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基于初始格拉斯哥昏迷量表运动评分的轻度治疗性低体温适应证。

Indication for mild therapeutic hypothermia based on an initial Glasgow Coma Scale motor score.

机构信息

Emergency Medical Center, Kagawa University Hospital, 1750-1 Ikenobe Miki, Kita, Kagawa 761-0793 Japan.

Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, Boston, MA 02215 USA.

出版信息

J Intensive Care. 2015 Oct 31;3:45. doi: 10.1186/s40560-015-0110-7. eCollection 2015.

DOI:10.1186/s40560-015-0110-7
PMID:26526799
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4628351/
Abstract

Although neurological evaluation using the Glasgow Coma Scale motor score is mandatory for post-cardiac arrest patients, further study is required to determine if this score can be used as an indicator for mild therapeutic hypothermia. Although the current study conducted by Natsukawa et al. presents interesting data, there are some critical issues regarding study design, selection bias, and interpretation of study results that should be pointed out.

摘要

尽管使用格拉斯哥昏迷量表运动评分进行神经学评估是心脏骤停后患者的强制性要求,但仍需要进一步研究以确定该评分是否可用于轻度治疗性低体温。尽管由 Natsukawa 等人进行的当前研究提供了有趣的数据,但在研究设计、选择偏倚和研究结果解释方面存在一些关键问题,需要指出。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1d7/4628351/805342dac727/40560_2015_110_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1d7/4628351/805342dac727/40560_2015_110_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1d7/4628351/805342dac727/40560_2015_110_Fig1_HTML.jpg

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本文引用的文献

1
At what level of unconsciousness is mild therapeutic hypothermia indicated for out-of-hospital cardiac arrest: a retrospective, historical cohort study.在何种意识水平下适合对院外心脏骤停患者采用轻度治疗性低温:一项回顾性、历史性队列研究。
J Intensive Care. 2015 Sep 11;3(1):38. doi: 10.1186/s40560-015-0104-5. eCollection 2015.
2
Effect of Admission Glasgow Coma Scale Motor Score on Neurological Outcome in Out-of-Hospital Cardiac Arrest Patients Receiving Therapeutic Hypothermia.入院时格拉斯哥昏迷量表运动评分对接受治疗性低温的院外心脏骤停患者神经功能结局的影响。
Circ J. 2015;79(10):2201-8. doi: 10.1253/circj.CJ-15-0308. Epub 2015 Jul 23.