Early intervention in severe head injury: long-term benefits of a formalized program.
Early intervention in severe head injury: long-term benefits of a formalized program.
复制标题
严重颅脑损伤的早期干预：正式计划的长期好处。
DOI：
--
复制
发表时间：
1992
影响因子：
4.3
通讯作者：
Laraine S. Milazzo
中科院分区：
文献类型：
--
作者：
L. Mackay;B. Bernstein;Phyllis E. Chapman;A. Morgan;Laraine S. Milazzo
由于每年有200多万人遭受创伤性脑损伤，卫生专业人员面临着恢复和最大限度提高生活质量的挑战。这项研究量化了正式的头部损伤计划的好处，包括创伤康复的概念，创伤康复的定义是在急性住院期间早期、积极的康复。38名重型颅脑损伤患者在同一康复机构接受治疗。其中21名患者在10家没有正式创伤性脑损伤计划的不同医院接受了急性护理服务，17名患者在有正式早期干预计划的医院接受了服务。两个方案的结果数据比较显示，正规方案中的患者出现昏迷，康复停留时间约为非正规方案患者的三分之一(分别为18.9vs53.8d和106.5 vs239.5天)。在正式计划中，急性医院(5.6比4.0)和康复机构(7.4比6.7)出院时的平均认知水平显著高于扩展护理机构(94%比57%)，而且它们促进了到家庭护理机构的出院百分比显著高于扩展护理机构(94%比57%)。
With traumatic brain injuries numbering more than two million per year, health professionals are faced with the challenges of restoring and maximizing quality of life. This study quantifies the benefits of a formalized head injury program, including the concept of trauma rehabilitation, defined as early, aggressive rehabilitation during acute hospitalization. Thirty-eight severely head injured patients received treatment at the same rehabilitation facility. Twenty-one of these patients received acute care services at ten different hospitals without formalized traumatic brain injury programs, and 17 received services at a hospital with a formalized early intervention program. Comparison of outcome data for the two programs revealed that patients in the formalized program had comas and rehabilitation stays approximately one third the length of patients in nonformalized programs (18.9 vs 53.8 days and 106.5 vs 239.5 days, respectively). Mean cognitive levels at discharge from the acute hospitals (5.6 vs 4.0) and the rehabilitation facility (7.4 vs 6.7) were significantly higher for the formalized program, and they facilitated a significantly higher percentage of discharges to home vs extended care facility (94% vs 57%).