Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Advances in management of neurosurgical trauma: USA and Canada
Autore:
Kelly, DF; Becker, DP;
Indirizzi:
Univ Calif Los Angeles, Sch Med, Div Neurosurg, Los Angeles, CA 90095 USA Univ Calif Los Angeles Los Angeles CA USA 90095 Los Angeles, CA 90095 USA
Titolo Testata:
WORLD JOURNAL OF SURGERY
fascicolo: 9, volume: 25, anno: 2001,
pagine: 1179 - 1185
SICI:
0364-2313(200109)25:9<1179:AIMONT>2.0.ZU;2-P
Fonte:
ISI
Lingua:
ENG
Soggetto:
SEVERE HEAD-INJURY; SPINAL-CORD INJURY; CEREBRAL PERFUSION-PRESSURE; SAN-DIEGO-COUNTY; COMA DATA-BANK; BRAIN INJURY; INTRACRANIAL HYPERTENSION; COMPUTERIZED-TOMOGRAPHY; TIRILAZAD MESYLATE; GUNSHOT WOUNDS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
70
Recensione:
Indirizzi per estratti:
Indirizzo: Kelly, DF Univ Calif Los Angeles, Sch Med, Div Neurosurg, Box 957039,Room 18-218 NPI, Los Angeles, CA 90095 USA Univ Calif Los Angeles Box 957039,Room 18-218 NPI Los Angeles CA USA 90095
Citazione:
D.F. Kelly e D.P. Becker, "Advances in management of neurosurgical trauma: USA and Canada", WORLD J SUR, 25(9), 2001, pp. 1179-1185

Abstract

Traumatic brain and spinal cord injuries continue to pose serious challenges for physicians around the world. In North America, the annual number of serious head and spinal injuries has decreased over the last two decades, and of those patients who reach a hospital, the mortality and long-term morbidity have also declined. The two major reasons for this reduction in deathand disability after craniospinal trauma in the United States and Canada appear to be (1) widespread implementation of prevention measures, safety legislation, and public education initiatives; and (2) further improvements in and wider availability of emergency medical systems and regional trauma centers. Improvements in neurocritical care and the implementation of evidence-based treatment guidelines for severe head injury victims may also, in part, be responsible for improved survival rates and reduced disability rates. Unfortunately, numerous clinical trials of putative neuroprotective agents conducted in North America and elsewhere during the 1990s have failed todemonstrate efficacy in head-injured patients. However, methylprednisolonedoes appear to confer some benefit to a select population of spinal cord injury patients. These advances in the areas of prevention, regional trauma systems, treatment guidelines, and neurocritical care that have influenced survival rates and recovery of function are discussed.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/11/20 alle ore 12:30:47