Executive summary of the joint consensus statement from the European association of neurosurgical societies (EANS) and the world society of emergency surgery (WSES) on the management of the pregnant women with severe isolated traumatic brain injury
Year: 2026
Type: article
Abstract: Scarce evidence is available regarding the management of severe traumatic brain injury (TBI) during pregnancy. The World Society of Emergency Surgery and the European Association of Neurosurgical Societies performed a multidisciplinary consensus conference involving 115 physicians with expertise in the management of severe TBI, including cases of pregnant women. A modified Delphi approach, including two online questionnaires were conducted between February and June 2025, was utilized. The list of statements (36) was distributed to the panelists to allow voting and to propose any comments and/or changes. The analysis of results was performed by an experienced non-voting methodologist. Statements were classified as strong suggestion, weak suggestion or no suggestion when > 85%, 75–85% and < 75% of votes were in favor, respectively. In this article we present the executive summary. A consensus was reached, generating 36 strong suggestions. This consensus provides practical suggestions for the management of severe isolated TBI during pregnancy in high-income countries. More research is required in this field.
Authors: Edoardo Picetti, Andreas K. Demetriades, Bart Depreitere, Bizhan Aarabi, Christian Abel, Fikri M. Abu-Zidan, P. David Adelson, Vanni Agnoletti, Luca Ansaloni, Rocco A. Armonda, Goran Augustin, Rafael Badenes, Zsolt J. Balogh, Daniele Bellantonio, Antonio Belli, Roberto Berretta, Giacomo Bertolini, Alessandro Bertuccio, Walter L. Biffl, Riccardo Boccaletti, Pierre Bouzat, Sérgio Brasil, Etrusca Brogi, Andras Buki, Ana M. Castano-Leon, Anselmo Caricato, Carlo Alberto Castioni, Davide Cerasti, CeCe Cheng, Randall M. Chesnut, Mircea Chirica, Alessandro Cipriano, Dario Cirillo, Enrico Cocchi, Federico Coccolini, Raul Coimbra, Carlo Coniglio, Belinda De Simone, Marika De Vito, Cristian Deana, Enrico Fainardi, Maria Grazia Frigo, Alberto Giannini, Daniel A. Godoy, Areg Grigorian, Paolo Gritti, Deepak Gupta, Dubravko Habek, Gregory W. J. Hawryluk, Raimund Helbok, Peter J. Hutchinson, Corrado Iaccarino, Kenji Inaba, Arundhathi Jeyabalan, Ivo Kehayov, Andrew W. Kirkpatrick, Sam Klein, Angelos Kolias, Tommi K. Korhonen, Alfonso Lagares, Giovanni La Motta, Christos Lazaridis, Laura Lippa, Teemu M. Luoto, Deepa Malaiyandi, Nicolò Marchesini, Matthew J. Martin, Niklas Marklund, Geert Meyfroidt, Marina Munari, Jeffry Nahmias, Lena M. Napolitano, Savvas Nicolau, David O. Okonkwo, Luigi Orfeo, Wellingson S. Paiva, Marios C. Papadopoulos, Ondra Petr, Alessandro Pezzini, Daniel Pinggera, Rita Pini, Jussi P. Posti, Hemanshu Prabhakar, Zaffer A. Qasim, Antonio Ragusa, Frank A. Rasulo, Sandro Rizoli, Frederick B. Rogers, Oreste Romeo, Elham Rostami, Andres M. Rubiano, Carla Bittencourt Rynkowski, Michele Salvagno, Aarti Sarwal, Franco Servadei, Deepak Sharma, Lori Shutter, Ranjit D. Singh, Louis Smith, Philip F. Stahel, Jose I. Suarez, Fabio S. Taccone, Nicole A. Terpolilli, Péter J. Tóth, Christine T. Trankiem, Parmenion P. Tsitsopoulos, Andrew A. Udy, Alex B. Valadka, Thomas A. van Essen, Albert J. Varon, Monica S. Vavilala, Marco Vergano, Walter Videtta, Alexander Younsi, Marcello Zinelli, Tommaso Zoerle, Gianluigi Zona, Aurelia Peraud, Fausto Catena, Chiara Robba
