Diagnosis and management of traumatic subarachnoid hemorrhage: a scoping review protocol (Preprint)

BACKGROUND Sixty-nine million people suffer from traumatic brain injury (TBI) each year and TBI is the most common cause of subarachnoid hemorrhage (SAH). Traumatic SAH has been described as an adverse prognostic factor leading to progressive neurological deterioration and an increase in morbidity and mortality, but there are a limited number of studies which evaluate recent trends in the diagnostic and management of SAH in the context of trauma. OBJECTIVE The objective of this scoping review is to understand the extent and type of evidence in relation to the diagnostic criteria and management of traumatic subarachnoid hemorrhage. METHODS This scoping review will be conducted in accordance with the JBI methodology for scoping reviews. A three-step search strategy (initial limited search in PubMed and Scopus databases, a main search of EMBASE, Web of Science, EBSCO, MEDLINE, and manual searches of reference lists of included articles) will be utilized. The search will be limited to studies with human participants and published in English, Spanish, and French between 2005-2020. This review will consider studies of adolescent and adult patients who have suffered from SAH secondary to trauma. Study selection will be performed by two authors in a two-phase process; if any disagreement arises, a third author will be consulted. Data to be extracted from each study will include population, intervention, comparator and outcome measures and a summary of findings. Citation screening, full-text review, risk of bias assessment, and extraction of study characteristics and outcomes will be carried out using a web-based software platform that streamlines the production of scoping reviews. RESULTS Ethics approval is not required for this systematic review, as there will be no patient involvement. The search for this systematic review commenced in December 2020, and we expect to publish the findings in early 2021. The plan for dissemination is to publish review findings in a peer-reviewed journal and present findings at conferences that engage the most pertinent stakeholders. CONCLUSIONS This scoping review will serve as an initial step in providing more evidence for healthcare professionals, economists and policymakers in order that they might devote more resources towards this significant problem affecting both health and economic outcomes worldwide.

Download Full-text

Traumatic subarachnoid hemorrhage: a scoping review

10.1101/2021.01.10.21249416 ◽

2021 ◽

Author(s):

Dylan P Griswold ◽

Laura Fernandez ◽

Andres M Rubiano

Keyword(s):

Subarachnoid Hemorrhage ◽

Scoping Review ◽

Scoring Systems ◽

Included Study ◽

Population Characteristics ◽

Income Country ◽

Middle Income ◽

Scoping Reviews ◽

Severe Tbi ◽

Traumatic Subarachnoid Hemorrhage

AbstractSixty-nine million people suffer from traumatic brain injury (TBI) each year, and TBI is the most common cause of subarachnoid hemorrhage (SAH). Traumatic SAH (tSAH) has been described as an adverse prognostic factor leading to progressive neurological deterioration and increased morbidity and mortality. However, a limited number of studies evaluate recent trends in the diagnostic and management of SAH in the context of trauma. The objective of this scoping review was to understand the extent and type of evidence concerning the diagnostic criteria and management of traumatic subarachnoid hemorrhage. This scoping review was conducted following the JBI methodology for scoping reviews. The review included adults who suffered SAH secondary to trauma. Data extracted from each study included study aim, country, methodology, population characteristics, outcome measures, a summary of findings, and future directives. Thirty studies met inclusion criteria. Studies were grouped into five categories by topic: tSAH associated with mild TBI (n=13), and severe TBI (n=3); clinical management and diagnosis (n=9); imaging (n=3); and 5) aneurysmal tSAH (n=1). Of the 30 studies, two came from a low-and middle-income country (LMIC); excluding China, nearly a high-income country. Patients with tSAH associated with mTBI have a very low risk of clinical deterioration and surgical intervention and should be managed conservatively when considering ICU admission. The Helsinki and Stockholm CT scoring systems, in addition to the AIS, Cr, age decision tree, may be valuable tools to use when predicting outcome and mortality.

Download Full-text

Spontaneous rapid resolution of traumatic subarachnoid hemorrhage

Indian Journal of Neurotrauma ◽

10.1016/s0973-0508(05)80011-5 ◽

2005 ◽

Vol 2 (1) ◽

pp. 47-49 ◽

Cited By ~ 2

Author(s):

Ajay Kurve ◽

A K Mahapatra

Keyword(s):

Subarachnoid Hemorrhage ◽

Rapid Resolution ◽

Traumatic Subarachnoid Hemorrhage

Download Full-text

Computed Tomography Angiography (CTA) Evaluation of Spontaneous Subarachnoid Hemorrhage

Journal of National Institute of Neurosciences Bangladesh ◽

10.3329/jninb.v6i2.50745 ◽

2020 ◽

Vol 6 (2) ◽

pp. 78-81

Author(s):

Md Tauhidul Islam Chowdhury ◽

Mohammad Shah Jahirul Hoque Chowdhury ◽

Mohammad Sadekur Rahman Sarkar ◽

KM Ahasan Ahmed ◽

Md Nazmul Kabir ◽

...

