关于建立初级中风中心的建议. 大脑攻击联盟
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
概括
建立具有专业团队,单位,协议和综合应急响应系统的初级中风中心,可以显著改善患者护理和急性中风的结果. 这种方法增强了诊断和治疗干预措施,同时减少了并发症.
科学领域:
- 神经学 神经学
- 紧急医疗 紧急医疗
- 医疗保健管理的管理
背景情况:
- 脑卒中护理需要专门的多学科方法来改善患者的治疗结果.
- 大脑攻击联盟 (BAC) 确定需要标准化的初级中风中心.
- 审查了1966年至2000年的现有文献,以提供建议.
研究的目的:
- 为初级中风中心制定建议.
- 提高中风患者的医疗护理和治疗结果.
- 定义中风中心操作的基本组件.
主要方法:
- 使用MEDLINE的600多篇文章 (1966-2000) 的文献评论.
- 包括随机临床试验,元分析和指南中的证据.
- 脑攻击联盟 (BAC) 的多学科专家共识.
主要成果:
- 关键要素包括急性中风小组,中风单位和护理协议.
- 综合应急响应系统至关重要.
- 随时随地提供CT扫描和快速实验室检测是重要的支持服务.
结论:
- 主要中风中心改善了患者的护理和治疗结果.
- 基本组件包括专业团队,单位,协议和集成系统.
- 管理支持和持续教育对于成功实施至关重要.
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