Provider perceptions of severe pediatric traumatic brain injury care priorities across hospitals in South America before and during the COVID-19 pandemic.
<h4>Background</h4>To understand provider perceptions of the COVID-19 pandemic on priorities of severe pediatric traumatic brain injury (TBI) care across hospitals in South America.<h4>Methods</h4>Site principal investigators (PIs) from 17 hospitals in South America enrolled...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2022-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0275255 |
| _version_ | 1811244228515201024 |
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| author | Shyam J Deshpande Julia Velonjara Silvia Lujan Gustavo Petroni Jin Wang Kushang V Patel Linda Ng Boyle Michael J Bell Monica S Vavilala PEGASUS Argentina Study Group |
| author_facet | Shyam J Deshpande Julia Velonjara Silvia Lujan Gustavo Petroni Jin Wang Kushang V Patel Linda Ng Boyle Michael J Bell Monica S Vavilala PEGASUS Argentina Study Group |
| author_sort | Shyam J Deshpande |
| collection | DOAJ |
| description | <h4>Background</h4>To understand provider perceptions of the COVID-19 pandemic on priorities of severe pediatric traumatic brain injury (TBI) care across hospitals in South America.<h4>Methods</h4>Site principal investigators (PIs) from 17 hospitals in South America enrolled in the PEGASUS-Argentina randomized controlled trial completed questionnaires regarding order of tasks performed in the care of a typical pediatric patient with severe TBI before (2019) and during (2021) the COVID-19 pandemic. Acute care processes were examined by quintiles to identify early, mid, and late actions and were categorized and compared. Associations of hospital volume and subspecialty resource availability with prioritization of key process actions were examined.<h4>Finding</h4>Site PIs from 15 and 16 hospitals completed the surveys in 2019 and 2021, respectively, including 14 who completed both. Action category order was stable between 2019 and 2021 and were ranked in priorities as: initial encounter, primary survey, interventions and invasive monitors, diagnostics, medications, staff communication, then disposition (in 2019) or nutrition (in 2021). There was variation in specific action order between hospitals at both timepoints, with only a few initial encounter and disposition actions limited to a single quintile. There was no reported association between hospital volume or subspecialty resource availability with prioritization of key process actions.<h4>Interpretation</h4>Despite novel healthcare challenges presented by the COVID-19 pandemic, providers in South America perceived maintaining standard severe pediatric TBI care consistent with BTF guidelines. There was large variability in specific action order between individual hospitals reported. |
| first_indexed | 2024-04-12T14:22:08Z |
| format | Article |
| id | doaj.art-a3322129386640fca2fbda586086ecf6 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-04-12T14:22:08Z |
| publishDate | 2022-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-a3322129386640fca2fbda586086ecf62022-12-22T03:29:33ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01179e027525510.1371/journal.pone.0275255Provider perceptions of severe pediatric traumatic brain injury care priorities across hospitals in South America before and during the COVID-19 pandemic.Shyam J DeshpandeJulia VelonjaraSilvia LujanGustavo PetroniJin WangKushang V PatelLinda Ng BoyleMichael J BellMonica S VavilalaPEGASUS Argentina Study Group<h4>Background</h4>To understand provider perceptions of the COVID-19 pandemic on priorities of severe pediatric traumatic brain injury (TBI) care across hospitals in South America.<h4>Methods</h4>Site principal investigators (PIs) from 17 hospitals in South America enrolled in the PEGASUS-Argentina randomized controlled trial completed questionnaires regarding order of tasks performed in the care of a typical pediatric patient with severe TBI before (2019) and during (2021) the COVID-19 pandemic. Acute care processes were examined by quintiles to identify early, mid, and late actions and were categorized and compared. Associations of hospital volume and subspecialty resource availability with prioritization of key process actions were examined.<h4>Finding</h4>Site PIs from 15 and 16 hospitals completed the surveys in 2019 and 2021, respectively, including 14 who completed both. Action category order was stable between 2019 and 2021 and were ranked in priorities as: initial encounter, primary survey, interventions and invasive monitors, diagnostics, medications, staff communication, then disposition (in 2019) or nutrition (in 2021). There was variation in specific action order between hospitals at both timepoints, with only a few initial encounter and disposition actions limited to a single quintile. There was no reported association between hospital volume or subspecialty resource availability with prioritization of key process actions.<h4>Interpretation</h4>Despite novel healthcare challenges presented by the COVID-19 pandemic, providers in South America perceived maintaining standard severe pediatric TBI care consistent with BTF guidelines. There was large variability in specific action order between individual hospitals reported.https://doi.org/10.1371/journal.pone.0275255 |
| spellingShingle | Shyam J Deshpande Julia Velonjara Silvia Lujan Gustavo Petroni Jin Wang Kushang V Patel Linda Ng Boyle Michael J Bell Monica S Vavilala PEGASUS Argentina Study Group Provider perceptions of severe pediatric traumatic brain injury care priorities across hospitals in South America before and during the COVID-19 pandemic. PLoS ONE |
| title | Provider perceptions of severe pediatric traumatic brain injury care priorities across hospitals in South America before and during the COVID-19 pandemic. |
| title_full | Provider perceptions of severe pediatric traumatic brain injury care priorities across hospitals in South America before and during the COVID-19 pandemic. |
| title_fullStr | Provider perceptions of severe pediatric traumatic brain injury care priorities across hospitals in South America before and during the COVID-19 pandemic. |
| title_full_unstemmed | Provider perceptions of severe pediatric traumatic brain injury care priorities across hospitals in South America before and during the COVID-19 pandemic. |
| title_short | Provider perceptions of severe pediatric traumatic brain injury care priorities across hospitals in South America before and during the COVID-19 pandemic. |
| title_sort | provider perceptions of severe pediatric traumatic brain injury care priorities across hospitals in south america before and during the covid 19 pandemic |
| url | https://doi.org/10.1371/journal.pone.0275255 |
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