患者对中风后康复的评估和预测:临床医生的路线图
Silvia Salvalaggio1,2, Leonardo Boccuni3,4,5, Andrea Turolla6,7
1Laboratory of Computational Neuroimaging, IRCCS San Camillo Hospital, Venezia, Italy.
Archives of physiotherapy
|June 19, 2023
概括
本综述为临床医生提供了关于使用预后模型来预测中风恢复的实用指南. 早期评估和验证的工具有助于患者分层和治疗目标的设定.
科学领域:
- 神经康复疗法 神经康复疗法
- 临床神经科学 临床神经科学
- 脑卒中恢复研究研究
背景情况:
- 目前的神经康复评估优先考虑现状,而不是预测结果.
- 缺乏标准化的预后模型阻碍了中风后有效的干预计划.
研究的目的:
- 审查现有的预后模型,以预测中风后的功能恢复.
- 为临床医生创建一个实用指南,将预测性评估纳入实践.
- 促进基于预期结果的患者分层早期临床评估.
主要方法:
- 对中风恢复的预后模型进行了广泛的文献审查.
- 为预测工具的临床应用制定一个五步路线图.
- 根据功能领域 (运动,语言,生理,独立性) 组织预测工具.
主要成果:
- 识别和组织各种用于中风恢复的预测工具.
- 为临床医生提出了一种结构化的方法来利用预后信息.
- 审查了相关的生物标志物和在线资源以获得预后价值.
结论:
- 临床评估应包括当前状态评估和康复预测.
- 使用具有预测价值的结果指标对于设定适当的治疗目标至关重要.
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