Ganti Latha, Daneshvar Yasamin, Bodhit Aakash, Ayala Sarah, Patel Pratik S, Lottenberg Lawrence L, York Donna, Counsell Colleen, Peters Keith R
North Florida South Georgia Veterans Affairs Medical Center, 619 South Marion Avenue, Lake City, FL 32025.
New York University, 100 Washington Square East, No. 901, New York, New York 10003-6688.
Mil Med. 2015 Apr;180(4):380-6. doi: 10.7205/MILMED-D-14-00316.
There is no standard treatment algorithm for patients who present to the emergency department (ED) with acute traumatic brain injury (TBI). This is in part because of the heterogeneity of the injury pattern and the patient profile, and the lack of evidence-based guidelines, especially for mild TBI in adults. As TBI is seen more and more frequently in the ED, a standardized assessment would be beneficial in terms of efficiency. The authors present their ED approach to mild TBI evaluation in the ED, along with results to date. These data represent a prospective observational cohort study, where each patient provided individual, written informed consent.
对于因急性创伤性脑损伤（TBI）而到急诊科（ED）就诊的患者，目前尚无标准的治疗方案。部分原因在于损伤模式和患者情况的异质性，以及缺乏循证指南，尤其是针对成人轻度TBI的指南。由于TBI在急诊科越来越常见，标准化评估在效率方面将是有益的。作者介绍了他们在急诊科对轻度TBI进行评估的方法以及迄今的结果。这些数据代表了一项前瞻性观察队列研究，每位患者均提供了个人书面知情同意书。
