gunchan Paul
(G)
Guozheng Xu
(G)
Gustavo Domeniconi
(G)
Guy Dugan
(G)
Harrish H K Murthy
(HHK)
Harry Peled
(H)
Hebaa Zraiki
(H)
Hector Alvarez
(H)
Helen Rodgers
(H)
Henrikas Vaitkevicius
(H)
Hermann C Schumacher
(HC)
Hitoshi Kobata
(H)
Hosam Al-Jehani
(H)
Hubiel J Lopez Delgado
(HJ)
Huitzilin Mauricio Olmecah
(HM)
Humberto Madrinan-Navia
(H)
Huy Tran
(H)
Ian Seppelt
(I)
Ingo Schirotzek
(I)
Irene B Medary
(IB)
Ivan L Maldonado
(IL)
Ivan Rocha Ferreira da Silva
(IRF)
J C Hemphill Iii
(JC)
J Javier Provencio
(J)
Jacobo Elias Mora
(JE)
Jafri Malin Abdullah
(JM)
James R Langdon
(JR)
Jan Claassen
(J)
Janaina de Oliveira
(J)
Jane Shilkin
(J)
Janneke Horn
(J)
Jeanne Teitelbaum
(J)
Jeffrey I Frank
(JI)
Jeffrey J Fletcher
(JJ)
Jennifer Berkeley
(J)
Jennifer Kim
(J)
Jennifer Kirkwood
(J)
Jessie Welbourne
(J)
Jian Song
(J)
Joao Roberto Sala Domingues
(JRS)
Jody Paxton
(J)
Joel Falla
(J)
Johnny Lokin
(J)
Jonathan Dissin
(J)
Jordan Bonomo
(J)
Jorge E Martinez
(JE)
Jorge H Mejia-Mantilla
(JH)
Jorge Ramirez-Arce
(J)
Jose Emmanuel Palo
(JE)
Jose I Moretti
(JI)
Jose I Suarez
(JI)
Jose Rafael Yunen Gonzalez
(JRY)
Joshua M Levine
(JM)
Joshua Medow
(J)
Juan Antonio Llopart Pou
(JAL)
Juan Diego Ciro
(JD)
Juan Luis Cam Paucar
(JLC)
Judith C Wright
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Julian Bosel
(J)
Julie Martinez
(J)
Julio Cesar Mijangos-Mendez
(JC)
Julio Chalela
(J)
Juvenal Franco Granillo
(JF)
Jyoti Sohal
(J)
Karen G Hirsch
(KG)
Karin Donaldson
(K)
Kathie Cummings
(K)
Kathleen E Hubner
(KE)
Katja Wartenberg
(K)
Keshav Goyal
(K)
Kevin Sheth
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Kimberley Kunze
(K)
Kristine O'Phelan
(K)
Kyle Sheehan
(K)
Laith Altaweel
(L)
Laura Cross
(L)
Laura Galarza Barrachina
(LG)
Lauren Kuisle
(L)
Lauren S Connolyy
(LS)
Lauren Tack
(L)
Lindsey Johnson
(L)
Lori Shutter
(L)
Lucie Pelunkova
(L)
Luis A Ramos-Gomez
(LA)
Luis Alberto Camputaro
(LA)
M Kamran Athar
(M)
Madhu Madhusudan
(M)
Madiha Hashmi
(M)
Majid Mokhtari
(M)
Manuel Jibaja
(M)
Marcella C A Muller
(MCA)
Marcelo Costilla
(M)
Marek Mirski
(M)
Maria Elena Ochoa
(ME)
Marianna Pegoli
(M)
Marie-France Dujardin
(MF)
Mariela Allasia
(M)
Mario D Teran
(MD)
Mark Gorman
(M)
Martin Chapman
(M)
Mary Amatangelo
(M)
Masao Nagayama
(M)
Matthew Dickinson
(M)
Matthew Koenig
(M)
Melissa Moreda
(M)
Michael Berman
(M)
Michael De Georgia
(M)
Michael Kuiper
(M)
Michael O'Leary
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Michael Rodricks
(M)
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(M)
Michel Torbey
(M)
Michele DeFilippis
(M)
Michele Meeker
(M)
Michelle Allen
(M)
Miguel Llano
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Miriam Treggiari
(M)
Misti Tuppeny
(M)
Mohamed Sharaby
(M)
Mohan Kottapally
(M)
Molly McNett
(M)
Moneen McBride
(M)
Monica Gomez
(M)
Monica Varga
(M)
Monisha Kumar
(M)
Moussa F Yazbeck
(MF)
Murline Smith
(M)
N Stevenson Porter
(N)
Naomi Hammond
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Navaz Karanjia
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Neel S Singhal
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(N)
Nelson Maldonado
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Nerissa Ko
(N)
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(N)
Olga Hernandez
(O)
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(OR)
Olive Sanchez
(O)
Oscar Gomez
(O)
Oscar Saldarriaga Rivera
(OS)
P C Gilvaz
(PC)
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Patrick Allan
(P)
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(P)
Paul Vespa
(P)
Pedro Amorim
(P)
Pedro Mendes de Azambuja Rodrigues
(PM)
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(P)
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(P)
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(P)
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(P)
Rachel Garvin
(R)
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(R)
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(R)
Raj Dhar
(R)
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(R)
Raphael Carandang
(R)
Raul Guisado
(R)
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(RG)
Rehan Sajjad
(R)
Rhonda Davis
(R)
Richard A Rison
(RA)
Robert Hoesch
(R)
Rodrigo Murillo
(R)
Roger Smith
(R)
Ron Ball
(R)
Ronny Beer
(R)
Rwoof A Reshi
(RA)
Ryan Landry
(R)
S Puvanendiran
(S)
Safdar Ansari
(S)
Sajid Mukaddam
(S)
Sanchita Garg
(S)
Sanghamitra Mishra
(S)
Sarah Clark
(S)
Sarah Napolitano
(S)
Saroj Pattnaik
(S)
Saulius Vosylius
(S)
Sayona John
(S)
Scott A Josephson
(SA)
Scott Glickman
(S)
Scott S Brehaut
(SS)
Seemin Afshan Shiraz
(SA)
Sergio Aguilera
(S)
Shannon Sternberg
(S)
Sherry Chou
(S)
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(S)
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(T)
Tomislav Breitenfeld
(T)
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(U)
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(W)
Willey Hall
(W)
William M Coplin
(WM)
Wilson F Abdo
(WF)
Xavier Wittebole
(X)
Yulia Titova
(Y)
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