意识障碍的预后和恢复能力的提高

IF 1.7 4区 医学 Q3 CLINICAL NEUROLOGY NeuroRehabilitation Pub Date : 2024-01-23 DOI:10.3233/nre-230148
Mary E. Russell, Flora M. Hammond, Brooke Murtaugh
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引用次数: 0

摘要

摘要 严重脑损伤后的意识障碍包括昏迷、植物人状态/无反应清醒综合征和微意识状态。意识障碍的临床表现给医疗专业人员、研究人员和家属带来了令人困惑的挑战。在脑损伤后的最初几周到几个月内,结果是不确定的,家属和医疗服务提供者往往需要做出确定性的重要决定。对这些患者的预后诊断一直是科学研究的热点,研究人员一直在努力寻找有效的预后指标和预测意识恢复的算法。本手稿旨在概述目前围绕 DoC 预后和优化恢复的临床情况,以及当前和未来可提高严重脑损伤后预后准确性的研究。加深对这些因素的了解将有助于医护人员提供最佳护理、培养希望并倡导在管理 DoC 患者时采取合乎道德的做法。
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Prognosis and enhancement of recovery in disorders of consciousness

Abstract

Disorders of consciousness after severe brain injury encompass conditions of coma, vegetative state/unresponsive wakefulness syndrome, and minimally conscious state. DoC clinical presentation pose perplexing challenges to medical professionals, researchers, and families alike. The outcome is uncertain in the first weeks to months after a brain injury, with families and medical providers often making important decisions that require certainty. Prognostication for individuals with these conditions has been the subject of intense scientific investigation that continues to strive for valid prognostic indicators and algorithms for predicting recovery of consciousness. This manuscript aims to provide an overview of the current clinical landscape surrounding prognosis and optimizing recovery in DoC and the current and future research that could improve prognostic accuracy after severe brain injury. Improved understanding of these factors will aid healthcare professionals in providing optimal care, fostering hope, and advocating for ethical practices in the management of individuals with DoC.

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来源期刊
NeuroRehabilitation
NeuroRehabilitation CLINICAL NEUROLOGY-REHABILITATION
CiteScore
3.20
自引率
0.00%
发文量
178
审稿时长
6-12 weeks
期刊介绍: NeuroRehabilitation, an international, interdisciplinary, peer-reviewed journal, publishes manuscripts focused on scientifically based, practical information relevant to all aspects of neurologic rehabilitation. We publish unsolicited papers detailing original work/research that covers the full life span and range of neurological disabilities including stroke, spinal cord injury, traumatic brain injury, neuromuscular disease and other neurological disorders. We also publish thematically organized issues that focus on specific clinical disorders, types of therapy and age groups. Proposals for thematic issues and suggestions for issue editors are welcomed.
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