在重症监护室住院的创伤性脑损伤患者的基准调动实践和功能结果:三年服务评估
Fiona Howroyd1,2, James Hodson1, Anne Preece1
1Queen Elizabeth Hospital Birmingham, University Hospitals Birmingham NHS Foundation Trust, Birmingham, United Kingdom.
Frontiers in neurology
|February 11, 2026
概括
早期动员对于创伤性脑损伤 (TBI) 患者至关重要. 这项研究发现,创伤性创伤的ICU患者的动员率和流动性水平较低,这凸显了改善神经创伤重症监护室 (ICU) 实践的需要.
科学领域:
- 神经科学是一个神经科学.
- 关键护理医学 关键护理医学
- 物理疗法物理治疗
背景情况:
- 创伤性脑损伤 (TBI) 是全球死亡和残疾的主要原因.
- 在重症监护室 (ICU) 早期动员改善了一般患者群体的结果.
- 在急性TBI患者早期动员的证据有限.
研究的目的:
- 评估急性TBI患者进入ICU的当前动员活动.
- 为了评估动员TBI患者的功能结果.
- 确定TBI患者动员的潜在障碍或趋势.
主要方法:
- 在ICU中对成年TBI患者的单中心回顾性服务评估.
- 收集的数据:人口统计,TBI严重程度 (格拉斯哥昏迷尺度 - GCS),调动时间,以及曼彻斯特移动尺度 (MMS) 评分.
- 移动性定义为坐在床边或更好;MMS评估了移动性的水平.
主要成果:
- 包括353名TBI患者; 56%的TBI严重 (GCS 3-7).
- 只有53%的人在ICU上动员;初次动员的中位时间为11天.
- 随着TBI严重程度的增加,动员率和水平显著下降 (p < 0.001).
结论:
- 在ICU中的急性TBI患者的动员率较低,并在出院后获得有限的运动能力.
- 动员挑战在患有更严重TBI的患者中似乎更大.
- 对神经创伤重症监护室早期动员的进一步前性研究是有必要的.
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