评估ED患者非心脏的后续风险
Filippo Numeroso1, Teodora Naldoni2, Fabio Gnerre2
1Emergency Department, University Hospital of Parma, 43121 Parma, Italy.
The American journal of emergency medicine
|August 6, 2024
概括
严重的昏迷影响大约三分之一的患者,造成伤害并影响生活质量. 紧急医生应该通过专注于没有前兆和除了反射性失眠之外的其他特征的无证病例来识别这些病例.
科学领域:
- 紧急医疗 紧急医疗
- 心脏病学 心脏病学
- 神经学 神经学
背景情况:
- 昏迷评估通常是在心脏昏迷排除之后进行的.
- 进一步的治疗是为严重的昏迷和严重的后果保留的.
- 在非心脏性的急诊室 (ED) 患者中识别严重的非常重要.
研究的目的:
- 为了确定ED患者因后续风险而导致严重昏迷的发生率.
- 在这个队列中确定与严重昏迷相关的危险因素.
主要方法:
- 在356名患有非心脏的患者进行了病例控制研究.
- 个人数据,药物治疗方案,并发症,昏迷特征和严重和非严重昏迷组之间的先前发作进行比较.
主要成果:
- 严重的昏迷发生在31.7%的患者中.
- 严重昏迷患者更有可能服用多种药物,中枢神经系统药物,并且有跌倒风险的并发症.
- 没有目击者的昏迷,没有前发症和非反射性昏迷特征独立地与严重的昏迷有关.
结论:
- 大约三分之一的昏迷病例具有显著的负面影响.
- 紧急医生应该考虑进一步调查无目击者昏迷没有前兆和非反射特征.
- 需要评估昏睡对生活质量影响的工具来指导ED后的管理.
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