Keyword(s):

Computed Tomography ◽

Subarachnoid Hemorrhage ◽

Computed Tomography Angiography ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Multiple Aneurysm ◽

Traumatic Subarachnoid Hemorrhage ◽

One Year ◽

Spontaneous Subarachnoid Hemorrhage

Background: In evaluation of non-traumatic subarachnoid hemorrhage CT angiography (CTA) has 97-98% sensitivity and near 100% specificity. Objective: This study was conducted to evaluate the CTA findings of CT positive non traumatic subarachnoid hemorrhage. Methodology: This is an observational cross sectional study performed in Neurology department of National Institute of Neurosciences and Hospital, Dhaka over one year period (January 2019 to December 2019). Total 87 CT positive subarachnoid hemorrhage cases were purposively included in this study. All CT positive patients underwent CTA of Cerebral vessels for further evaluation. The angiography were evaluated by competent neuro-radiologists blinded about the study. Result: Among 87 patients, 40.2% were male and 59.8% were female. The average age was 53.33±11.1 years. Among the studied patient the source of bleeding was found 78.16% aneurysmal and 21.84% non-aneurysmal. 85.30% patients had single aneurysm and 14.70% had multiple aneurysm. The highest number of patient had Acom aneurysm (41.17%) followed by MCA (22.05%), ICA (13.23%), ACA (7.35%) and vertebral artery (1.14%) in order of frequency. Among the multiple aneurysm group most of the patients had combination of Acom, MCA and ICA aneurysm. Conclusion: From this study, we can conclude that CTA can be used as the primary diagnostic tool in evaluation of spontaneous SAH. Journal of National Institute of Neurosciences Bangladesh, 2020;6(2): 78-81

Download Full-text

Faculty Opinions recommendation of Vasospasm after subarachnoid hemorrhage: utility of perfusion CT and CT angiography on diagnosis and management.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.9204.466682 ◽

2006 ◽

Author(s):

Giuseppe Citerio

Keyword(s):

Subarachnoid Hemorrhage ◽

Ct Angiography ◽

Perfusion Ct ◽

Diagnosis And Management

Download Full-text

Reproductive cancers among South African Black men: A scoping review protocol

10.2196/preprints.9872 ◽

2018 ◽

Author(s):

Elvis Tichaona Munatswa ◽

Mzikazi Nduna ◽

Thobeka Nkomo ◽

Esmeralda Vilanculos

Keyword(s):

South African ◽

Black Men ◽

Scoping Review ◽

African Black ◽

Review Protocol ◽

Reproductive Cancers

Download Full-text

Hypnotherapy for Procedural Pain and Distress in Children: A scoping Review Protocol

Pain Medicine ◽

10.1093/pm/pnab038 ◽

2021 ◽

Author(s):

Daly Geagea ◽

Zephanie Tyack ◽

Roy Kimble ◽

Lars Eriksson ◽

Vince Polito ◽

...

Keyword(s):

Scoping Review ◽

Grey Literature ◽

Cochrane Library ◽

Procedural Pain ◽

Future Research ◽

Theoretical Frameworks ◽

Eligibility Criteria ◽

Pharmacological Agents ◽

Review Protocol ◽

Meta Analyses

Abstract Objective Inadequately treated pain and distress elicited by medical procedures can put children at higher risks of acute and chronic biopsychosocial sequelae. Children can benefit from hypnotherapy, a psychological tailored intervention, as an adjunct to pharmacological agents to address the multiple components of pain and distress. Despite providing evidence on the effectiveness and potential superiority of hypnotherapy to other psychological interventions, research on hypnotherapy for paediatric procedural pain and distress has been predominantly limited to oncology and needle procedures. Plus, there is a lack of reporting of intervention manuals, factors influencing hypnotic responding, pain unpleasantness outcomes, theoretical frameworks, adverse events, as well as barriers and facilitators to the feasibility of delivering the intervention and study procedures. The proposed review aims to map the range and nature of the evidence on hypnotherapy for procedural pain and distress in children to identify gaps in literature and areas requiring further investigation. Methods This review will follow the Arksey and O'Malley (2005) methodology and incorporate additional scoping review recommendations by The Joanna Briggs Institute and Preferred Reporting Items for Systematic reviews and Meta-Analyses. Relevant studies will be identified through searching published literature databases (PubMed, Cochrane Library, PsycINFO, Embase, CINAHL, Scopus and Web of Science) and grey literature in addition to hand-searching of reference lists and key journals. Two authors will independently screen titles and abstracts of search results followed by full-texts review against eligibility criteria. Conclusion Findings are anticipated to guide future research and inform the development of tailored hypnotic interventions in children.

Download Full-text

Role of occupational therapy in musicians’ health: a scoping review protocol

BMJ Open ◽

10.1136/bmjopen-2020-040922 ◽

2020 ◽

Vol 10 (12) ◽

pp. e040922

Author(s):

Bethany Villas ◽

Uira Duarte Wisnesky ◽

Sandra Campbell ◽

Lauren Slavik ◽

Amynah S. Mevawala ◽

...

Keyword(s):

Occupational Therapy ◽

Scoping Review ◽

Health Conditions ◽

Study Selection ◽

Increased Risk ◽

Scoping Reviews ◽

Review Protocol ◽

And Performance ◽

Meta Analyses

Review question/objectiveThe purpose of this proposed review is twofold: first, to understand the role of occupational therapy presented in the musicians’ health literature; and second, to explore the potential for this role.IntroductionThe intense movement, awkward postures, concentration and emotional communication required of musicians can place them at increased risk of music-related health conditions, such as musculoskeletal disorders and performance anxiety. The development of music-related health conditions can be emotionally and financially devastating. The role of occupational therapy in musicians’ health has been previously discussed; however, no rigorous reviews of the scholarly literature have been published. We will, therefore, undertake a scoping review with the following research questions: (1) what is known about the role of occupational therapy in instrumental musicians’ health? and (2) what is the potential role of occupational therapy in musicians’ health?Methods and analysisA preliminary search of Medline, CINAHL, SCOPUS and Web of Science was previously undertaken by the first author to determine the extent of the research on this topic and to confirm that no other reviews have been conducted or are in progress. Study selection and analysis will follow the Joanna Briggs Institute and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews guidelines for conducting a scoping review.Ethics and disseminationFormal ethics approval is not required at our institution for a review of published literature. The results of this review will be shared through peer-reviewed publications, conference presentations and traditional and social media.

Download Full-text