意识障碍的常见数据元素:医院疗程,混因子和药物工作组的建议
Megan E Barra1, Elizabeth K Zink2, Thomas P Bleck3
1Massachusetts General Hospital, Boston, MA, USA.
Neurocritical care
|August 23, 2023
概括
研究人员开发了共同的数据元素,以标准化医院护理和意识障碍 (DoC) 研究的混因素. 这旨在改善对DoC的理解和治疗,提高神经临床护理中的患者结果.
科学领域:
- 神经临界护理是指神经临界护理.
- 翻译研究是翻译研究.
- 意识障碍 (DOC) 是一种意识障碍.
背景情况:
- 治愈昏迷运动将跨学科的专家团结在一起,以协调方法理解意识障碍 (DoC).
- 现有研究受到医院护理,监测,专家接入和资源的变化所阻碍,影响患者的治疗结果.
- 在DoC原因的异质性和在中风和创伤性脑损伤等条件下不一致的准则遵守需要标准化的数据收集.
研究的目的:
- 概述医院课程,混因素和药物在DoC研究中的共同数据元素的发展.
- 简化定义和变量,以便对意识障碍进行更有意义,更可比的临床研究.
主要方法:
- 一个跨学科的神经临床护理专家团队召开会议,建立一个统一的研究框架.
- 开发通用命名法和标准化数据元素集,用于DoC患者护理中的关键变量.
- 专注于医院过程,混因素和药物数据,以解决临床研究中的变异性.
主要成果:
- 建立了与DoC研究相关的医院过程,混因素和药物的共同数据元素.
- 提供了一个框架,以减少在各种医疗保健机构和患者群体中收集数据的异质性.
- 通过标准化关键变量,促进了更有意义和可比的研究.
结论:
- 开发的共同数据元素对于推进翻译研究和改善对意识障碍的理解至关重要.
- 标准化工作对于克服护理和混因素的变化至关重要,最终可以提高神经临床护理中的患者结果.
- 这一举措代表着朝着协调国家和国际DoC研究的重要一步.
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