加勒比地区的急性中风管理:一个范围审查协议
Hélène Clervius1,2,3, Tadeusz H Wroblewski4,5, Nadia Bennett6
1Department of Neurology, SUNY Downstate Health Sciences University, Brooklyn, New York, USA.
BMJ open
|November 25, 2025
概括
关于加勒比地区中风护理的信息有限. 本综述绘制了有关诊断和治疗准入的文献,以确定该地区中风患者的差距和改善结果.
科学领域:
- 神经学 神经学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在加勒比海,中风是导致死亡和残疾的主要原因.
- 有限的数据存在于诊断成像和治疗可用性和用于中风护理的利用.
- 医疗保健的不平等可能会加剧该地区的低资源环境中中风的结果.
研究的目的:
- 对加勒比地区成年人中风护理的诊断和治疗方式的获取现有文献进行映射.
- 确定急性中风治疗的局限性及其对结果的影响.
- 为改善在资源有限的加勒比社区中风护理准入的战略提供信息.
主要方法:
- 一个基于Joanna Briggs研究所方法的三步文献搜索策略.
- 搜索将覆盖1995年1月1日至2025年6月1日,重点关注加勒比海的缺血性和出血性中风.
- 研究将由两名独立审查员根据PRISMA-ScR指南进行选.
主要成果:
- 本节将介绍关于诊断成像 (如神经成像) 和中风急性治疗选择的可用性和利用性的发现.
- 该审查将强调中风中心,医院前管理和紧急治疗能力的差距.
- 数据将说明这些模式的限制如何影响中风患者的结果.
结论:
- 该审查将全面概述加勒比地区对中风护理的准入情况.
- 鉴定的局限性将指导开发有针对性的干预措施,以加强中风管理.
- 结果将支持减少该地区中风相关死亡率和残疾的努力.
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