{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T03:01:08Z","timestamp":1771383668993,"version":"3.50.1"},"reference-count":9,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurol Surg A Cent Eur Neurosurg"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>This study investigates the decision-making process among neurosurgeons regarding the surgical management of acute subdural hematomas (aSDH), focusing on the role of non-classical Brain Trauma Foundation (BTF) factors such as brainstem reflexes, hypocoagulation, and patient comorbidity, alongside traditional guidelines.<\/jats:p>\n                  <jats:p>We conducted an international survey that presented neurosurgeons with real-case scenarios, designed to assess the impact of both traditional and non-traditional prognostic indicators on their surgical decisions. The survey also collected demographic data to examine potential correlations with decision-making preferences.<\/jats:p>\n                  <jats:p>The survey garnered 67 responses from neurosurgeons across 22 countries, revealing a reliance on non-classical BTF factors in decision-making for aSDH cases with a potentially poor prognosis. No significant correlations were found between these decision-making practices and the surgeons' demographic characteristics.<\/jats:p>\n                  <jats:p>The findings highlight the complexity and nuanced nature of surgical decision-making in aSDH management, underlining the importance of non-traditional prognostic factors. The results advocate for further research to refine clinical guidelines, ensuring they encapsulate the breadth of factors considered in practice, thereby enhancing patient-centered care.<\/jats:p>","DOI":"10.1055\/a-2558-5681","type":"journal-article","created":{"date-parts":[[2025,3,18]],"date-time":"2025-03-18T20:28:31Z","timestamp":1742329711000},"page":"077-084","source":"Crossref","is-referenced-by-count":0,"title":["Acute Traumatic Subdural Hematomas\u2014When (and Why) Do We Stop? The aSDH-stop Survey"],"prefix":"10.1055","volume":"87","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5868-2313","authenticated-orcid":false,"given":"L\u00eddia","family":"Nunes Dias","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hospital Egas Moniz \u2013 Unidade Local de Sa\u00fade de Lisboa Ocidental, Lisboa, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paulo Jorge da Silva","family":"Nogueira","sequence":"additional","affiliation":[{"name":"\u00c1rea Disciplinar Aut\u00f3noma de Bioestat\u00edstica, Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal"},{"name":"Instituto de Sa\u00fade Ambiental, Laborat\u00f3rio Associado TERRA, Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal"},{"name":"Escola Nacional de Sa\u00fade P\u00fablica, ENSP, Centro de Investiga\u00e7\u00e3o em Sa\u00fade P\u00fablica, CISP, Comprehensive Health Research Center, CHRC, Universidade NOVA de Lisboa, Lisboa, Portugal"},{"name":"CIDNUR\u2014Centro de Investiga\u00e7\u00e3o, Inova\u00e7\u00e3o e Desenvolvimento em Enfermagem de Lisboa Escola Superior de Enfermagem de Lisboa, Avenida Professor Egas Moniz, Lisboa, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jo\u00e3o Pedro","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hospital Egas Moniz \u2013 Unidade Local de Sa\u00fade de Lisboa Ocidental, Lisboa, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9","family":"Cabral","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hospital Egas Moniz \u2013 Unidade Local de Sa\u00fade de Lisboa Ocidental, Lisboa, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,11,14]]},"reference":[{"key":"ref1","first-page":"S16","article-title":"Surgical management of acute subdural hematomas","volume":"58","author":"M R Bullock","year":"2006","journal-title":"Neurosurgery"},{"issue":"01","key":"ref3","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1186\/s12883-020-01810-4","article-title":"The impact of time from injury to surgery in functional recovery of traumatic acute subdural hematoma","volume":"20","author":"S H Chen","year":"2020","journal-title":"BMC Neurol"},{"issue":"01","key":"ref4","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1007\/s12028-011-9617-5","article-title":"The FOUR score predicts outcome in patients after traumatic brain injury","volume":"16","author":"F Sadaka","year":"2012","journal-title":"Neurocrit Care"},{"issue":"08","key":"ref5","doi-asserted-by":"crossref","first-page":"630","DOI":"10.1016\/S1474-4422(17)30197-7","article-title":"Coagulopathy and haemorrhagic progression in traumatic brain injury: advances in mechanisms, diagnosis, and management","volume":"16","author":"M Maegele","year":"2017","journal-title":"Lancet Neurol"},{"issue":"10","key":"ref6","doi-asserted-by":"crossref","first-page":"e018626","DOI":"10.1136\/bmjopen-2017-018626","article-title":"Comorbidity and outcomes in traumatic brain injury: protocol for a systematic review on functional status and risk of death","volume":"7","author":"T Mollayeva","year":"2017","journal-title":"BMJ Open"},{"issue":"11","key":"ref7","doi-asserted-by":"crossref","first-page":"e029072","DOI":"10.1136\/bmjopen-2019-029072","article-title":"Comorbidity in adults with traumatic brain injury and all-cause mortality: a systematic review","volume":"9","author":"C Xiong","year":"2019","journal-title":"BMJ Open"},{"issue":"01","key":"ref8","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1002\/nur.4770030103","article-title":"Development of a social dependency scale","volume":"3","author":"J Q Benoliel","year":"1980","journal-title":"Res Nurs Health"},{"issue":"09","key":"ref9","first-page":"28","article-title":"The Hippocratic Oath and principles of medical ethics","volume":"3","author":"G Berdine","year":"2015"},{"key":"ref10","volume-title":"Medical Ethics. [Updated 2022 Nov 28]","author":"M Young","year":"2024"}],"container-title":["Journal of Neurological Surgery Part A: Central European Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2558-5681.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T02:01:57Z","timestamp":1771380117000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2558-5681"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,18]]},"references-count":9,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2026,2,12]]},"published-print":{"date-parts":[[2026,3]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2558-5681","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2193-6315","2193-6323"],"issn-type":[{"value":"2193-6315","type":"print"},{"value":"2193-6323","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,3,18]]},"published":{"date-parts":[[2025,3,18]]}}}