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Checklists to guide the supportive and critical care of tuberculous meningitis

Donovan, J; Rohlwink, UK; Tucker, EW; Hiep, NTT; Thwaites, GE; Figaji, AA; Aarnoutse, RE; ... Wilkinson, RJ; + view all (2020) Checklists to guide the supportive and critical care of tuberculous meningitis. Wellcome Open Research , 4 , Article 163. 10.12688/wellcomeopenres.15512.2. Green open access

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Abstract

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.

Type: Article
Title: Checklists to guide the supportive and critical care of tuberculous meningitis
Open access status: An open access version is available from UCL Discovery
DOI: 10.12688/wellcomeopenres.15512.2
Publisher version: https://doi.org/10.12688/wellcomeopenres.15512.2
Language: English
Additional information: © 2020 Donovan J et al. This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/).
Keywords: Tuberculous meningitis, critical care, checklist, proforma
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Inst of Clinical Trials and Methodology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Inst of Clinical Trials and Methodology > MRC Clinical Trials Unit at UCL
URI: https://discovery.ucl.ac.uk/id/eprint/10112160
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