Sandsmark Danielle K
Division of Neurocritical Care, Departments of Neurology, Anesthesiology and Critical Care, and Neurosurgery, University of Pennsylvania, Philadelphia, PA, USA.
Curr Neurol Neurosci Rep. 2016 Jun;16(6):52. doi: 10.1007/s11910-016-0654-5.
Traumatic brain injury (TBI) is a major cause of death and disability that often affects young people. After injury, the degree of recovery can be highly variable, with some people regaining near complete function while others remain severely disabled. Understanding what factors influence recovery is important for counseling patients and families in the acute period after injury and can help guide therapeutic decisions in the acute period following injury. In this review, prognostic algorithms useful for clinicians are discussed. Tools for grading patient outcomes, their role in clinical care and research studies, and their limitations are reviewed. Ongoing work focusing on the development of biomarkers to track TBI recovery and the refinement of clinical outcome metrics is summarized.
创伤性脑损伤(TBI)是导致死亡和残疾的主要原因,且常常影响年轻人。受伤后,恢复程度差异很大,有些人几乎恢复了全部功能,而另一些人则仍严重残疾。了解哪些因素影响恢复对于在受伤后的急性期为患者及其家属提供咨询很重要,并且有助于指导受伤后急性期的治疗决策。在这篇综述中,讨论了对临床医生有用的预后算法。对用于评估患者预后的工具、它们在临床护理和研究中的作用以及它们的局限性进行了综述。总结了目前致力于开发用于追踪TBI恢复的生物标志物以及完善临床结局指标的工作。