Neuro-Chirurgie · 2026
Management of non-survivable head trauma: Opportunities for improvement.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Salwi Sanjana R, Castellanos Mackenzie D, Murphy Therese, Patel Pious D, Ajmera Sonia, Vaz Alex P, Wathen Connor A, Martin Niels D, Kumar Monisha A, Schuster James M, Petrov Dmitriy
Аннотация
BACKGROUND: Managing patients with non-survivable head trauma who do not meet brain death criteria presents significant ethical and clinical challenges. Decisions frequently fall to surrogates with limited guidance, particularly when organ donation status is unknown. This study assessed physician perspectives on communication, interventions, and institutional factors.
METHODS: We conducted a national survey of academic neurosurgery, trauma surgery, and neurocritical care programs. Items examined communication barriers, interventions by donor status, institutional support, and a dissonance measure for interventions viewed as inappropriate.
RESULTS: A total of 133 physicians responded. Top communication barriers were medical literacy, unclear patient values, and intrafamily conflict. Physicians offered more interventions when donor status was unknown than when patients were confirmed non donors. Lack of institutional support was associated with higher dissonance scores.
CONCLUSION: Care varies widely and is influenced by donor status and institutional culture, underscoring the need for clearer guidance and provider support.
METHODS: We conducted a national survey of academic neurosurgery, trauma surgery, and neurocritical care programs. Items examined communication barriers, interventions by donor status, institutional support, and a dissonance measure for interventions viewed as inappropriate.
RESULTS: A total of 133 physicians responded. Top communication barriers were medical literacy, unclear patient values, and intrafamily conflict. Physicians offered more interventions when donor status was unknown than when patients were confirmed non donors. Lack of institutional support was associated with higher dissonance scores.
CONCLUSION: Care varies widely and is influenced by donor status and institutional culture, underscoring the need for clearer guidance and provider support.