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July 11, 2017; 89 (2) ArticleOpen Access

Standard operating procedures improve acute neurologic care in a sub-Saharan African setting

Lamin E.S. Jaiteh, Stefan A. Helwig, Abubacarr Jagne, Andreas Ragoschke-Schumm, Catherine Sarr, Silke Walter, Martin Lesmeister, Matthias Manitz, Sebastian Blaß, Sarah Weis, Verena Schlund, Neneh Bah, Jil Kauffmann, Mathias Fousse, Sabina Kangankan, Asmell Ramos Cabrera, Kai Kronfeld, Christian Ruckes, Yang Liu, Ousman Nyan, Klaus Fassbender
First published June 9, 2017, DOI: https://doi.org/10.1212/WNL.0000000000004080
Lamin E.S. Jaiteh
From the Departments of Medicine and Surgery (L.E.S.J., A.J., C.S., N.B., S.K., A.R.C., O.N.), Edward Francis Small Teaching Hospital, Banjul, the Gambia; Department of Neurology (S.A.H., A.R.-S., S.W., M.L., M.M., S.B., S.W., V.S., J.K., M.F., Y.L., K.F.), Saarland University Medical Center, Homburg; and Interdisciplinary Centre for Clinical Trials (IZKS) (K.K., C.R.), Mainz, Germany.
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Stefan A. Helwig
From the Departments of Medicine and Surgery (L.E.S.J., A.J., C.S., N.B., S.K., A.R.C., O.N.), Edward Francis Small Teaching Hospital, Banjul, the Gambia; Department of Neurology (S.A.H., A.R.-S., S.W., M.L., M.M., S.B., S.W., V.S., J.K., M.F., Y.L., K.F.), Saarland University Medical Center, Homburg; and Interdisciplinary Centre for Clinical Trials (IZKS) (K.K., C.R.), Mainz, Germany.
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Abubacarr Jagne
From the Departments of Medicine and Surgery (L.E.S.J., A.J., C.S., N.B., S.K., A.R.C., O.N.), Edward Francis Small Teaching Hospital, Banjul, the Gambia; Department of Neurology (S.A.H., A.R.-S., S.W., M.L., M.M., S.B., S.W., V.S., J.K., M.F., Y.L., K.F.), Saarland University Medical Center, Homburg; and Interdisciplinary Centre for Clinical Trials (IZKS) (K.K., C.R.), Mainz, Germany.
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Andreas Ragoschke-Schumm
From the Departments of Medicine and Surgery (L.E.S.J., A.J., C.S., N.B., S.K., A.R.C., O.N.), Edward Francis Small Teaching Hospital, Banjul, the Gambia; Department of Neurology (S.A.H., A.R.-S., S.W., M.L., M.M., S.B., S.W., V.S., J.K., M.F., Y.L., K.F.), Saarland University Medical Center, Homburg; and Interdisciplinary Centre for Clinical Trials (IZKS) (K.K., C.R.), Mainz, Germany.
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Catherine Sarr
From the Departments of Medicine and Surgery (L.E.S.J., A.J., C.S., N.B., S.K., A.R.C., O.N.), Edward Francis Small Teaching Hospital, Banjul, the Gambia; Department of Neurology (S.A.H., A.R.-S., S.W., M.L., M.M., S.B., S.W., V.S., J.K., M.F., Y.L., K.F.), Saarland University Medical Center, Homburg; and Interdisciplinary Centre for Clinical Trials (IZKS) (K.K., C.R.), Mainz, Germany.
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Silke Walter
From the Departments of Medicine and Surgery (L.E.S.J., A.J., C.S., N.B., S.K., A.R.C., O.N.), Edward Francis Small Teaching Hospital, Banjul, the Gambia; Department of Neurology (S.A.H., A.R.-S., S.W., M.L., M.M., S.B., S.W., V.S., J.K., M.F., Y.L., K.F.), Saarland University Medical Center, Homburg; and Interdisciplinary Centre for Clinical Trials (IZKS) (K.K., C.R.), Mainz, Germany.
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Martin Lesmeister
From the Departments of Medicine and Surgery (L.E.S.J., A.J., C.S., N.B., S.K., A.R.C., O.N.), Edward Francis Small Teaching Hospital, Banjul, the Gambia; Department of Neurology (S.A.H., A.R.-S., S.W., M.L., M.M., S.B., S.W., V.S., J.K., M.F., Y.L., K.F.), Saarland University Medical Center, Homburg; and Interdisciplinary Centre for Clinical Trials (IZKS) (K.K., C.R.), Mainz, Germany.
