影响急诊部发作复发的因素
Umit Can Dolek1,2, Mustafa Gokce3, Mehmet Muzaffer Islam2
1Khoja Akhmet Yassawi International Kazakh-Turkish University, Medical School, Emergency Department, Turkistan, Kazakhstan.
患有发作的急诊室 (ED) 患者可能会出现复发. 晚年,延长后期持续时间和低格拉斯哥昏迷量表 (GCS) 评分是关键预测因素,需要对这些人进行仔细的ED随访.
科学领域:
- 神经学 神经学
- 紧急医疗 紧急医疗
- 临床研究 临床研究
背景情况:
- 关于发生发作的患者的急诊室 (ED) 随访情况的信息有限.
- 了解影响发作复发的因素对于ED访问后有效的患者管理至关重要.
研究的目的:
- 调查预测患者出现发作复发的因素.
- 确定临床指标,以便对患有复发风险的患者进行更密切的监测.
主要方法:
- 一项前性,观察性,单中心研究包括了205名成年患者,他们向ED提出了发作.
- 数据分析涉及不可变和逻辑回归,以确定在6小时内发作复发的预测因素.
主要成果:
- 在6小时内,在33.2%的患者中观察到发作复发.
- 与复发显著相关的因素包括晚年,延长的治疗后持续时间,低格拉斯科夫昏迷表 (GCS) 评分和各种并发症.
- 后勤回归确定了后创伤持续时间,GCS得分和年龄作为独立的预测因素.
结论:
- 长时间的后状态,低GCS得分和晚年是潜在复发的重要指标.
- 患有这些因素的患者需要提高警,并在ED环境中进行仔细跟踪,以防止复发性发作.
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