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Neurocritical Care Society Approved Survey: Systems-Based Hospital Practices for Traumatic Brain Injury and the Role of the Neurointensivist

Returning?

A A A

Background: Traumatic brain injury (TBI) is a significant cause of morbidity and mortality, afflicting all ages, socioeconomic classes and racial backgrounds. TBI is also one of the most common admitting diagnosis to a neuroscience intensive care unit (ICU). Despite having shared pathophysiology and diagnostic and management principles with other acute neurological disorders, the neurointensivist’s role in the management of TBI has not been clearly established.

Survey Purpose: The purpose of this descriptive study is to characterize the current role of the neurocritical care physician in the management and system’s based practice of acute TBI.

Importance: Highlighting the potential heterogeneity of practice among neurointensivists in their role in managing TBI will identify potential areas of improvement. Opportunities for standardizing care, quality improvement, and research within TBI may benefit from a more defined role for neurocritical care physicians.

Audience: Physicians in professional practice who evaluate and treat adult patients in an ICU setting

Expected Time to complete survey: 5 minutes

Region of Practice:

* must provide value

Name of Country:

* must provide value

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State or Province (if applicable):

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Which best describes the hospital setting in which you work?

* must provide value

Academic Medical Center

Private hospital

Semi-academic private hospital

None of the above

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Do any of the following additionally describe the hospital setting in which you work?

* must provide value

Military or Veteran's hospital

Government-owned non-military hospital (Ex. County hospital)

None

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Which of the following patient populations do you treat at your hospital? Select all that apply:

* must provide value

Socioeconomically disadvantaged

Ethnically diverse

The uninsured

Incarcerated patients

None of the above

What is your primary clinical specialty in the ICU?

* must provide value

How long have you been in practice (in years)?

* must provide value

What Trauma designation does your hospital have?

* must provide value

Trauma designation:

* must provide value

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Do you evaluate and treat adult patients in the ICU with acute TBI?

* must provide value

Yes

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What is your primary role in treating ICU patients with acute TBI?

* must provide value

Primary/admitting service

Consultant

I do not evaluate and treat ICU patients with acute TBI

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What service primarily admits ICU patients with isolated TBI in your hospital?

* must provide value

What service primarily admits patients with acute TBI plus polytrauma?

* must provide value

At your hospital, which best describes the involvement of neurocritical care trained physicians in the evaluation and management of ICU patients with acute TBI?

* must provide value

At your hospital, are TBI patients mostly admitted to a neuroscience ICU (geographic unit)?

* must provide value

Yes No

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On average, how many patients with acute TBI do you see daily in the ICU?

* must provide value

Is acute TBI management protocolized at your hospital? Please choose the statement that most accurately describes your hospital.

* must provide value

16a

Are TBI morbidities and mortalities regularly reviewed?

* must provide value

Yes No I don't know

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16b

If yes, is a neurocritical care physician involved in the review process?

* must provide value

Yes No I don't know

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Is TBI research currently being conducted at your hospital?

* must provide value

Yes No I don't know

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Do you participate in TBI research at your hospital?

* must provide value

Thank you for completing this survey. For any questions, please contact Roy Poblete at roy.poblete@med.usc.edu

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