Early rehabilitation decision-making method for traumatic brain injury with intelligent process guidance and multi-mode integration architecture

Abstract

This invention discloses a method for early rehabilitation decision-making in traumatic brain injury. The system includes a data receiving and storage step: receiving structured clinical data from a patient and storing it in a modular decision database; a mode selection step: accessing multiple predefined rehabilitation decision modes, each corresponding to a process logic rule and a condition judgment criterion; an analysis step: automatically determining whether the structured clinical data meets the condition judgment criteria of each rehabilitation decision mode, generating a process guidance path according to the corresponding process logic rule, executing the rehabilitation decision mode, and generating a corresponding mode execution result, then performing cross-comparison and integrated analysis on the execution results of the multiple modes; and a report output step: automatically generating and outputting an integrated report based on the results of the cross-comparison and integrated analysis.

Claims

1. A method for early rehabilitation decision-making in traumatic brain injury, comprising: A data receiving and storage step: A patient's structured clinical data is received through a user interface and stored in a modular decision database; A mode selection step: A decision logic processing module accesses multiple predefined rehabilitation decision modes in the modular decision database. Each rehabilitation decision mode corresponds to a process logic rule and a condition judgment criterion. The multiple rehabilitation decision modes include at least an innovative delirium management mode, a precision nutrition therapy mode, an early ambulation rehabilitation mode, and a rib fracture professional respiratory care mode. Analysis Step 1: The decision logic processing module (200) automatically determines the condition judgment criteria that meet the criteria for each rehabilitation decision mode based on the structured clinical data, and generates a process guidance path according to the corresponding process logic rules. The decision logic processing module (200) then executes the rehabilitation decision mode that meets the condition judgment criteria according to the process guidance path, and generates a corresponding mode execution result. The execution results of the multiple modes from these rehabilitation decision modes are then stored in the modular decision database, and the decision logic processing module performs cross-comparison and integration analysis on the execution results of the multiple modes. A report generation step: An information processing system automatically generates an integrated report based on the result of the cross-comparison and integration analysis of the execution results of the multiple modes by the decision logic processing module, and outputs it through the user interface.

2. The early rehabilitation decision-making method for traumatic brain injury as described in claim 1, wherein, This structured clinical data includes existing patient data, new patient data, patient names, and basic patient information.

3. The early rehabilitation decision-making method for traumatic brain injury as described in claim 1, wherein, The innovative delirium management model includes: assessing delirium risk; executing a pre-set procedure and medication management when the risk is greater than or equal to 30%; executing the pre-set procedure when the risk is less than 30%; and automatically generating the result corresponding to the innovative delirium management model, which is a first result including a delirium assessment result and a care recommendation form.

4. The early rehabilitation decision-making method for traumatic brain injury as described in claim 3, wherein, Medication management includes prioritizing non-Benzodiazepine drugs; assessing the need to adjust the sedation regimen; recommending discontinuation and switching to Dexmedetomidine if the patient has previously used Benzodiazepine drugs; and assessing whether a procedure to reduce sedation and wean the patient off delirium can be implemented.

5. The early rehabilitation decision-making method for traumatic brain injury as described in claim 4, wherein, The pre-programmed procedures include a Sleep procedure, an Assessment procedure, a Release procedure, and a Time procedure. The Sleep procedure includes sleep hygiene, noise reduction, lighting adjustment, and voice reassurance using a visual calendar and family videos. The Assessment procedure includes daily pre-deliric monitoring and assessment of pain, anxiety, and level of consciousness. The Release procedure includes assessing the feasibility of removing restraints and artificial airways and reducing unnecessary bed rest and medication use. The Time procedure includes 24-hour orientation training and providing a personalized goal and activity calendar to assist with day-night orientation.

