• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

神经重症监护中的姑息治疗最新进展：面对预后不确定性时提供目标一致的护理。

An Update on Palliative Care in Neurocritical Care: Providing Goal‑Concordant Care in the Face of Prognostic Uncertainty.

作者信息

Hendershot Kristopher A, Elias Maya N, Taylor Breana L, Wahlster Sarah, Creutzfeldt Claire J

机构信息

Department of Emergency Medicine, University of Washington School of Medicine, Seattle, WA, USA.

Department of Neurology, University of Washington School of Medicine, Seattle, WA, USA.

出版信息

Curr Treat Options Neurol. 2023 Dec;25(12):517-529. doi: 10.1007/s11940-023-00778-z. Epub 2023 Dec 5.

DOI:10.1007/s11940-023-00778-z
PMID:39055121
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11271663/
Abstract

PURPOSE OF REVIEW

We investigate the complexities and interplay between the concepts of prognostic uncertainty and patient preferences as they relate to the delivery of goal-concordant care to patients with severe acute brain injuries (SABI) in the Neurological Intensive Care Unit (Neuro-ICU).

RECENT FINDINGS

Patients with SABI in the Neuro-ICU have unique palliative care needs due to sudden, often unexpected changes in personhood and quality of life. A substantial amount of uncertainty is inherent and poses a challenge to both the patient's prognosis and treatment preferences. The delivery of goal-concordant care can be difficult to achieve.

摘要

综述目的

我们探讨预后不确定性概念与患者偏好之间的复杂性及相互作用，这些概念与在神经重症监护病房（Neuro-ICU）为重症急性脑损伤（SABI）患者提供目标一致的护理相关。

最新发现

由于人格和生活质量突然且往往出人意料的变化，Neuro-ICU中的SABI患者有独特的姑息治疗需求。大量的不确定性是内在的，对患者的预后和治疗偏好都构成挑战。实现目标一致的护理可能很难做到。

相似文献

1
An Update on Palliative Care in Neurocritical Care: Providing Goal‑Concordant Care in the Face of Prognostic Uncertainty.神经重症监护中的姑息治疗最新进展：面对预后不确定性时提供目标一致的护理。
Curr Treat Options Neurol. 2023 Dec;25(12):517-529. doi: 10.1007/s11940-023-00778-z. Epub 2023 Dec 5.
2
Goal-Concordant Care After Severe Acute Brain Injury.重度急性脑损伤后的目标一致照护
Front Neurol. 2021 Sep 17;12:710783. doi: 10.3389/fneur.2021.710783. eCollection 2021.
3
Is There Hope? Is She There? How Families and Clinicians Experience Severe Acute Brain Injury.还有希望吗？她还在吗？家庭与临床医生如何面对严重急性脑损伤
J Palliat Med. 2017 Feb;20(2):170-176. doi: 10.1089/jpm.2016.0286. Epub 2016 Oct 20.
4
Prognostic humility and ethical dilemmas after severe brain injury: Summary, recommendations, and qualitative analysis of Curing Coma Campaign virtual event proceedings.严重脑损伤后的预后谦逊与伦理困境：治愈昏迷运动虚拟活动记录的总结、建议及定性分析
Front Hum Neurosci. 2023 Mar 31;17:1128656. doi: 10.3389/fnhum.2023.1128656. eCollection 2023.
5
Palliative Care in the Neuro-ICU: Perceptions, Practice Patterns, and Preferences of Neurointensivists.神经重症监护病房中的姑息治疗：神经重症医师的认知、实践模式和偏好。
Neurocrit Care. 2020 Feb;32(1):302-305. doi: 10.1007/s12028-019-00838-w.
6
Integrating Palliative Care Into the Care of Neurocritically Ill Patients: A Report From the Improving Palliative Care in the ICU Project Advisory Board and the Center to Advance Palliative Care.将姑息治疗融入神经危重症患者的护理：来自重症监护病房改善姑息治疗项目咨询委员会及姑息治疗推进中心的报告
Crit Care Med. 2015 Sep;43(9):1964-77. doi: 10.1097/CCM.0000000000001131.
7
Identification of Palliative Care Needs and Mental Health Outcomes Among Family Members of Patients With Severe Acute Brain Injury.识别严重急性脑损伤患者家属的姑息治疗需求和心理健康结果。
JAMA Netw Open. 2023 Apr 3;6(4):e239949. doi: 10.1001/jamanetworkopen.2023.9949.
8
Taking a Chance to Recover: Families Look Back on the Decision to Pursue Tracheostomy After Severe Acute Brain Injury.抓住恢复的机会：严重急性脑损伤后行气管切开术的决策回顾。
Neurocrit Care. 2022 Apr;36(2):504-510. doi: 10.1007/s12028-021-01335-9. Epub 2021 Sep 2.
9
Prognostication and shared decision making in neurocritical care.神经危重症的预后预测和决策共享。
BMJ. 2022 Apr 7;377:e060154. doi: 10.1136/bmj-2021-060154.
10
Prevalence and predictors of shared decision-making in goals-of-care clinician-family meetings for critically ill neurologic patients: a multi-center mixed-methods study.重症神经疾病患者的临床医生-家庭治疗目标会议中共享决策的流行率及其预测因素：一项多中心混合方法研究。
Crit Care. 2023 Oct 21;27(1):403. doi: 10.1186/s13054-023-04693-2.

