Novak Iona
Cerebral Palsy Alliance, University of Notre Dame, Australia
J Child Neurol. 2014 Aug;29(8):1141-56. doi: 10.1177/0883073814535503. Epub 2014 Jun 22.
Safer and more effective interventions have been invented for children with cerebral palsy, but the rapid expansion of the evidence base has made keeping up-to-date difficult. Unfortunately, outdated care is being provided. The aims were to survey the questions parents asked neurologists and provide evidence-based answers, using knowledge translation techniques. Parents asked the following questions: (1) what's wrong with my baby? An algorithm for early diagnosis was proposed. (2) What is cerebral palsy and what online resources are current? Reputable information websites were sourced and hyperlinks provided. (3) The prognosis? Prognostic data from meta-analyses were summarized in an infographic. (4) What interventions offer the most evidence-supported results? Systematic review data about the most effective interventions was mapped into a bubble chart infographic. Finally, (5) What can we expect? Predictors and facilitators of good outcomes were summarized. This article provides an overview of the most up-to-date diagnostic practices and evidence-based intervention options.
已经为脑瘫患儿发明了更安全、更有效的干预措施,但证据基础的迅速扩大使得跟上最新进展变得困难。不幸的是,目前仍在提供过时的护理。其目的是通过知识转化技术,调查家长向神经科医生提出的问题并提供基于证据的答案。家长们提出了以下问题:(1)我的宝宝怎么了?提出了一种早期诊断算法。(2)什么是脑瘫,当前有哪些在线资源?找到了信誉良好的信息网站并提供了超链接。(3)预后如何?来自荟萃分析的预后数据汇总在一张信息图中。(4)哪些干预措施能提供最有证据支持的结果?关于最有效干预措施的系统评价数据被绘制成气泡图信息图。最后,(5)我们可以期待什么?总结了良好预后的预测因素和促进因素。本文概述了最新的诊断方法和基于证据的干预选择。