Retrospective Analysis of the Impact of a Collaborative Multidisciplinary Care Model on the Efficiency of Emergency Care and Neurological Function and Prognosis of Comatose Patients With Emergency Cerebral Hemorrhage.

Background And Aims: Cerebral hemorrhage is often accompanied by severe neurological function damage. The collaborative multidisciplinary care means multidisciplinary medical personnel work together. This study investigated the effects of a collaborative multidisciplinary care model on the prognosis of comatose patients with cerebral hemorrhage in emergency medicine.

Methods: The control group was given routine care, and the study group was given a collaborative multidisciplinary care model intervention. Record the success rate of first aid and the changes in neurological function. Patients were followed up for 6 months, and mortality and disability rates were recorded. SPSS 23.0 software was used to analyze the data, and the count data were expressed as [cases (%)] by 2 test, and the measurement data were expressed as ( ± ) by -test.

Results: The success rate of first aid in the control group and the study group was 91.13% and 94.34%, respectively, which was significantly lower than that of the control group ( < 0.05); the time for intravenous medication and the total time for first aid in the study group were significantly lower than that of the control group ( < 0.001). After the intervention, MMSE scores, FMA scores, and Barthel indexes were significantly higher with lower NIHSS scores in the study group than in the control group ( < 0.05). Compared with the pre-intervention period, all scores of motor, speech, and eye-opening were significantly higher in both groups, and the study group was significantly higher than the control group after the intervention ( < 0.05). The complication rate and disability rate of the study group were lower than that of the control group ( < 0.05).

Conclusion: A collaborative multidisciplinary care model for comatose patients with cerebral hemorrhage may improve the efficiency of emergency care, improve the patient's neurological function, reduce the disability rate of the patients, and improve the prognosis of the patients.