在农村II级创伤中心对脑损伤指南的回顾性验证
Bryant Morocho1, Justin Meinert1, Sofia Stirpe2
1Department of Surgery, Guthrie Robert Packer Hospital, Sayre, Pennsylvania.
The Journal of surgical research
|August 8, 2024
概括
脑损伤指南 (BIG) 有效地将创伤性脑损伤 (TBI) 的患者分类. 在农村创伤中心被归类为BIG-1或BIG-2的患者不需要神经外科手术或转移.
科学领域:
- 神经外科 神经外科
- 创伤护理 创伤护理
- 放射学 放射学是一门学科.
背景情况:
- 创伤性脑损伤 (TBI) 管理正在发展,促使重新评估常规转移.
- 脑损伤指南 (BIG) 根据临床恶化风险将TBI患者分为BIG-1,BIG-2和BIG-3.
- 之前对BIG标准的验证发生在一级和三级创伤中心.
研究的目的:
- 在一个农村的II级创伤中心验证脑损伤指南 (BIG) 标准.
- 在多样化的创伤人群中评估BIG标准的临床适用性.
- 为了确定BIG-1和BIG-2患者是否需要神经外科干预或转移.
主要方法:
- 在农村II级创伤中心2018-2022年隔离TBI患者的回顾性分析.
- 用大脑损伤指南 (BIG) 标准对患者进行分类.
- 由神经外科医生审查的头部CT扫描;结果与已发表的数据相比较.
主要成果:
- 454名患者进行了分析:138名BIG-1,51名BIG-2,263名BIG-3.
- 在2名BIG-1 (6%) 和2名BIG-2 (12.5%) 患者中观察到内出血的进展.
- 无论出血进展如何,没有BIG-1或BIG-2患者需要神经外科干预.
结论:
- 结果支持"脑损伤指南" (BIG) 作者的建议.
- 这个农村II级中心的BIG-1和BIG-2患者不需要重复头部CT,神经外科咨询或第三级转移.
- BIG标准在指导农村环境中对轻度至中度TBI的管理决策方面具有实用性.
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