Improving care in elderly neurosurgery initiative guideline on management of chronic subdural haematoma in older people-relevance for the geriatrician.
Chronic subdural haematoma (cSDH) is a common subtype of traumatic brain injury, typically affecting older people living with frailty and multimorbidity. Until now, no published guideline has existed internationally to guide management, perhaps explaining why the care of the older cSDH patient varie...
| Publicado en: | Age & Ageing Vol. 54; no. 1; pp. 1 - 6 |
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| Autores principales: | , , , , , |
| Formato: | Artículo |
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Oxford University Press / USA
Jan2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=182798729&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 182798729 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Jan2025 vid: 54 iid: 1 pid: 622 pub: Oxford University Press / USA artinfo: ui: 182798729 10.1093/ageing/afae280 ppf: 1 ppct: 5 formats: tig: atl: Improving care in elderly neurosurgery initiative guideline on management of chronic subdural haematoma in older people-relevance for the geriatrician. aug: au: Rickard, Frances Cox, Anthony Willliams, Adam Mortimer, Alex Wigfield, Crispin Shipway, David affil: North Bristol NHS Trust – Geriatric Medicine, Southmead Hospital, Southmead Road, Bristol BS10 5NB, UK North Bristol NHS Trust – Interventional Neuro-radiology, Bristol, UK North Bristol NHS Trust – Neurosurgery, Bristol, UK University of Bristol, Bristol BS8 1QU, UK British Geriatrics Society Perioperative Medicine (POPS) SIG, London, UK su: Elder care Chronic diseases Old age Medical protocols Postoperative care Neurosurgery Therapeutic embolization Tertiary care Subdural hematoma Brain injuries Quality assurance Meningeal artery sug: subj: Elder care Chronic diseases Old age Continuing Care Retirement Communities Specialty (except Psychiatric and Substance Abuse) Hospitals Medical protocols Postoperative care Neurosurgery Therapeutic embolization Tertiary care Subdural hematoma Brain injuries Quality assurance Meningeal artery keyword: burr hole trephination chronic chronic subdural haematoma embolization geriatricians hematoma meningeal arteries middle meningeal artery embolisation neurosurgery specialty neurosurgical procedures neurotrauma older adult older people operative subdural surgical procedures burr hole trephination chronic chronic subdural haematoma embolization geriatricians hematoma meningeal arteries middle meningeal artery embolisation neurosurgery specialty neurosurgical procedures neurotrauma older adult older people operative subdural surgical procedures ab: Chronic subdural haematoma (cSDH) is a common subtype of traumatic brain injury, typically affecting older people living with frailty and multimorbidity. Until now, no published guideline has existed internationally to guide management, perhaps explaining why the care of the older cSDH patient varies between neurosurgical centres. The Improving Care in Elderly Neurosurgery Initiative guideline is the first guideline dedicated to the care of patients with cSDH across the entire patient pathway, from initial presentation through to rehabilitation and discharge after surgery. It includes specific recommendations for those patients not requiring surgery who, in the UK, are mostly managed in satellite hospitals away from the tertiary neurosurgical centre. It therefore has relevance to clinicians across the entire UK and also potentially to a broader international audience. In this guideline commentary we summarise the key points for geriatricians and those allied specialties such as acute medicine who deliver care to a large proportion of patients with cSDH. We discuss issues and limitations relating to guideline development, in particular in the rapidly evolving field of Middle Meningeal Artery Embolisation. We also comment on factors which may influence guideline implementation and future service development. Finally we call for some form of national registry in older people sustaining SDH, which may need to be supported by financial incentives to drive investment in services for this historically neglected patient group. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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