皇后广场脑炎多学科团队会议 - 经验超过三年,COVID-19大流行前后的经验
Tehmina Bharucha1, Rachel L Brown2, Cristina Marcoci3
1National Hospital for Neurology and Neurosurgery, Queen Square, London WC1N 3BG, UK; Department of Biochemistry, University of Oxford, Oxford OX1 3QU, UK.
Journal of the neurological sciences
|October 4, 2023
概括
每月的多学科团队会议 (MDT) 改善了复杂脑炎病例的诊断和管理. 这种协作方法被证明是有价值的,大多数参与者发现讨论是有用的,许多报告患者护理的变化.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 免疫学 免疫学 免疫学
背景情况:
- 即使在资源充足的环境中,对脑炎的诊断和治疗仍然具有挑战性.
- 为了应对这些挑战,在2018年2月设立了一个每月的多学科团队会议 (MDT).
- 该MDT旨在改善疑似脑炎病例的诊断和治疗策略.
研究的目的:
- 描述三年来疑似脑炎的多学科团队会议 (MDT) 的经验和结果.
- 评估MDT讨论对患者诊断和管理的影响.
- 通过推团队和与会者来评估MDT的感知价值.
主要方法:
- 对患者人口统计,MDT结果和最终诊断的回顾性分析.
- 在三年的时间里,对324个涉及238名患者的病例讨论进行了审查.
- 通过在线调查对推团队和MDT参与者的反分析.
主要成果:
- 讨论的病例多样化,包括COVID-19,脑部感染,自身免疫性疾病和脑炎模仿.
- 大约40%的病例涉及COVID-19或脑部感染,40%是自身免疫/炎症性疾病,20%是不确定的病因.
- 94%的调查受访者认为MDT讨论是有用的,69%的人报告说患者管理的变化.
结论:
- 多学科投入对于探索诊断途径和识别脑炎新治疗方法至关重要.
- 医疗医学专家为管理复杂病例的临床医生提供了至关重要的支持,特别是在专家投入有限的情况下.
- 在脑炎管理中,合作决策至关重要,特别是当证据基础稀缺时.
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