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责任不能放弃:在术后大脑健康中以患者为中心的精准护理的任务

Alex Barroso¹, Başak Ceyda Meco², Vanessa Moll³

¹Department of Anaesthesiology, Perioperative and Pain Medicine, Málaga Regional University Hospital, Málaga, Spain; Department of Pharmacology and Anaesthesiology, Faculty of Medicine, University of Málaga, Málaga, Spain.

British journal of anaesthesia

|March 11, 2026

概括

预防手术后妄想,手术中常见的伤害,至关重要. 采取主动的,低成本的策略对于患者安全和医疗保健的可持续性至关重要,将重点从昂贵的反应性治疗转移到昂贵的反应性治疗.

科学领域:

在外科手术期间的医学.
神经科学是一个神经科学.
卫生经济学卫生经济学

背景情况:

术后期是医疗保健费用和可预防的神经损伤的重要贡献者.
术后妄想影响50-70%的易受伤害的手术患者,但预防措施往往被推迟.
目前的做法倾向于昂贵的反应性治疗,而不是基于证据的低成本预防策略,造成经济效率低下.

研究的目的:

解决基于证据的预防与外科手术期间护理中的临床实施之间的差距.
引入以患者为中心的精准护理,作为整合协议和结果验证的框架.
为道德和经济原因,倡导从反应性治疗转向积极预防.

主要方法:

在结构化的框架内整合基于证据的协议 (安全大脑倡议).
验证现实世界结果,以评估实施战略的有效性.
分析经济激励因素,推动医疗保健资源在术前期的利用.

主要成果:

尽管有强有力的证据,但延迟采用低成本的预防策略.
用较弱证据实施的昂贵反应性治疗的普及率.
一个反向的证据层次结构,使患者的伤害和低效的资源使用永久化.

结论:

转向主动,以证据为基础的预防对于患者的福祉来说,从伦理上来说是必要的.
积极预防在经济上是必要的,以确保医疗保健系统的长期可持续性.
以患者为中心的精准护理为优化术后结果和资源配置提供了一个模型.

关键词:

电脑脑电图 (EEG) 是一种电脑电图.在手术内进行的监测.医学伦理学医学伦理学在外科手术期间的医学.术后狂妄症的发生精准医学是一门精准医学.

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