Jaren Olav, Selwa Linda
University of Michigan, Department of Neurology, Ann Arbor, Michigan, USA.
Neurologist. 2006 Sep;12(5):245-8. doi: 10.1097/01.nrl.0000240859.97587.48.
The mortality rate for all patients cared for by inpatient neurology services has not been described.
Quality assurance case discussions of all patients (n = 6012) admitted to a neurology service from 1996 to 2003 were reviewed to determine frequency and causes of mortality. All cases of mortality were reviewed in detail.
The majority of patients (98%) survived their admission; 118 patients died. In 95/118 cases, care had been withdrawn at the time of death. In 11 cases, adverse events occurred during the patients' hospital stay and may have impacted outcome. Few patients (18%) had clear advance directives.
Most mortality in this acute care neurology setting occurs in the course of stroke, epilepsy, or complicated tumor management and is managed through withdrawal of care with family participation.
住院神经科服务所护理的所有患者的死亡率尚未得到描述。
回顾了1996年至2003年入住神经科服务的所有患者（n = 6012）的质量保证病例讨论，以确定死亡频率和原因。对所有死亡病例进行了详细审查。
大多数患者（98%）在入院后存活；118名患者死亡。在95/118例病例中，死亡时已停止治疗。11例患者在住院期间发生不良事件，可能影响了结局。很少有患者（18%）有明确的预先指示。
在这种急性护理神经科环境中，大多数死亡发生在中风、癫痫或复杂肿瘤管理过程中，并通过在家人参与下停止治疗来处理。
