关于印度昏迷流行病学,评估和治疗的全国调查:重新审视治愈昏迷的运动Come Together调查
Charu Mahajan1, Hemanshu Prabhakar2, Verena Rass3
1Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, 110029, India.
Neurocritical care
|October 11, 2023
概括
这项针对印度医生的调查发现,对昏迷评估标准的高度一致. 创伤性脑损伤是主要原因,幸存者经常在家出院.
科学领域:
- 神经学 神经学
- 关键护理医学 关键护理医学
- 临床实践 临床实践
背景情况:
- "一起来"调查突出了发展中国家有限的数据.
- 这项研究通过调查印度次大陆的医生来弥补这一差距.
研究的目的:
- 评估印度医生当前的昏迷和意识障碍的实践和定义.
- 确定印度昏迷的常见病因,诊断工具和管理策略.
主要方法:
- 一项从2022年8月到9月进行的跨部门在线调查.
- 涉及130名医疗保健医生治疗昏迷患者.
- 统计分析包括菲舍尔精确测试,曼-惠特尼U测试和弗莱斯 κ值.
主要成果:
- 对于关键昏迷指标,如缺乏清醒和格拉斯哥昏迷分数 ≤ 8.,发现了实质性的评价者间一致.
- 创伤性脑损伤是最常见的病因,其次是缺血性中风和脑内出血.
- 格拉斯哥昏迷评分和神经学检查是主要的评估工具;幸存者最常出院是在家里.
结论:
- 印度的做法与全球趋势有所不同,特别是TBI是主要原因和更高的镇静中断率.
- 在印度,脑电图和药物神经刺激剂的使用较少.
- 家庭出院是印度昏迷患者生存的主要处置.
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