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001-es BibID:	BIBFORM070423
Első szerző:	Sorinola, Abayomi
Cím:	Effectiveness of traumatic brain injury management guideline introduction in Hungary / Abayomi Sorinola, Andras Buki, Janos Sandor, Endre Czeiter
Dátum:	2018
ISSN:	1019-5149
Megjegyzések:	AIm: To describe the impact of the Traumatic Brain Injury management guideline introduction in Hungary.Mater Ial and Methods: Hospital discharge records (HDR) including age, gender, codes of interventions applied, ICD codesof diagnosed disorders of patients admitted between 01/01/2004 and 31/12/2010 with the diagnosis of intracranial injury (S06 byICD10) from every inpatient institution in Hungary were collected from the database of National Health Insurance Fund (NHIF). TheCase Fatality Ratios (CFR) for one week, one month and six months were calculated for the periods before and after the guidelineintroduction. The change of CFRs was applied as indicators for change of clinical quality elicited by the guideline.Results: The centers together at one week, one month and six months had pre-guideline introduction CFRs of 23.4%, 37.7% and47.5% and post-guideline introduction CFRs of 22.1%, 39.1%, and 50.0% respectively. The secondary institutions together at oneweek, one month and six months had pre-guideline introduction CFRs of 21.5%, 34.8% and 46.3% and post-guideline introductionCFRs of 21.9%, 37.0%, and 48.9% respectively. None of the CFRs showed significant change.ConclusIon: The effectiveness of TBI management guideline adaptation in Hungary is poor. Without supportive financing andexternal auditing system, guideline introduction alone cannot achieve standard clinical practice and a reduction in CFR.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban Case fatality ratio Guideline introduction Guideline Hungary Traumatic brain injury
Megjelenés:	Turkish Neurosurgery. - 28 : 3 (2018), p. 410-415. -
További szerzők:	Buki András Sándor János (1966-) (orvos-epidemiológus) Czeiter Endre
Pályázati támogatás:	CENTER-TBI Egyéb Hungarian Brain Research Program (KTIA_13_NAP-A-II/8) Egyéb
Internet cím:	Szerző által megadott URL DOI Intézményi repozitóriumban (DEA) tárolt változat
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