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A Critical Review and Evidence Mapping of Guidelines for Transport of Critically Ill Patients
Ya-Bin Zhang1, Dan Ma1, Rui Li1
1The First Affiliated Hospital of Zhengzhou University, Zhengzhou, People's Republic of China.
Background:
Critically ill patients are susceptible to life-threatening adverse events, including respiratory arrest and cardiac arrest. During transport, their vital signs often exhibit significant fluctuations, which potentially increase mortality risk.
Aim:
This study aimed to review clinical practice guidelines on intrahospital transport for critically ill patients to generate an evidence map for analysing research trends and identifying gaps in clinical practice guidelines.
Study Design:
This is a systematic review. The literature on clinical practice guidelines for intrahospital transport was systematically retrieved from PubMed, Embase, guideline databases and society websites. Basic information, recommendations for the transport of critically ill patients, methodological quality and reporting quality of clinical practice guidelines were extracted and processed in Excel. The quality of each clinical practice guideline was independently assessed by four researchers using the Appraisal of Guidelines Research and Evaluation Tool (AGREE II) instrument and the RIGHT checklist. Bubble charts were generated using the Excel software.
Results:
Nine clinical practice guidelines, comprising 23 recommendations, were identified. Varying levels of quality were obtained, with the highest mean score based on clarity of presentation being 81.64 ± 12.97, whereas the lowest mean score based on editorial independence by AGREE II was 55.40 ± 8.36. Among the seven domains in the RIGHT checklist, Field 1 (basic information) had the highest reporting rate (60%), whereas Field 6 (funding, declaration and management of interest) obtained the lowest reporting rate (15%).
Conclusions:
The methodological quality of clinical practice guidelines for intrahospital transport management varies significantly, with some recommendations being inconsistent. Therefore, further research is needed on the intrahospital transport management of critically ill patients to develop more evidence-based and high-quality guidelines.
Relevance To Practice:
Ensuring the safety of intrahospital transport for critically ill patients is paramount.
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