低收入和中等收入国家的病护理和结果:一个范围审查
Nourou Dine Adeniran Bankole1, Yao Christian Hugues Dokponou1, Rosaline De Koning1
1Department of Research, Association of Future African Neurosurgeons, Yaounde, Cameroon.
Journal of neurosciences in rural practice
|March 13, 2024
概括
低收入和中等收入国家 (LMICs) 的管理报告不足,诊断工具和治疗机会有限. 本次审查强调了需要改善这些地区的病护理.
科学领域:
- 神经学 神经学
- 全球健康 全球健康
- 流行病学 流行病学
背景情况:
- 是低收入和中等收入国家 (LMICs) 普遍存在的一种神经疾病.
- 有效的管理和对结果的理解对于改善这些环境中的患者护理至关重要.
研究的目的:
- 系统地审查,分析和综合有关LMIC中的医疗和手术管理的当前信息.
- 评估这些地区治疗的结果.
主要方法:
- 在多个数据库 (MEDLINE,EMBASE,世卫组织全球指数Medicus,非洲期刊在线,WOS,Scopus) 进行系统搜索,截至2021年8月18日.
- 包括48项研究,包括来自LMIC的38,035例病例.
主要成果:
- 研究人口的平均年龄为20.1岁,其中60.92%是男性. 缺席发作是最常见的 (21.82%),其次是部分焦点发作 (10.23%) 和通用性强力-克隆性发作 (9.32%).
- 电脑电图 (EEG) 是最常用的诊断工具 (6.61%). 卡巴马泽平是最常被处方的抗药 (5.57%). 在1.22%的病例中,需要进行外科手术.
- 在1.53%的病例中报告了原发性,在0.87%的病例中报告了二次性.
结论:
- 在LMICs中,仍然被报告不足.
- 对于原发性和二次性来说,在适当的诊断工具方面存在很大的差距.
- 在LMICs,对被诊断出病例的适当医疗管理的机会是不够的.
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