6. The early rehabilitation decision-making method for traumatic brain injury as described in claim 5, wherein, This precision nutrition therapy model includes: determining whether the length of stay is within 2 days or 3-7 days; for stays within 2 days, a mandatory first blood test is performed to check for total parenteral nutrition or Propofol use; if so, triglyceride (TG) levels are monitored; if TG levels exceed 150 mg / dL, the nutritional pathway or medication strategy is reassessed, and a malnutrition risk screening is conducted; for stays within 3-7 days, a mandatory second blood test is performed, along with the same malnutrition risk screening. This malnutrition risk screening utilizes the Malnutrition Universal Screening Tool. The tool (MUST) scores individuals. If the score is less than 2, a routine nutrition process and a detailed nutrition assessment are performed. If the score is greater than or equal to 2, the routine nutrition process and detailed nutrition assessment are performed, and the nutritionist is consulted to determine whether adjustments to the nutritional ratio, additional protein supplementation, or additional energy supplementation are needed. The tool also automatically generates a result corresponding to the precision nutrition therapy model. This result is a secondary result, which includes a nutritional outcome and an intervention summary table.

7. The early rehabilitation decision-making method for traumatic brain injury as described in claim 6, wherein, The first mandatory blood test includes blood glucose level, blood phosphorus level, blood potassium level, blood magnesium level, blood vitamin D level, blood zinc level, blood selenium level, liver function index GOT (AST), liver function index GPT (ALT), total bilirubin, blood urea nitrogen, kidney function index Cre (creatinine), short-term nutritional status indicator prealbumin, and chronic nutritional or inflammatory indicator albumin. The second mandatory blood test includes blood glucose level, blood phosphorus level, blood potassium level, blood magnesium level, liver function index GOT (AST), liver function index GPT (ALT), total bilirubin, blood urea nitrogen, and kidney function index Cre (creatinine).

8. The early rehabilitation decision-making method for traumatic brain injury as described in claim 7, wherein, This early ambulation rehabilitation mode includes: providing multiple activity levels; selecting one of the multiple levels; setting an activity dose for the selected activity level and noting a special precaution; and automatically generating the result corresponding to the early ambulation rehabilitation mode, which is a third result including an early ambulation assessment result and a recommended level report; wherein the activity dose includes the target activity time and level intensity; wherein the special precautions include intracranial pressure control range, head-up angle limitations, assistive device wearing requirements, risk of orthostatic hypotension, discontinuation of sedation medication before activity, and changes in ventilator settings within the past 30 minutes.

9. The early rehabilitation decision-making method for traumatic brain injury as described in claim 7, wherein, The activity levels are divided into levels 1 through 10. Level 1 involves bed activities with the head of the bed raised to 45 to 60 degrees, allowing for simple, proactive movements. Level 2 involves sitting with the head of the bed raised to nearly 90 degrees, enabling trunk control and breathing exercises. Level 3 involves sitting on the edge of the bed without back support for 15 minutes, performing balance and stretching exercises. Level 4 involves standing with weight for at least 5 minutes, performing static and dynamic balance exercises. Level 5 involves transferring weight from a standing position to a chair or wheelchair. Level 6 involves stepping in place on the edge of the bed, with each foot stepping twice. Level 7 involves walking at least 5 meters with the assistance of two people. Level 8 involves walking at least 5 meters with the assistance of one person. Level 9 involves walking at least 5 meters independently using assistive devices. Level 10 involves walking at least 5 meters completely independently without assistive devices.

10. The early rehabilitation decision-making method for traumatic brain injury as described in claim 9, wherein, This specialized respiratory care model for rib fractures includes: determining whether a patient has a rib fracture; if not, providing continuous routine care; if a patient has a rib fracture, conducting a classification assessment based on multiple classification options; if the patient does not meet any of the multiple classification options in the assessment, continuing routine care; if the patient meets at least one of the multiple classification options in the assessment, initiating Shared Decision Making (SDM) treatment, which includes surgical treatment and conservative treatment. The surgical treatment is internal fixation of the ribs to correct the thoracic cavity, and the conservative treatment is pain control and supportive care; and automatically generating the corresponding outcome for this specialized respiratory care model for rib fractures. This outcome is a fourth outcome, including a respiratory care report and usage information. The multiple classification options in the assessment include more than 3 rib fractures, rib fractures complicated by pneumothorax or hemothorax, and flail chest. (e.g., chest fractures that have impaired respiratory function, severe and uncontrollable pain, or chest deformities that affect appearance or lung function)

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