一级创伤中心患者中使轻度创伤性脑损伤诊断复杂化的因素的发生率
Frequency of Factors that Complicate the Identification of Mild Traumatic Brain Injury in Level I Trauma Center Patients.
作者信息
Furger Robyn E, Nelson Lindsay D, Brooke Lerner E, McCrea Michael A
机构信息
Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, WI.
Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, WI ; Department of Neurology, Medical College of Wisconsin, Milwaukee, WI.
出版信息
Concussion. 2016 Mar;1(2). doi: 10.2217/cnc.15.11. Epub 2015 Nov 16.
AIM
Determine the frequency of factors that complicate identification of mild traumatic brain injury (mTBI) in emergency department (ED) patients.
SETTING
Chart review.
MATERIALS & METHODS: Records of 3,042 patients (age 18-45) exposed to a potential mechanism of mTBI were reviewed for five common complicating factors and signs of mTBI.
RESULTS
Most patients (65.1%) had at least one complicating factor: given narcotics in the ED (43.7%), on psychotropic medication (18.4%), psychiatric diagnosis (15.3%), alcohol consumption near time of admission (14.2%), and pre-admission narcotic prescription (8.9%).
CONCLUSION
Our findings highlight the frequency of these confounding factors in this population. Future research should identify how these factors interact with performance on assessment measures to improve evidence-based mTBI assessment in this population.
目的
确定急诊科（ED）患者中使轻度创伤性脑损伤（mTBI）识别复杂化的因素的出现频率。
设置
病历回顾。
材料与方法
对3042例（年龄18 - 45岁）有mTBI潜在机制的患者记录进行回顾，以查找五个常见的复杂因素和mTBI体征。
结果
大多数患者（65.1%）至少有一个复杂因素：在急诊科接受过麻醉药物治疗（43.7%）、正在服用精神药物（18.4%）、有精神疾病诊断（15.3%）、入院前近期饮酒（14.2%）以及入院前有麻醉药物处方（8.9%）。
结论
我们的研究结果突出了这些混杂因素在该人群中的出现频率。未来的研究应确定这些因素如何与评估指标的表现相互作用，以改善该人群中基于证据的mTBI评估。
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