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Early management of adult traumatic spinal cord injury in patients with polytrauma: a consensus and clinical recommendations jointly developed by the World Society of Emergency Surgery (WSES) & the European Association of Neurosurgical Societies (EANS)
World Journal of Emergency Surgery ( IF 8 ) Pub Date : 2024-01-18 , DOI: 10.1186/s13017-023-00525-4 Edoardo Picetti , Andreas K. Demetriades , Fausto Catena , Bizhan Aarabi , Fikri M. Abu-Zidan , Oscar L. Alves , Luca Ansaloni , Rocco A. Armonda , Rafael Badenes , Miklosh Bala , Zsolt J. Balogh , Andrea Barbanera , Alessandro Bertuccio , Walter L. Biffl , Pierre Bouzat , Andras Buki , Ana Maria Castano-Leon , Davide Cerasti , Giuseppe Citerio , Federico Coccolini , Raul Coimbra , Carlo Coniglio , Francesco Costa , Federico De Iure , Bart Depreitere , Enrico Fainardi , Michael J. Fehlings , Nikolay Gabrovsky , Daniel Agustin Godoy , Peter Gruen , Deepak Gupta , Gregory W. J. Hawryluk , Raimund Helbok , Iftakher Hossain , Peter J. Hutchinson , Corrado Iaccarino , Kenji Inaba , Marcel Ivanov , Stanislav Kaprovoy , Andrew W. Kirkpatrick , Sam Klein , Angelos Kolias , Nikolay A. Konovalov , Alfonso Lagares , Laura Lippa , Angelica Loza-Gomez , Teemu M. Luoto , Andrew I. R. Maas , Andrzej Maciejczak , Ronald V. Maier , Niklas Marklund , Matthew J. Martin , Ilaria Melloni , Sergio Mendoza-Lattes , Geert Meyfroidt , Marina Munari , Lena M. Napolitano , David O. Okonkwo , Yasuhiro Otomo , Marios C. Papadopoulos , Ondra Petr , Wilco C. Peul , Aichholz K. Pudkrong , Zaffer Qasim , Frank Rasulo , Carla Reizinho , Florian Ringel , Sandro Rizoli , Elham Rostami , Andres M. Rubiano , Emanuele Russo , Aarti Sarwal , Jan M. Schwab , Franco Servadei , Deepak Sharma , Salman Sharif , Ehab Shiban , Lori Shutter , Philip F. Stahel , Fabio S. Taccone , Nicole A. Terpolilli , Claudius Thomé , Peter Toth , Parmenion P. Tsitsopoulos , Andrew Udy , Alexander R. Vaccaro , Albert J. Varon , Monica S. Vavilala , Alexander Younsi , Monika Zackova , Tommaso Zoerle , Chiara Robba
World Journal of Emergency Surgery ( IF 8 ) Pub Date : 2024-01-18 , DOI: 10.1186/s13017-023-00525-4 Edoardo Picetti , Andreas K. Demetriades , Fausto Catena , Bizhan Aarabi , Fikri M. Abu-Zidan , Oscar L. Alves , Luca Ansaloni , Rocco A. Armonda , Rafael Badenes , Miklosh Bala , Zsolt J. Balogh , Andrea Barbanera , Alessandro Bertuccio , Walter L. Biffl , Pierre Bouzat , Andras Buki , Ana Maria Castano-Leon , Davide Cerasti , Giuseppe Citerio , Federico Coccolini , Raul Coimbra , Carlo Coniglio , Francesco Costa , Federico De Iure , Bart Depreitere , Enrico Fainardi , Michael J. Fehlings , Nikolay Gabrovsky , Daniel Agustin Godoy , Peter Gruen , Deepak Gupta , Gregory