Bypassing nearest hospital for more distant neuroscience care in head-injured adults with suspected traumatic brain injury: findings of the head injury transportation straight to neurosurgery (HITS-NS) pilot cluster randomised trial

Fiona Elizabeth Lecky,Wanda Russell,Elspeth Pennington,Jennifer Freeman,Damian Holliman,Kevin Mackway-Jones,Kyee Han,Mary Peters,Steve Goodacre,Timothy Coats,Nathan Chapman,Suzanne Mason,Hugh Potter,Graham Mcclelland,Andrew Curran,Sonia Byers,Jane Shewan,Gordon Fuller

doi:10.1136/bmjopen-2017-016355

Bypassing nearest hospital for more distant neuroscience care in head-injured adults with suspected traumatic brain injury: findings of the head injury transportation straight to neurosurgery (HITS-NS) pilot cluster randomised trial

Fiona Elizabeth Lecky, Wanda Russell + Show 16 more

Open Access

https://doi.org/10.1136/bmjopen-2017-016355

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Journal: BMJ open	Publication Date: Oct 1, 2017
Citations: 20	License type: open-access

Affiliation: University of Sheffield, University of Manchester, North West Ambulance Service NHS Trust, Newcastle upon Tyne Hospitals NHS Foundation Trust, North East Ambulance Service NHS Foundation Trust, University of Leicester, University Hospitals of Leicester NHS Trust, Prysmian Group (United Kingdom), Yorkshire Ambulance Service NHS Trust

#Traumatic Brain Injury #Airway, Breathing And Circulation + Show 8 more

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Abstract

ObjectiveReconfiguration of trauma services, with direct transport of patients with traumatic brain injury (TBI) to specialist neuroscience centres (SNCs)—bypassing non-specialist acute hospitals (NSAHs), could improve outcomes. However, delays in stabilisation...

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