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首页> 外文期刊>British journal of neurosurgery >Telemetric intra-cranial pressure monitoring: clinical and financial considerations
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Telemetric intra-cranial pressure monitoring: clinical and financial considerations

机译：遥测颅内压力监测：临床和财务考虑因素

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Intracranial pressure (ICP) measurement is an important diagnostic tool in Neurosurgery. Until relatively recently, conventional monitoring has required that subjects be admitted to a hospital bed and the device is only able to be left in-situ for limited periods of time. We have evaluated a Telemetric ICP monitoring system that has been proven, by several other groups worldwide, to permit rapid, repeated and prolonged ICP measurement, in multiple environments. In our unit, 4 patients have been implanted to-date, between the ages of 4 and 16, manifesting a wide range of complex neurosurgical conditions. The sensors have been left in-situ for between 460 and 632 days. There have been no clinical complications and the system has been universally well tolerated. Clinical events, costs and patient experience were all assessed prior to and following implantation. Overall, there was a significant reduction in associated admissions (44.3%), imaging requirements (72.5%) and costs (50.0%). Subjective feedback from both the patients (where possible) and their families was overwhelmingly positive, partly due to (a) the system's ease of use, (b) its ability to reduce the number of admissions/tests required and (c) the facility for rapid measurement of ICP that permitted on-the-spot reassurance of concerns. Additionally, the ability to monitor ICP at home and/or whilst ambulant, has provided measurements that were hitherto inaccessible to our team, facilitating all the potential benefits that analysis of such information would provide. Indeed, we have seen the resultant management in each case has been completely altered by the availability of this data, reaffirming that the importance of being able to obtain it should not be underestimated. The combination of both this and the ability to markedly improve patient experience, along with generating significant cost-savings, lead the authors to suggest that the implantation of this system should be strongly considered in selected individuals.
机译：颅内压（ICP）测量是神经外科的重要诊断工具。直到最近，传统的监测要求将受试者进入医院病床，并且该装置只能在原位留出限定的时间。我们已经评估了一个遥测的ICP监测系统，该系统已被全球其他几个群体证明，以便在多个环境中快速，重复和长时间的ICP测量。在我们的单位中，4名患者在4和16岁之间植入迄今为止，表现出广泛的复杂神经外科病症。传感器已在460和632天之间留下。没有临床并发症，系统一直普遍耐受。在植入之前和之后，所有评估临床事件，成本和患者体验。总体而言，相关录取有显着减少（44.3％），成像要求（72.5％）和成本（50.0％）。来自患者（可能）和家人的主观反馈和他们的家庭压倒性地积极，部分原因是（a）系统的易用性，（b）其减少所需录取/测试数量的能力和（c）的能力快速测量ICP，允许现场对担忧的保证。此外，在家庭和/或驻军监控ICP的能力提供了我们团队无法访问的测量，促进了分析此类信息的所有潜在利益。实际上，我们已经看到，在每种情况下，通过这种数据的可用性完全改变了所得管理，重申能够获得它的重要性不应低估。这两者的结合和明显提高患者体验的能力以及产生重大成本节约，引导作者提出，在所选人员中应强烈地考虑该系统的植入。

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