Maserati Megan, Alexander Sheila A
Megan Maserati is a PhD student at University of Pittsburgh, Pittsburgh, Pennsylvania. Sheila A. Alexander is Associate Professor, University of Pittsburgh, 336 Victoria Building, 3500 Victoria Street, Pittsburgh, PA 15261 (
AACN Adv Crit Care. 2018 Spring;29(1):57-75. doi: 10.4037/aacnacc2018566.
Neurologic diseases and injuries are complex and multifactorial, making risk prediction, targeted treatment modalities, and outcome prognostication difficult and elusive. Genetics and genomics have affected clinical practice in many aspects in medicine, particularly cancer treatment. Advancements in knowledge of genetic and genomic variability in neurologic disease and injury are growing rapidly. Although these data are not yet ready for use in clinical practice, research continues to progress and elucidate information that eventually will provide answers to complex neurologic questions and serve as a platform to provide individualized care plans aimed at improving outcomes. This article provides a focused review of relevant literature on genetics, genomics, and common complex neurologic disease and injury likely to be seen in the acute care setting.
神经系统疾病和损伤复杂且具有多因素性,这使得风险预测、靶向治疗方式以及预后评估变得困难且难以捉摸。遗传学和基因组学在医学的许多方面都影响了临床实践,尤其是癌症治疗。神经系统疾病和损伤中基因和基因组变异性知识的进展正在迅速增加。尽管这些数据尚未准备好用于临床实践,但研究仍在继续推进并阐明相关信息,这些信息最终将为复杂的神经学问题提供答案,并作为提供旨在改善预后的个性化护理计划的平台。本文重点综述了在急性护理环境中可能遇到的关于遗传学、基因组学以及常见复杂神经系统疾病和损伤的相关文献。