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Brain injuries are common and challenging problems faced by emergency physicians. These diagnoses may include traumatic intracerebral hemorrhage, subarachnoid hemorrhage, ruptured cerebral aneurysms, unruptured cerebral aneurysms, and arteriovenous malformations, which require neurological, neurosurgical, and/or endovascular treatment.
Brain injuries are common and challenging problems faced by emergency physicians. These diagnoses may include traumatic intracerebral hemorrhage, subarachnoid hemorrhage, ruptured cerebral aneurysms, unruptured cerebral aneurysms, and arteriovenous malformations, which require neurological, neurosurgical, and/or endovascular treatment. Depending on the indication and its severity, transfer to a comprehensive stroke center for access to advanced neuro-critical care may be necessary. Comprehensive stroke centers are widely supported and have the resources and infrastructure to have in-house expert stroke providers, teams, operating rooms, and interventional radiology suites that are always available.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| rate of appropriate and inappropriate transfers from Methodist interfacility transfers | Other | Evaluating rate for patients experiencing traumatic intracranial subarachnoid hemorrhage or spontaneous bleeds |
| Measure | Description | Time Frame |
|---|---|---|
| To determine the historical rate of appropriate and inappropriate Methodist interfacility transfers for patients experiencing traumatic intracranial subarachnoid hemorrhage or spontaneous bleed. | Implementation of screening protocols and standardization for interfacility transfers may help to reduce the incidence of unnecessary transfers. | 3 days |
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Inclusion Criteria:
Exclusion Criteria:
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Methodist Mansfield Medical Center and Methodist Charlton Medical Center to Methodist Dallas Medical Center for patients experiencing traumatic intracranial subarachnoid hemorrhage or spontaneous bleeds
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Colette Ngo Ndjom, MS | Contact | 214) 947-1289 | 71289 | MHSIRB@mhd.com |
| Bethany Brauer, MPH | Contact | 214-947-4681 | 74681 | mhsirb@mhd.com |
| Name | Affiliation | Role |
|---|---|---|
| Richard Meyrat, MD | The Methodist Hospital Research Institute | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clinical Research Institute at Methodist Health System | Recruiting | Dallas | Texas | 75203 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33222924 | Background | Alan N, Kim S, Agarwal N, Clarke J, Yealy DM, Cohen-Gadol AA, Sekula RF. Inter-facility transfer of patients with traumatic intracranial hemorrhage and GCS 14-15: The pilot study of a screening protocol by neurosurgeon to avoid unnecessary transfers. J Clin Neurosci. 2020 Nov;81:246-251. doi: 10.1016/j.jocn.2020.09.050. Epub 2020 Oct 15. |
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Study data or any protected health information will not be shared with anyone that is not delegated to the study. The PI is committed to disseminate research results in a timely fashion. Sharing of results generated by the data analysis during the course of the project will be through presentation at national scientific meetings and/or publication in open access journals. All information obtained will be source de-identified and presented on a large scale and not traceable to any one particular individual.
2 years
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| ID | Term |
|---|---|
| D020206 | Subarachnoid Hemorrhage, Traumatic |
| ID | Term |
|---|---|
| D020198 | Intracranial Hemorrhage, Traumatic |
| D020300 | Intracranial Hemorrhages |
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D013345 | Subarachnoid Hemorrhage |
| D006259 | Craniocerebral Trauma |
| D020196 | Trauma, Nervous System |
| D020214 | Cerebrovascular Trauma |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D014947 | Wounds and Injuries |
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