引用本文的文献

1
Palliative Care Spiritual Assessment and Goals-of-Care Discussions in the Neurocritical Care Unit: Collaborating with Chaplains.神经重症监护病房的姑息治疗精神评估与护理目标讨论：与牧师合作
Neurocrit Care. 2025 Jan 23. doi: 10.1007/s12028-024-02190-0.

本文引用的文献

1
Prognostic Language in Critical Neurologic Illness: A Multicenter Mixed-Methods Study.危重症神经疾病的预后语言：一项多中心混合方法研究。
Neurology. 2023 Aug 1;101(5):e558-e569. doi: 10.1212/WNL.0000000000207462. Epub 2023 Jun 8.
2
Identification of Palliative Care Needs and Mental Health Outcomes Among Family Members of Patients With Severe Acute Brain Injury.识别严重急性脑损伤患者家属的姑息治疗需求和心理健康结果。
JAMA Netw Open. 2023 Apr 3;6(4):e239949. doi: 10.1001/jamanetworkopen.2023.9949.
3
Do They Have a Choice? Surrogate Decision-Making After Severe Acute Brain Injury.他们有选择吗？严重急性脑损伤后的代理决策。
Crit Care Med. 2023 Jul 1;51(7):924-935. doi: 10.1097/CCM.0000000000005850. Epub 2023 Mar 27.
4
Guidelines for Neuroprognostication in Adults with Guillain-Barré Syndrome.成人吉兰-巴雷综合征神经预后指南。
Neurocrit Care. 2023 Jun;38(3):564-583. doi: 10.1007/s12028-023-01707-3. Epub 2023 Mar 25.
5
Guidelines for Neuroprognostication in Comatose Adult Survivors of Cardiac Arrest.昏迷的心脏骤停后成年幸存者神经预后指南。
Neurocrit Care. 2023 Jun;38(3):533-563. doi: 10.1007/s12028-023-01688-3. Epub 2023 Mar 22.
6
Communication Frameworks for Palliative Surgical Consultations: A Randomized Study of Advanced Cancer Patients.姑息性外科会诊的沟通框架：一项晚期癌症患者的随机研究。
Ann Surg. 2023 Nov 1;278(5):e1110-e1117. doi: 10.1097/SLA.0000000000005823. Epub 2023 Feb 21.
7
Effects of Spiritual Care on Well-Being of Intensive Care Family Surrogates: A Clinical Trial.精神关怀对重症监护家庭代理人幸福感的影响：一项临床试验。
J Pain Symptom Manage. 2023 Apr;65(4):296-307. doi: 10.1016/j.jpainsymman.2022.12.007. Epub 2022 Dec 14.
8
Determining Goal Concordant Care in the Intensive Care Unit Using Electronic Health Records.使用电子健康记录确定重症监护病房中的目标一致的护理。
J Pain Symptom Manage. 2023 Mar;65(3):e199-e205. doi: 10.1016/j.jpainsymman.2022.11.002. Epub 2022 Nov 17.
9
Reversal of Advanced Directives in Neurologic Emergencies.神经系统急症中预立医疗指示的撤销
Neurohospitalist. 2022 Oct;12(4):651-658. doi: 10.1177/19418744221097348. Epub 2022 Jun 15.
10
Surrogates of Patients With Severe Acute Brain Injury Experience Persistent Anxiety and Depression Over the 6 Months After ICU Admission.严重急性脑损伤患者的替代者在 ICU 入院后 6 个月内持续经历焦虑和抑郁。
J Pain Symptom Manage. 2022 Jun;63(6):e633-e639. doi: 10.1016/j.jpainsymman.2022.02.336.