使用抗药物治疗创伤后发作:全球调查
Harison Gopalan1, Krishnakumar P2, Arun S1
1Department of Neurosurgery, Government Medical College, Thiruvananthapuram, Kerala, India.
Annals of neurosciences
|June 14, 2023
概括
在脑损伤后对创伤后发作和的管理在全球范围内有所不同. 这项研究强调,迫切需要标准化临床实践指南,以改善患者护理和治疗结果.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
- 创伤性脑损伤研究研究
背景情况:
- 创伤后 (PTS) 和创伤后 (PTE) 是创伤性脑损伤 (TBI) 后的重大并发症.
- 目前对PTS和PTE的管理策略在医疗保健专业人员中缺乏全球共识.
- 这种变化需要对当前的做法进行更密切的检查.
研究的目的:
- 进行一项全球调查,评估PTS和PTE的各种管理实践.
- 识别和强调制定统一的临床实践指南的必要性.
- 在TBI管理中为未来的研究和临床决策提供信息.
主要方法:
- 一项全球调查分发给世界各地的执业神经科医生和神经外科医生.
- 该调查包括16个问题,通过在线平台和社交媒体进行.
- 从220名国际受访者收集了数据.
主要成果:
- 显著多数 (91.8%) 启动抗药物 (AED) 预防,以预防PTS.
- 芬伊托因和莱维他拉塞坦是最受欢迎的AEDs,而莱维他拉塞坦在高收入国家更受欢迎.
- 预防和已确定的PTE的治疗持续时间通常很短,通常不到两周的预防和不到一年的PTE.
结论:
- 治疗PTS和PTE的临床实践在国际上有很大的差异.
- 显然,迫切需要制定基于证据的,全面的实践指南.
- 标准化指南将提高TBI相关发作和的管理的一致性和有效性.
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