预防下一次中风:迫切需要遵守指导方针 - - 一个综合性审查,对实践产生影响
Munachi Okpala1, Rebecca Keele
1Texas Woman's University, Denton, Texas.
概括
第二次中风预防指南的遵守不一致,许多患者没有接受最佳治疗. 改善坚持是减少复发性中风和改善患者结果的关键.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 基于证据的医学基于证据的医学.
背景情况:
- 脑卒中是一个重大的全球健康挑战,导致高残疾率,死亡率和经济压力.
- 一年内反复发生的中风影响了11%的个人,增加了残疾和医疗保健支出.
- 始终坚持二次中风预防指南至关重要,但往往缺乏.
研究的目的:
- 评估是否遵守美国心脏协会/美国中风协会 (AHA/ASA) 的二次中风预防指南.
- 识别跨不同临床环境的坚持差距及其对患者结果的影响.
- 为提高这些关键指南的实施提供见解.
主要方法:
- 一个综合性审查,综合从定量和定性研究的发现.
- 在主要数据库 (PubMed,CINAHL,Ovid,Embase) 进行文献搜索.
- 利用惠特莫尔和卡纳夫的五阶段框架和PRISMA检查清单进行严格的综合和报告.
主要成果:
- 二十项研究 (2019-2020年) 显示了准则遵守的显著变化.
- 相当数量的患者没有接受推的最佳疗法.
- 在不同环境中,坚持率有所不同,突出了实施差距.
结论:
- 对AHA/ASA二次中风预防指南的不一致遵守构成了最佳患者护理的障碍.
- 解决发现的实施差距对于减少复发性中风发病率至关重要.
- 医疗保健提供者必须将最新的AHA/ASA指南纳入实践,以改善患者的治疗结果.
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