W. J. Hawryluk , Raimund Helbok , Iftakher Hossain , Peter J. Hutchinson , Corrado Iaccarino , Kenji Inaba , Marcel Ivanov , Stanislav Kaprovoy , Andrew W. Kirkpatrick , Sam Klein , Angelos Kolias , Nikolay A. Konovalov , Alfonso Lagares , Laura Lippa , Angelica Loza-Gomez , Teemu M. Luoto , Andrew I. R. Maas , Andrzej Maciejczak , Ronald V. Maier , Niklas Marklund , Matthew J. Martin , Ilaria Melloni , Sergio Mendoza-Lattes , Geert Meyfroidt , Marina Munari , Lena M. Napolitano , David O. Okonkwo , Yasuhiro Otomo , Marios C. Papadopoulos , Ondra Petr , Wilco C. Peul , Aichholz K. Pudkrong , Zaffer Qasim , Frank Rasulo , Carla Reizinho , Florian Ringel , Sandro Rizoli , Elham Rostami , Andres M. Rubiano , Emanuele Russo , Aarti Sarwal , Jan M. Schwab , Franco Servadei , Deepak Sharma , Salman Sharif , Ehab Shiban , Lori Shutter , Philip F. Stahel , Fabio S. Taccone , Nicole A. Terpolilli , Claudius Thomé , Peter Toth , Parmenion P. Tsitsopoulos , Andrew Udy , Alexander R. Vaccaro , Albert J. Varon , Monica S. Vavilala , Alexander Younsi , Monika Zackova , Tommaso Zoerle , Chiara Robba
The early management of polytrauma patients with traumatic spinal cord injury (tSCI) is a major challenge. Sparse data is available to provide optimal care in this scenario and worldwide variability in clinical practice has been documented in recent studies. A multidisciplinary consensus panel of physicians selected for their established clinical and scientific expertise in the acute management of tSCI polytrauma patients with different specializations was established. The World Society of Emergency Surgery (WSES) and the European Association of Neurosurgical Societies (EANS) endorsed the consensus, and a modified Delphi approach was adopted. A total of 17 statements were proposed and discussed. A consensus was reached generating 17 recommendations (16 strong and 1 weak). This consensus provides practical recommendations to support a clinician’s decision making in the management of tSCI polytrauma patients.
中文翻译：
成人多发伤患者创伤性脊髓损伤的早期治疗：世界急诊外科学会 (WSES) 和欧洲神经外科学会协会 (EANS) 联合制定的共识和临床建议
创伤性脊髓损伤 (tSCI) 多发伤患者的早期治疗是一项重大挑战。在这种情况下，可利用稀疏数据提供最佳护理，并且最近的研究记录了全球临床实践的差异。建立了一个多学科共识小组，由不同专业的 tSCI 多发伤患者急性管理方面的临床和科学专业知识选出。世界急诊外科学会 (WSES) 和欧洲神经外科学会协会 (EANS) 认可了该共识，并采用了修改后的德尔菲方法。总共提出并讨论了 17 项声明。达成共识，产生 17 项建议（16 项强，1 项弱）。该共识提供了实用的建议，以支持临床医生在治疗 tSCI 多发伤患者方面的决策。
更新日期：2024-01-18
中文翻译：
成人多发伤患者创伤性脊髓损伤的早期治疗：世界急诊外科学会 (WSES) 和欧洲神经外科学会协会 (EANS) 联合制定的共识和临床建议
创伤性脊髓损伤 (tSCI) 多发伤患者的早期治疗是一项重大挑战。在这种情况下，可利用稀疏数据提供最佳护理，并且最近的研究记录了全球临床实践的差异。建立了一个多学科共识小组，由不同专业的 tSCI 多发伤患者急性管理方面的临床和科学专业知识选出。世界急诊外科学会 (WSES) 和欧洲神经外科学会协会 (EANS) 认可了该共识，并采用了修改后的德尔菲方法。总共提出并讨论了 17 项声明。达成共识，产生 17 项建议（16 项强，1 项弱）。该共识提供了实用的建议，以支持临床医生在治疗 tSCI 多发伤患者方面的决策。
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