Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses · 2021
Dosing Patterns In Treatment of Disabling Spasticity With Intrathecal Baclofen.
СтатьяНазвание и аннотация: Перевод в очереди
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Gunnarsson Stina, Lemming Dag, Alehagen Siw, Berntsson Shala, Ertzgaard Per, Samuelsson Kersti
Аннотация
PURPOSE: The aim of this study was to describe and analyze dosing patterns for patients with ITB treatment over time and to identify possible subgroups demonstrating diversity in patterns.
DESIGN: A retrospective design.
METHODS: For 81 patients from six different hospitals, baclofen doses from the first 2 years of treatment were identified using medical records. Line graphs of each patient's doses were analyzed and grouped based on similarities in dosing pattern.
FINDINGS: The analyses of the dosing patterns resulted in four different subgroups classified as stable, slow increase, rapid increase, and fluctuating.
CONCLUSION: The results highlight the clinical challenge of predicting dose development over time.
CLINICAL RELEVANCE TO REHABILITATION NURSING: This study provides rehabilitation healthcare professionals with a better understanding of intrathecal baclofen dose development. Illustrations of the four subgroups can be used as an educational tool for patients, family, and caregivers.
DESIGN: A retrospective design.
METHODS: For 81 patients from six different hospitals, baclofen doses from the first 2 years of treatment were identified using medical records. Line graphs of each patient's doses were analyzed and grouped based on similarities in dosing pattern.
FINDINGS: The analyses of the dosing patterns resulted in four different subgroups classified as stable, slow increase, rapid increase, and fluctuating.
CONCLUSION: The results highlight the clinical challenge of predicting dose development over time.
CLINICAL RELEVANCE TO REHABILITATION NURSING: This study provides rehabilitation healthcare professionals with a better understanding of intrathecal baclofen dose development. Illustrations of the four subgroups can be used as an educational tool for patients, family, and caregivers.