Brain Trauma Foundation Guideline Compliance: Results of a Multidisciplinary, International Survey

World Neurosurgery
Ryan HirschiGregory W J Hawryluk

Abstract

Brain Trauma Foundation (BTF) guidelines reflect evidence-based best practices in management of traumatic brain injury. The aim of this study was to examine self-reported physician compliance and predictors of compliance related to BTF guidelines. We conducted an international, multidisciplinary survey examining self-reported adherence to BTF guidelines and multiple factors potentially affecting adherence. We also surveyed intracranial pressure monitoring practices. Of 154 physician respondents, 15.9% reported their institutions "always" follow BTF guidelines and 72.2% reported that they follow them "most of the time." Personal volume of traumatic brain injury cases and years in practice were not significantly related to adherence. Reported adherence varied significantly in association with respondent's institutional trauma level (P = 0.0010): 17.3% of practitioners at level I, 13.0% at level II, and 0% at level III trauma centers reported "always" following guidelines. Reported adherence to guidelines also varied significantly in association with provider specialty (P = 0.015) and institutional volume of severe traumatic brain injury cases (P = 0.008). Regarding intracranial pressure monitoring practices, 52% of respondents us...Continue Reading

References

Oct 1, 1995·American Journal of Surgery·C W KonvolinkaW J Sacco
Aug 6, 1999·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·A S AdamsD Ross-Degnan
Aug 7, 2002·Critical Care Medicine·Eileen M BulgerUNKNOWN Brain Trauma Foundation
Sep 21, 2002·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Karen Beckman PaceAnn Kuckelman Cobb
Jan 7, 2003·American Heart Journal·Lucian L LeapeArnold M Epstein
Sep 30, 2005·Annals of Surgery·Demetrios DemetriadesLinda Chan
Dec 20, 2007·The Journal of Trauma·Dale C Hesdorffer, Jamshid Ghajar
Aug 6, 2008·Quality & Safety in Health Care·S Hakkennes, K Dodd
Jul 16, 2013·International Journal of Clinical Pharmacology and Therapeutics·Chia-Yu ChouYueh-Ching Chou
Sep 23, 2016·Neurosurgery·Nancy CarneyJamshid Ghajar
Mar 5, 2017·The Journal of Orthopaedic and Sports Physical Therapy·Carlos E LadeiraRubens A da Silva

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Citations

Oct 12, 2021·Neurosurgery·Gregory W J Hawryluk, Jamshid Ghajar

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