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在急诊室以患者为中心的轻度创伤性脑损伤干预措施

Sarah Ray¹, Jude Luke¹, Natalie Kreitzer²

¹University of Cincinnati School of Medicine, USA.

The American journal of emergency medicine

|March 9, 2024

概括

在ED的轻度创伤性脑损伤 (mTBI) 管理需要更好的以患者为中心的治疗方法. 预测模型和ED观察单元显示,改善mTBI患者的治疗结果是有希望的.

科学领域:

神经学神经学
紧急医疗紧急医疗
公共卫生公共卫生

背景情况:

创伤性脑损伤 (TBI) 在美国每年影响250万,轻度TBI (mTBI) 占90%的病例.
创伤后的慢性症状很常见,但这种人群在干预研究中代表性不足.
目前成人mTBI的急诊室 (ED) 管理层在治疗选择方面缺乏共识.

研究的目的:

综合现有的关于患者为中心的成年人mTBI的ED治疗的文献.
确定在ED环境中对mTBI管理的有希望的实践.

主要方法:

按照PRISMA指南对PubMed和Cochrane数据库进行系统审查.
排除了儿科,中度至重度的TBI和非ED干预措施.
使用混合方法评估工具 (MMAT) 评估的方法质量.

主要成果:

预测模型有效地识别了患有脑震荡后综合征 (PCS) 高风险的患者.
电子临床实践指南和延长的工作假期减少了mTBI症状;Ondansetron帮助恶心.
ED观察单位减少了住院和住院时间;基于平板电脑的评估比标准认知测试的表现更好.

结论:

经过验证的仪器可以确定患有PCS或认知障碍风险的患者.
经纪处观察单元的管理和改进的释放指令可能会提高mTBI的结果.
在基于ED的mTBI治疗中,需要对药物和生活方式改变进行进一步的研究.

关键词:

排放说明书排放说明书干预措施干预措施制药公司制药公司睡眠睡眠睡眠睡眠创伤性脑损伤是一种创伤性脑损伤.mTBI mTBI 的意思是什么

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