Checklists to guide the supportive and critical care of tuberculous meningitis [version 2; peer review: 2 approved]
The assessment and management of tuberculous meningitis (TBM) is often complex, yet no standardised approach exists, and evidence for the clinical care of patients, including those with critical illness, is limited. The roles of proformas and checklists are increasing in medicine; proformas provide...
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| Format: | Article |
| Language: | English |
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Wellcome
2020-02-01
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| Series: | Wellcome Open Research |
| Online Access: | https://wellcomeopenresearch.org/articles/4-163/v2 |
| _version_ | 1819123646977802240 |
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| author | Joseph Donovan Ursula K. Rohlwink Elizabeth W. Tucker Nguyen Thi Thu Hiep Guy E. Thwaites Anthony A. Figaji Tuberculous Meningitis International Research Consortium |
| author_facet | Joseph Donovan Ursula K. Rohlwink Elizabeth W. Tucker Nguyen Thi Thu Hiep Guy E. Thwaites Anthony A. Figaji Tuberculous Meningitis International Research Consortium |
| author_sort | Joseph Donovan |
| collection | DOAJ |
| description | The assessment and management of tuberculous meningitis (TBM) is often complex, yet no standardised approach exists, and evidence for the clinical care of patients, including those with critical illness, is limited. The roles of proformas and checklists are increasing in medicine; proformas provide a framework for a thorough approach to patient care, whereas checklists offer a priority-based approach that may be applied to deteriorating patients in time-critical situations. We aimed to develop a comprehensive assessment proforma and an accompanying ‘priorities’ checklist for patients with TBM, with the overriding goal being to improve patient outcomes. The proforma outlines what should be asked, checked, or tested at initial evaluation and daily inpatient review to assist supportive clinical care for patients, with an adapted list for patients in critical care. It is accompanied by a supporting document describing why these points are relevant to TBM. Our priorities checklist offers a useful and easy reminder of important issues to review during a time-critical period of acute patient deterioration. The benefit of these documents to patient outcomes would require investigation; however, we hope they will promote standardisation of patient assessment and care, particularly of critically unwell individuals, in whom morbidity and mortality remains unacceptably high. |
| first_indexed | 2024-12-22T07:11:40Z |
| format | Article |
| id | doaj.art-2df717863cb74f2d9f11290aea52ba70 |
| institution | Directory Open Access Journal |
| issn | 2398-502X |
| language | English |
| last_indexed | 2024-12-22T07:11:40Z |
| publishDate | 2020-02-01 |
| publisher | Wellcome |
| record_format | Article |
| series | Wellcome Open Research |
| spelling | doaj.art-2df717863cb74f2d9f11290aea52ba702022-12-21T18:34:29ZengWellcomeWellcome Open Research2398-502X2020-02-01410.12688/wellcomeopenres.15512.217207Checklists to guide the supportive and critical care of tuberculous meningitis [version 2; peer review: 2 approved]Joseph Donovan0Ursula K. Rohlwink1Elizabeth W. Tucker2Nguyen Thi Thu Hiep3Guy E. Thwaites4Anthony A. Figaji5Tuberculous Meningitis International Research ConsortiumOxford University Clinical Research Unit, Centre for Tropical Medicine, Ho Chi Minh City, VietnamNeuroscience Institute and Division of Neurosurgery, University of Cape Town, Cape Town, 7700, South AfricaDepartment of Anesthesiology and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, 21287, USAOxford University Clinical Research Unit, Centre for Tropical Medicine, Ho Chi Minh City, VietnamOxford University Clinical Research Unit, Centre for Tropical Medicine, Ho Chi Minh City, VietnamNeuroscience Institute and Division of Neurosurgery, University of Cape Town, Cape Town, 7700, South AfricaThe assessment and management of tuberculous meningitis (TBM) is often complex, yet no standardised approach exists, and evidence for the clinical care of patients, including those with critical illness, is limited. The roles of proformas and checklists are increasing in medicine; proformas provide a framework for a thorough approach to patient care, whereas checklists offer a priority-based approach that may be applied to deteriorating patients in time-critical situations. We aimed to develop a comprehensive assessment proforma and an accompanying ‘priorities’ checklist for patients with TBM, with the overriding goal being to improve patient outcomes. The proforma outlines what should be asked, checked, or tested at initial evaluation and daily inpatient review to assist supportive clinical care for patients, with an adapted list for patients in critical care. It is accompanied by a supporting document describing why these points are relevant to TBM. Our priorities checklist offers a useful and easy reminder of important issues to review during a time-critical period of acute patient deterioration. The benefit of these documents to patient outcomes would require investigation; however, we hope they will promote standardisation of patient assessment and care, particularly of critically unwell individuals, in whom morbidity and mortality remains unacceptably high.https://wellcomeopenresearch.org/articles/4-163/v2 |
| spellingShingle | Joseph Donovan Ursula K. Rohlwink Elizabeth W. Tucker Nguyen Thi Thu Hiep Guy E. Thwaites Anthony A. Figaji Tuberculous Meningitis International Research Consortium Checklists to guide the supportive and critical care of tuberculous meningitis [version 2; peer review: 2 approved] Wellcome Open Research |
| title | Checklists to guide the supportive and critical care of tuberculous meningitis [version 2; peer review: 2 approved] |
| title_full | Checklists to guide the supportive and critical care of tuberculous meningitis [version 2; peer review: 2 approved] |
| title_fullStr | Checklists to guide the supportive and critical care of tuberculous meningitis [version 2; peer review: 2 approved] |
| title_full_unstemmed | Checklists to guide the supportive and critical care of tuberculous meningitis [version 2; peer review: 2 approved] |
| title_short | Checklists to guide the supportive and critical care of tuberculous meningitis [version 2; peer review: 2 approved] |
| title_sort | checklists to guide the supportive and critical care of tuberculous meningitis version 2 peer review 2 approved |
| url | https://wellcomeopenresearch.org/articles/4-163/v2 |
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