Integrating wellbeing and neurosurgical practice to improve patient outcomes after chronic subdural haematoma: A rapid review with evidence mapping

Hennessy, Maria, and Barlas, Joanna (2023) Integrating wellbeing and neurosurgical practice to improve patient outcomes after chronic subdural haematoma: A rapid review with evidence mapping. In: [Presented at the 8th IPPA World Congress on Positive Psychology]. From: 8th IPPA World Congress on Positive Psychology, 20-23 July 2023, Vancouver, Canada.

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Abstract

Background: Chronic subdural haematoma (CSDH) is a common neurological condition resulting from a blood clot within the outer layers of skin around the brain. It is a sentinel health event for individuals, and a significant public health issue. It is increasingly acknowledged that there are knowledge gaps at all levels of practice following CSDH. This includes the paucity, poor quality and neglected nature of patient outcomes.

Aims: This research used a wellbeing model to integrate components of the knowledge base for CSDH with a focus on patient-related outcomes. The Positive Health model (Huber et al., 2016) was used as a framework for mapping the extant adult CSDH literature that discerns individual health outcomes.

Method: A rapid review was conducted, with evidence mapped against the positive health model. The rapid review methodology followed the published guidelines (Pludemann et al., 2018), and was prospectively registered on PROSPERO. Evidence-mapping was used to support data synthesis.

Results: Ten studies were identified that used varying assessment measures and follow-up time periods making integration difficult. Evidence-mapping indicated that the majority of studies (n=9) aligned with the Mental Wellbeing dimension, with limited (n=1) evidence for Bodily Functions, Daily Functioning, Participation and Quality of Life (n=2) and nil evidence for Meaningfulness.

Conclusion: The need for patient-related outcomes that inform the capacity of the individual to live their lives fully and effectively are integral for evidence-based care in adults after acquired brain injury. Currently used outcomes measures in CSDH do not meet this need. Stubbs et al. (2022) advocate for neurosurgical research and practice to move beyond its traditional surgical focus, and align with integrated, multidisciplinary, and patient-informed health care. The use of evidence-based positive health frameworks have utility in the integration of previous research, and highlight the utility of multidimensional wellbeing models to support innovation in clinical research and the development of health systems aligned to the needs of patients.

Item ID: 79672
Item Type: Conference Item (Presentation)
Keywords: chronic subdural haematoma; wellbeing; outcomes; rapid review
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Date Deposited: 15 Aug 2023 02:07
FoR Codes: 32 BIOMEDICAL AND CLINICAL SCIENCES > 3209 Neurosciences > 320999 Neurosciences not elsewhere classified @ 50%
52 PSYCHOLOGY > 5203 Clinical and health psychology > 520399 Clinical and health psychology not elsewhere classified @ 50%
SEO Codes: 20 HEALTH > 2002 Evaluation of health and support services > 200202 Evaluation of health outcomes @ 35%
20 HEALTH > 2005 Specific population health (excl. Indigenous health) > 200502 Health related to ageing @ 30%
20 HEALTH > 2004 Public health (excl. specific population health) > 200407 Health status (incl. wellbeing) @ 35%
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