Institutions: University of Parma, Ospedale di Parma, Edinburgh Royal Infirmary, Universitair Ziekenhuis Leuven, KU Leuven, University of Maryland, Baltimore, John Hunter Hospital, United Arab Emirates University, West Virginia University, Azienda Unità Sanitaria Locale Della Romagna, Ospedale “M. Bufalini” di Cesena, University of Pavia, Policlinico San Matteo Fondazione, MedStar Georgetown University Hospital, University Hospital Centre Zagreb, Universitat de València, Hospital Clínico Universitario de Valencia, Maria Cecilia Hospital, University Hospitals Birmingham NHS Foundation Trust, Azienda Ospedaliera Nazionale SS. Antonio e Biagio e Cesare Arrigo, Scripps Clinic Medical Group, Scripps Clinic, Centre Hospitalier Universitaire de Grenoble, Universidade de São Paulo, Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda, Örebro University, Örebro University Hospital, Universidad Complutense de Madrid, Research Institute Hospital 12 de Octubre, Hospital Universitario 12 De Octubre, Università Cattolica del Sacro Cuore, Istituto delle Scienze Neurologiche di Bologna, University of Washington, Université Grenoble Alpes, Azienda Ospedaliera Universitaria Pisana, University of Naples Federico II, University of Bologna, University of Pisa, Riverside University Health System - Medical Center, Ospedale Maggiore Carlo Alberto Pizzardi, Ospedale Infermi di Rimini, Azienda sanitaria universitaria Friuli Centrale, University of Florence, Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia, Meditech Foundation, University of California, Irvine, Ospedale Papa Giovanni XXIII, All India Institute of Medical Sciences, Klinička bolnica Merkur, Cleveland Clinic Lerner College of Medicine, Johannes Kepler University of Linz, Kepler Universitätsklinikum, University of Cambridge, Azienda Ospedaliero-Universitaria di Modena, University of Southern California, University of Pittsburgh, Magee-Womens Hospital, Medical University Plovdiv, Foothills Medical Centre, Jessa Hospital, Hasselt University, Oulu University Hospital, University of Oulu, Hospital Blua Sanitas Valdebebas, Sanitas (Spain), University of Chicago Medical Center, Tampere University Hospital, University of Tampere, University of Michigan, Azienda Ospedaliera Universitaria Integrata Verona, Lund University, Skåne University Hospital, University of Padua, Azienda Ospedale - Università Padova, Michigan Medicine, University of British Columbia, Vancouver General Hospital, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, St George's, University of London, Innsbruck Medical University, Universität Innsbruck, University of Turku, Turku University Hospital, University of Pennsylvania, Hamad Medical Corporation, Regions Hospital, Bronson Methodist Hospital, Uppsala University, Universidad El Bosque, Université Libre de Bruxelles, Virginia Commonwealth University, Fondazione IRCCS Istituto Neurologico Carlo Besta, Leiden University, Leiden University Medical Center, Medisch Centrum Haaglanden, Haga Hospital, Stichting Haaglanden Medisch Centrum, MedStar Washington Hospital Center, Rocky Vista University, Johns Hopkins University, Johns Hopkins Medicine, LMU Klinikum, Ludwig-Maximilians-Universität München, University of Pecs, Aristotle University of Thessaloniki, Ippokrateio General Hospital of Thessaloniki, The Alfred Hospital, The University of Texas Southwestern Medical Center, University of Miami, University of Miami Health System, Ospedale San Giovanni Bosco, Hospital Posadas, Heidelberg University, University Hospital Heidelberg, University of Milan, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Ospedale Policlinico San Martino, University of Genoa, University Hospital Ulm
Language: English
Subfield: Neurology
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $3,990
OpenAlex ID: W7212307651
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