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Matthias Manitz
From the Departments of Medicine and Surgery (L.E.S.J., A.J., C.S., N.B., S.K., A.R.C., O.N.), Edward Francis Small Teaching Hospital, Banjul, the Gambia; Department of Neurology (S.A.H., A.R.-S., S.W., M.L., M.M., S.B., S.W., V.S., J.K., M.F., Y.L., K.F.), Saarland University Medical Center, Homburg; and Interdisciplinary Centre for Clinical Trials (IZKS) (K.K., C.R.), Mainz, Germany.
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Sebastian Blaß
From the Departments of Medicine and Surgery (L.E.S.J., A.J., C.S., N.B., S.K., A.R.C., O.N.), Edward Francis Small Teaching Hospital, Banjul, the Gambia; Department of Neurology (S.A.H., A.R.-S., S.W., M.L., M.M., S.B., S.W., V.S., J.K., M.F., Y.L., K.F.), Saarland University Medical Center, Homburg; and Interdisciplinary Centre for Clinical Trials (IZKS) (K.K., C.R.), Mainz, Germany.
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Sarah Weis
From the Departments of Medicine and Surgery (L.E.S.J., A.J., C.S., N.B., S.K., A.R.C., O.N.), Edward Francis Small Teaching Hospital, Banjul, the Gambia; Department of Neurology (S.A.H., A.R.-S., S.W., M.L., M.M., S.B., S.W., V.S., J.K., M.F., Y.L., K.F.), Saarland University Medical Center, Homburg; and Interdisciplinary Centre for Clinical Trials (IZKS) (K.K., C.R.), Mainz, Germany.
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Verena Schlund
From the Departments of Medicine and Surgery (L.E.S.J., A.J., C.S., N.B., S.K., A.R.C., O.N.), Edward Francis Small Teaching Hospital, Banjul, the Gambia; Department of Neurology (S.A.H., A.R.-S., S.W., M.L., M.M., S.B., S.W., V.S., J.K., M.F., Y.L., K.F.), Saarland University Medical Center, Homburg; and Interdisciplinary Centre for Clinical Trials (IZKS) (K.K., C.R.), Mainz, Germany.
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Neneh Bah
From the Departments of Medicine and Surgery (L.E.S.J., A.J., C.S., N.B., S.K., A.R.C., O.N.), Edward Francis Small Teaching Hospital, Banjul, the Gambia; Department of Neurology (S.A.H., A.R.-S., S.W., M.L., M.M., S.B., S.W., V.S., J.K., M.F., Y.L., K.F.), Saarland University Medical Center, Homburg; and Interdisciplinary Centre for Clinical Trials (IZKS) (K.K., C.R.), Mainz, Germany.
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Jil Kauffmann
From the Departments of Medicine and Surgery (L.E.S.J., A.J., C.S., N.B., S.K., A.R.C., O.N.), Edward Francis Small Teaching Hospital, Banjul, the Gambia; Department of Neurology (S.A.H., A.R.-S., S.W., M.L., M.M., S.B., S.W., V.S., J.K., M.F., Y.L., K.F.), Saarland University Medical Center, Homburg; and Interdisciplinary Centre for Clinical Trials (IZKS) (K.K., C.R.), Mainz, Germany.
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Mathias Fousse
From the Departments of Medicine and Surgery (L.E.S.J., A.J., C.S., N.B., S.K., A.R.C., O.N.), Edward Francis Small Teaching Hospital, Banjul, the Gambia; Department of Neurology (S.A.H., A.R.-S., S.W., M.L., M.M., S.B., S.W., V.S., J.K., M.F., Y.L., K.F.), Saarland University Medical Center, Homburg; and Interdisciplinary Centre for Clinical Trials (IZKS) (K.K., C.R.), Mainz, Germany.
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Sabina Kangankan
From the Departments of Medicine and Surgery (L.E.S.J., A.J., C.S., N.B., S.K., A.R.C., O.N.), Edward Francis Small Teaching Hospital, Banjul, the Gambia; Department of Neurology (S.A.H., A.R.-S., S.W., M.L., M.M., S.B., S.W., V.S., J.K., M.F., Y.L., K.F.), Saarland University Medical Center, Homburg; and Interdisciplinary Centre for Clinical Trials (IZKS) (K.K., C.R.), Mainz, Germany.
