在神经急症中及时提供护理：标准化的管理方案能有所帮助吗？

IF 3.5 3区医学 Q1 CRITICAL CARE MEDICINE

Current Opinion in Critical Care Pub Date : 2025-04-01 Epub Date: 2025-01-09 DOI:10.1097/MCC.0000000000001240

Menglu Ouyang, Ma Ignacia Allende, Craig S Anderson

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引用次数: 0

摘要

综述的目的：回顾支持目标导向治疗方案的实施的证据，以改善神经危重症的预后，以及特定治疗方案相对于一般治疗方案的可能优势。近期发现：检索2023年1月1日至2024年7月31日的文献，评价规范化管理在神经急症中的有效性。使用护理包和具有时间和目标相关指标的标准化方案对急性卒中和创伤性脑损伤患者有益。摘要：目标导向的护理方案可以指导多学科团队实施的标准管理，从而改善神经急症的预后。然而，在广泛采用协议化护理以最大限度地造福人群之前，需要解决实施方面的挑战。

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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Timely delivery of care in neurological emergencies: can standardized management protocols help?

Purpose of review: To review the evidence that supports the implementation of goal-directed care bundle protocols to improve outcomes from neurocritical conditions, and of the possible advantage of specific over generalized protocols.

Recent findings: Articles from January 1, 2023 to July 31, 2024 were searched to evaluate the effectiveness of standardized management in neurological emergencies. The use of care bundles and standardized protocols with time- and target-related metrics has shown benefit in patients with acute stroke and traumatic brain injury.

Summary: A goal-directed care protocol to guide standard management implemented by a multidisciplinary team can improve outcomes from neurological emergencies. However, implementation challenges need to be addressed before wide adoption of protocolized care for maximum benefit to populations.

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来源期刊

Current Opinion in Critical Care 医学-危重病医学

CiteScore

5.90

自引率

3.00%

发文量

172

审稿时长

6-12 weeks

期刊介绍： Current Opinion in Critical Care delivers a broad-based perspective on the most recent and most exciting developments in critical care from across the world. Published bimonthly and featuring thirteen key topics – including the respiratory system, neuroscience, trauma and infectious diseases – the journal’s renowned team of guest editors ensure a balanced, expert assessment of the recently published literature in each respective field with insightful editorials and on-the-mark invited reviews.