在急诊室中昏睡的管理:欧洲前性队列研究 (SEED)
Matthew J Reed1,2, Suvi Karuranga3, David Kearns4
1Emergency Medicine Research Group Edinburgh (EMERGE), Royal Infirmary of Edinburgh.
概括
这项研究发现,1%的急诊室访问是因为昏迷,近40%的患者入院. 在欧洲各国,昏迷的管理和入院率有很大差异.
科学领域:
- 心脏病学 心脏病学
- 紧急医疗 紧急医疗
- 临床研究 临床研究
背景情况:
- 2018年欧洲心脏病学会 (ESC) 的指导方针包括急诊部 (ED) 的昏迷管理.
- 欧洲ED综合症患者的特征和管理在很大程度上是未知的.
研究的目的:
- 调查成年欧洲ED患者中暂时失去意识 (TLOC) 的患病率,表现,评估和管理.
- 使用ESC和加拿大风险评分 (CSRS) 标准对患者进行分类.
主要方法:
- 前性,多中心,观察性队列研究.
- 包括成年患者 (≥18岁) 呈现给欧洲EDs的TLOC.
- 收集关于临床表现,调查,管理和风险分层的数据.
主要成果:
- 来自14个欧洲国家的41个EDs的952名患者被纳入.
- 39.8%的患者被住院治疗;75.3%的患者具有高风险的ESC特征.
- 在招生率 (19.3-88.9%) 和管理方面观察到显著的国家间差异.
结论:
- 在欧洲,Syncope占ED演示的1%,录取率为39.8%.
- 大多数患者表现出高风险特征,入院率与增加的风险因素相关.
- 在欧洲各国的昏迷管理中存在很大差异.
相关概念视频
01:30Pulse rhythm
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Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
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01:14Decreased pulse rate
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Bradycardia is a medical condition in which the heart rate is slower than normal. It occurs when the heart's natural pacemaker, the sinus node, generates slower electrical impulses than the standard rhythm. In adults, bradycardia is diagnosed when the pulse rate falls below 60 beats per minute, indicating a deviation from the normal heart rate range.
There are specific risk factors that can elevate the likelihood of developing bradycardia. Advanced age is a significant factor, with...
There are specific risk factors that can elevate the likelihood of developing bradycardia. Advanced age is a significant factor, with...
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