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Asmell Ramos Cabrera
From the Departments of Medicine and Surgery (L.E.S.J., A.J., C.S., N.B., S.K., A.R.C., O.N.), Edward Francis Small Teaching Hospital, Banjul, the Gambia; Department of Neurology (S.A.H., A.R.-S., S.W., M.L., M.M., S.B., S.W., V.S., J.K., M.F., Y.L., K.F.), Saarland University Medical Center, Homburg; and Interdisciplinary Centre for Clinical Trials (IZKS) (K.K., C.R.), Mainz, Germany.
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Kai Kronfeld
From the Departments of Medicine and Surgery (L.E.S.J., A.J., C.S., N.B., S.K., A.R.C., O.N.), Edward Francis Small Teaching Hospital, Banjul, the Gambia; Department of Neurology (S.A.H., A.R.-S., S.W., M.L., M.M., S.B., S.W., V.S., J.K., M.F., Y.L., K.F.), Saarland University Medical Center, Homburg; and Interdisciplinary Centre for Clinical Trials (IZKS) (K.K., C.R.), Mainz, Germany.
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Christian Ruckes
From the Departments of Medicine and Surgery (L.E.S.J., A.J., C.S., N.B., S.K., A.R.C., O.N.), Edward Francis Small Teaching Hospital, Banjul, the Gambia; Department of Neurology (S.A.H., A.R.-S., S.W., M.L., M.M., S.B., S.W., V.S., J.K., M.F., Y.L., K.F.), Saarland University Medical Center, Homburg; and Interdisciplinary Centre for Clinical Trials (IZKS) (K.K., C.R.), Mainz, Germany.
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Yang Liu
From the Departments of Medicine and Surgery (L.E.S.J., A.J., C.S., N.B., S.K., A.R.C., O.N.), Edward Francis Small Teaching Hospital, Banjul, the Gambia; Department of Neurology (S.A.H., A.R.-S., S.W., M.L., M.M., S.B., S.W., V.S., J.K., M.F., Y.L., K.F.), Saarland University Medical Center, Homburg; and Interdisciplinary Centre for Clinical Trials (IZKS) (K.K., C.R.), Mainz, Germany.
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Ousman Nyan
From the Departments of Medicine and Surgery (L.E.S.J., A.J., C.S., N.B., S.K., A.R.C., O.N.), Edward Francis Small Teaching Hospital, Banjul, the Gambia; Department of Neurology (S.A.H., A.R.-S., S.W., M.L., M.M., S.B., S.W., V.S., J.K., M.F., Y.L., K.F.), Saarland University Medical Center, Homburg; and Interdisciplinary Centre for Clinical Trials (IZKS) (K.K., C.R.), Mainz, Germany.
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Klaus Fassbender
From the Departments of Medicine and Surgery (L.E.S.J., A.J., C.S., N.B., S.K., A.R.C., O.N.), Edward Francis Small Teaching Hospital, Banjul, the Gambia; Department of Neurology (S.A.H., A.R.-S., S.W., M.L., M.M., S.B., S.W., V.S., J.K., M.F., Y.L., K.F.), Saarland University Medical Center, Homburg; and Interdisciplinary Centre for Clinical Trials (IZKS) (K.K., C.R.), Mainz, Germany.
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Full PDF
Citation
Standard operating procedures improve acute neurologic care in a sub-Saharan African setting
Lamin E.S. Jaiteh, Stefan A. Helwig, Abubacarr Jagne, Andreas Ragoschke-Schumm, Catherine Sarr, Silke Walter, Martin Lesmeister, Matthias Manitz, Sebastian Blaß, Sarah Weis, Verena Schlund, Neneh Bah, Jil Kauffmann, Mathias Fousse, Sabina Kangankan, Asmell Ramos Cabrera, Kai Kronfeld, Christian Ruckes, Yang Liu, Ousman Nyan, Klaus Fassbender
Neurology Jul 2017, 89 (2) 144-152; DOI: 10.1212/WNL.0000000000004080

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    Figure 1 Consolidated Standards of Reporting Trials flow diagram of the study population at the Banjul hospital

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    • Stefan A. Helwig; Lamin E.S. Jaiteh, MD, Ousman Nyan, MD
    Submitted September 20, 2017
  • Neurologic emergency management in resource-challenged settings: Can standard operating procedures work and improve outcomes?
    • Jerome H. Chin, Adjunct Professor, Department of Neurology, NYU Langone Medical Centerchinj@asapp.org
    Submitted July 06, 2017
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