关于中风恢复的标准化领域和指标:系统性审查
Yash Akkara1, Ryan Afreen2, Michael Lemonick2
1School of Medicine, Imperial College London, London SW7 5NH, UK.
Brain sciences
|January 8, 2025
概括
这项研究确定了测量中风恢复的七个关键领域和96个子领域,建立了18个标准指标,以确保在所有领域进行全面评估. 这些标准化指标为患者的康复提供了更完整的视图.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 临床研究 临床研究
背景情况:
- 评估中风恢复是复杂的,缺乏标准化指标.
- 现有的措施往往无法捕捉恢复域和子域的全部范围.
研究的目的:
- 确定一套标准化,数据驱动的,用于中风康复的指标.
- 确保所有恢复域和子域全面纳入评估.
主要方法:
- 对324项研究 (2004-2024) 的系统综述,包括缺血性和出血性中风.
- 按照PRISMA指南,使用纽卡斯尔-太华尺度和柯克兰偏差风险2.0.0进行偏差评估.
- 纳入标准:≥20名参与者,≥18年,≥3个月的随访时间.
主要成果:
- 确定了七个领域 (感知,身体/运动功能,言语/语言,认知,ADL,QoL,社交互动) 和96个子领域.
- 身体/运动功能和ADL是最受研究的,但随着时间的推移,感知和QoL增加了.
- 最常见的指标是NIHSS,BI和mRS,18个标准指标涵盖了所有域/子域.
结论:
- 一套标准化的18个指标确保了全面的中风恢复评估.
- 通过为所有恢复领域提供指标,为临床研究和决策提供了信息.
- 改善了代表性不足的恢复区域的测量,以获得完整的患者视图.
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