缩小癫痫状态证据与实践差距的路线图

IF 2.3 3区医学 Q2 BEHAVIORAL SCIENCES

Epilepsy & Behavior Pub Date : 2024-09-23 DOI:10.1016/j.yebeh.2024.110033

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引用次数: 0

摘要

癫痫状态（SE）是一种具有时间敏感性、可能危及生命的神经急症，与不良的功能预后和更多的医院资源使用相关，尤其是当癫痫发展为难治性或超难治性癫痫时。本综述为将相对较新的 "实施科学"（Implementation Science）领域纳入促进将循证实践系统地应用到 SE 患者的实际护理中提供了路线图。多方面的方法--包括更好地整合现实世界中的实施和研究基础设施、强调临床数据的标准化和统一性、重新审查资金的优先次序、监管改革以及组建跨学科团队和学习合作--都有可能从目前的现状出发，推动对 SE 患者的护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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A roadmap to closing the evidence-to-practice gap in status epilepticus

Status epilepticus (SE) is a time-sensitive, potentially life-threatening neuro-emergency associated with poor functional outcomes and increased hospital resource utilization especially when it progresses to refractory or super-refractory forms. Timely recognition & treatment improves outcomes, however gaps between recommended and implemented care are common and pervasive.

This review provides a roadmap for incorporating the relatively new field of Implementation Science in promoting the systematic uptake of evidence-based practices into the real-world care of patients with SE. A multifaceted approach − including better integration of real-world implementation and research infrastructure, an emphasis on standardizing and harmonization clinical data, re-examining funding priorities, regulatory reform, and the formation of transdisciplinary teams and learning collaboratives − has the potential to advance the care of patients in SE from its current status quo.

This topic was presented at the 9th London-Innsbruck Colloquium on Status Epilepticus and Acute Seizures held in April 2024.

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来源期刊

Epilepsy & Behavior 医学-行为科学

CiteScore

5.40

自引率

15.40%

发文量

385

审稿时长

43 days

期刊介绍： Epilepsy & Behavior is the fastest-growing international journal uniquely devoted to the rapid dissemination of the most current information available on the behavioral aspects of seizures and epilepsy. Epilepsy & Behavior presents original peer-reviewed articles based on laboratory and clinical research. Topics are drawn from a variety of fields, including clinical neurology, neurosurgery, neuropsychiatry, neuropsychology, neurophysiology, neuropharmacology, and neuroimaging. From September 2012 Epilepsy & Behavior stopped accepting Case Reports for publication in the journal. From this date authors who submit to Epilepsy & Behavior will be offered a transfer or asked to resubmit their Case Reports to its new sister journal, Epilepsy & Behavior Case Reports.