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产科神经重症护理中的差异现状及未来发展方向。

The landscape of disparities in obstetric neurocritical care and a path forward.

作者信息

Mittal Shilipi, Alsbrook Diana, Okwechime Remi T, Iqbal Farhana, Nobleza Christa O'Hana S

机构信息

Department of Neurology, Vanderbilt University Medical Center, Nashville, TN, United States.

Department of Neurology, University of Tennessee Health Science Center, Memphis, TN, United States.

出版信息

Front Neurol. 2023 Jan 6;13:1008544. doi: 10.3389/fneur.2022.1008544. eCollection 2022.

DOI:10.3389/fneur.2022.1008544
PMID:36686512
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9853894/
Abstract

Health disparities in the obstetric population affect maternal morbidity and mortality. In the past years, there has been no significant improvement in disparities in care in the obstetric population. Patients who are pregnant are known to have a higher risk of pregnancy-associated neurologic conditions such as stroke and intracerebral hemorrhage. They can also experience concomitant neurocritical care disease states such as status epilepticus and traumatic brain injury. Studies exploring the disparities of care among pregnant patients who are neurotically ill are lacking. We aim to provide the landscape of disparities of care among the obstetric neurocritically-ill population and provide potential actionable opportunities to address these disparities in care.

摘要

产科人群中的健康差异会影响孕产妇的发病率和死亡率。在过去几年中,产科人群护理方面的差异并没有显著改善。已知孕妇患与妊娠相关的神经系统疾病(如中风和脑出血)的风险更高。她们还可能经历诸如癫痫持续状态和创伤性脑损伤等伴随的神经重症疾病状态。目前缺乏对患有神经疾病的孕妇护理差异的研究。我们旨在呈现产科神经重症患者护理差异的情况,并提供解决这些护理差异的潜在可行机会。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7f7/9853894/abcf986cde5b/fneur-13-1008544-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7f7/9853894/abcf986cde5b/fneur-13-1008544-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7f7/9853894/abcf986cde5b/fneur-13-1008544-g0001.jpg

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Mitigating structural racism to reduce inequities in sepsis outcomes: a mixed methods, longitudinal intervention study.减轻结构性种族主义以减少脓毒症结局的不平等:一项混合方法、纵向干预研究。
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