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关于老年人创伤性脑损伤管理的共识:来自德尔菲研究的结果

Alfonso Lagares^1,2,3,4, Bart Depreitere⁵, Niklas Marklund⁶

¹Department of Neurosurgery, Hospital Universitario 12 de Octubre, Madrid, Spain.

|July 28, 2025

概括

专家们就44个关于对老年人创伤性脑损伤 (TBI) 护理的陈述达成共识. 这为医生和研究人员提供了对老龄人口TBI的关键指导.

科学领域:

老年学是一门学科.
神经学神经学
创伤外科手术创伤外科

背景情况:

全球人口老龄化,导致老年人中创伤性脑损伤 (TBI) 的发生率增加.
与年轻患者相比,老年人在TBI评估,诊断和管理方面存在独特的挑战.
需要为老年人群的TBI护理制定标准化指南.

研究的目的:

在TBI患者的老年年龄的定义上建立专家共识.
制定关于老年人TBI的评估,诊断和管理的共识陈述.
确定老年人TBI护理的共识领域和知识差距.

主要方法:

采用了经过修改的Delphi方法,涉及两轮在线会议和一次面对面会议.
共识被定义为超过75%的参与专家之间的协议.
数据分析包括数字数据的描述性和非参数统计数据和定性陈述的共识.

主要成果:

来自不同专业和国际背景的72名专家参加了会议.
在44个声明中达成共识,这些声明涵盖了老年人的定义,TBI评估,手术和重症监护,出院和康复.
确定了主要的协议领域,强调了专门的老年TBI协议的重要性.

结论:

该共识为老年人治疗TBI提供了一个基本框架.
这项工作强调了需要继续进行研究,以解决老年TBI的特定知识差距.
这些发现强化了这一领域对参与创伤性脑损伤护理的临床医生和研究人员的重要性.

关键词:

年长的老年人.临床管理临床管理诊断诊断诊断诊断诊断结果结果的结果.创伤性脑损伤是一种创伤性脑损伤.一致的共识共识.

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Traumatic Brain Injury l: Introduction

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DefinitionTraumatic brain injury, or TBI, is a disturbance of normal brain function induced by an external mechanical force, such as a direct blow to the head or a penetrating injury. It can affect both brain structure and function, producing a wide range of clinical outcomes. TBI is a heterogeneous condition, meaning its effects may differ based on the type, location, and severity of the injury.Basis of ClassificationTBI is classified based on severity, injury mechanism, or pathophysiology. In...