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创伤后:城市一级创伤中心的观察结果

Daniel Kotas¹, Huaqing Zhao^2,3, John Turella³

¹Department of Neurosurgery, Lewis Katz School of Medicine, Temple University, Philadelphia, PA 19140, USA.

Neurology international

|August 28, 2024

概括

创伤性脑损伤 (TBI) 可以导致创伤后 (PTE). 严重的TBI显著增加了PTE风险,但很少有患者获得足够的神经学随访,突出了关键的护理差距.

科学领域:

神经学神经学
神经外科神经外科
创伤护理创伤护理

背景情况:

创伤性脑损伤 (TBI) 在美国每年影响数百万人.
创伤后 (PTE) 是TBI的常见后果,影响患者的结果.
PTE的危险因素包括严重的TBI和穿透头部伤害.

研究的目的:

为了确定PTE在TBI患者中的发病率.
为了确定PTE发展的重大风险因素.
评估PTETBI患者的神经随访率.

主要方法:

在一级创伤中心5年内对1886名TBI患者的回顾性图表审查.
使用ICD-10-CM代码确定TBI和PTE的患者.
收集了有关风险因素和神经科医生接触的数据.

主要成果:

在1886名患者中,有178名患者 (9.44%) 患有PTE的TBI.
严重的脑损伤是PTE的重要危险因素 (OR 2.955,p < 0.0001).
只有10.7%的PTE患者在TBI后6个多月内看了神经科医生.

结论:

相当多的TBI患者会发展为PTE.
严重的TBI是PTE的关键预测因素.
显然,有必要改善PTE风险的TBI患者的长期神经学随访.

关键词:

后续行动后续行动后创伤性 - - 后创伤性创伤性脑损伤是一种创伤性脑损伤

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