概括
广泛的昏迷评估通常是无效和昂贵的. 制定有针对性的诊断策略对于有效识别昏睡的原因至关重要.
科学领域:
- 神经学 神经学
- 心脏病学 心脏病学
- 内部医学 内部医学
背景情况:
- 昏迷或昏迷是住院治疗的常见原因之一.
- 确定昏迷的原因可能是具有挑战性的,导致广泛的诊断工作.
研究的目的:
- 评估用于未知来源的昏迷的各种诊断测试的有效性和成本效益.
- 评估住院患者不同检查的诊断产量.
主要方法:
- 从1976年至1980年期间,对121名因不明原因昏迷住院的患者进行了回顾性审查.
- 诊断测试的分析,包括心脏监测,电生理学研究,心脏导管,葡萄糖耐受性测试,神经成像 (CT,放射性核素脑部扫描),腰部穿刺,头骨光谱和脑电图 (EEG).
主要成果:
- 在121名患者中,只有13人得到了确定的诊断.
- 广泛的测试,包括神经成像和EEG,产生了有限的诊断信息.
- 心脏监测和电生理学研究表明,在一小部分患者中,诊断异常.
- 平均住院时间为9天,平均每名患者的费用为2,463美元.
结论:
- 对于未知来源的昏迷的全面评估往往是成本效益低下的.
- 需要前性,以目标为导向的诊断方法来提高诊断产量和降低医疗保健成本.
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