主要脳卒中センターの設置に関する勧告. ブレイン・アタック・コアライション
M J Alberts1, G Hademenos, R E Latchaw
1PO Box 3392, Bryan Research Bldg, Room 227E, Duke University Medical Center, Durham, NC 27710, USA. alber002@mc.duke.edu
JAMA
|June 24, 2000
まとめ
特殊なチーム,ユニット,プロトコル,統合された緊急対応システムを持つプライマリ・ストロークセンターの設立は,急性脳卒中の患者のケアとアウトカムを大幅に改善することができます. このアプローチは,合併症を軽減しながら,診断と治療の介入を強化します.
科学分野:
- 神経学 神経学とは
- 緊急医療 緊急医療
- ヘルスケア・マネジメント・ヘルスケア・マネジメント
背景:
- 脳卒中治療は,患者の治療結果を改善するために,専門的な多学科アプローチを必要とします.
- The Brain Attack Coalition (BAC) は,標準化されたプライマリ脳卒中センターの必要性を特定しました.
- 既存の文献 (1966年~2000年) を検討して,勧告を提示した.
研究 の 目的:
- 主要脳卒中センターに対する勧告を策定する.
- 脳卒中患者の医療ケアと治療結果を向上させる.
- 脳卒中センターの運営に不可欠なコンポーネントを定義する.
主な方法:
- MEDLINEを使用した600以上の論文 (1966-2000) の文献レビュー.
- ランダム化臨床試験,メタ解析,ガイドラインからの証拠の含有.
- Brain Attack Coalition (BAC) による多学科専門家によるコンセンサスである.
主要な成果:
- 重要な要素は,急性脳卒中チーム,脳卒中ユニット,ケアプロトコルなどです.
- 統合された緊急対応システムは極めて重要です.
- 24/7のCTスキャンと迅速なラボテストの可用性は,重要なサポートサービスです.
結論:
- 主要脳卒中センターは,患者のケアと治療結果を改善します.
- 重要なコンポーネントには,専門のチーム,ユニット,プロトコル,統合システムが含まれます.
- 行政的支援と継続的な教育は,成功するために不可欠です.
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