开发一个核心结局对创伤性臂损伤的核心结局集
Caroline Miller1,2, Jane Cross1, Dominic M Power3
1School of Health Sciences, University of East Anglia, Norwich, UK.
The Journal of hand surgery, European volume
|November 21, 2023
概括
国际专家为创伤性臂结合损伤制定了一套核心结局. 关键领域包括疼痛,运动和日常功能,以改善护理和研究的一致性.
科学领域:
- 神经外科 神经外科
- 整形外科 整形外科 整形外科
- 康复医学 康复医学 康复医学
背景情况:
- 创伤性臂状交损伤显著影响患者的功能和生活质量.
- 缺乏标准化结果衡量标准,阻碍了治疗方法和研究结果的有效比较.
研究的目的:
- 达成国际共识,就成年创伤臂损伤护理和研究的最低结果.
- 为报告结果建立一个标准化的框架,促进多中心比较和元分析.
主要方法:
- 系统性审查和患者采访确定了最初的结果列表.
- 一项涉及国际外科医生,患者和治疗师的三轮Delphi在线调查完善了结果列表.
- 与患者和临床医生的在线共识会议批准了最终的核心结果.
主要成果:
- 共有72名国际参与者 (外科医生,患者,治疗师) 完成了Delphi调查.
- 在核心结果领域达成共识,包括疼痛,自愿运动和执行日常活动的能力.
- 如果超过85%的贡献者推结果,则将结果纳入.
结论:
- 已经建立了一个基于共识的核心结果,用于成人创伤性臂损伤.
- 对于临床护理和研究,建议对疼痛,自愿运动和日常活动进行标准化评估.
- 这一核心集将提高手臂伤管理研究的可比性和质量.
相关概念视频
01:22Burn Injuries
2.5K
Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
2.5K
01:26Flail Chest-II
183
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
183
01:22Spinal Nerves: Plexus I
963
Nerve plexuses are networks of interlacing nerves that serve as communication hubs to distribute and organize nerve action across various body regions. The nerve plexuses are organized into the cervical plexus located in the neck region, brachial plexus in the shoulder area, lumbar plexus found in the lower back, sacral plexus situated in the pelvis, and coccygeal plexus located in the coccygeal region.
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
963
01:19Standards of Care II
656
Nurses bear specific legal responsibilities under several federal statutes, including:
656
01:21Spinal Nerves: Plexus II
638
The plexuses of the lower body include the lumbar, sacral, and coccygeal plexuses, which innervate the abdomen, pelvis, legs, and coccygeal region. These plexuses control the transmission of sensory information and coordinate motor functions of the lower body.
The Lumbar Plexus
The lumbar plexus is situated within the lumbar region of the back and is primarily formed by the first four lumbar spinal nerves (L1 to L4). This plexus extends its branches into several nerves, including the...
The Lumbar Plexus
The lumbar plexus is situated within the lumbar region of the back and is primarily formed by the first four lumbar spinal nerves (L1 to L4). This plexus extends its branches into several nerves, including the...
638
01:22Standards of Care I
697
Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
697