心脏导管实验室的基于证据的实践:美国心脏协会的科学声明
Circulation
|June 30, 2021
概括
心脏导管实践正在发展. 本审查审查了手术前,手术期间和手术后的证据,以验证或驳斥传统的心脏导管实验室方法.
科学领域:
- 心脏病学
- 干预心脏病学
- 医疗程序
背景情况:
- 心脏导管技术已经有了显著的进步.
- 许多传统的做法缺乏强有力的证据,因为传统而持续存在.
- 需要将已建立的协议与当前的科学发现相协调.
研究的目的:
- 审查和评估心脏导管术的术前,术后和术后实践.
- 确定哪些传统方法得到了最新证据的支持或反驳.
- 在心脏导管实验室指导基于证据的实践.
主要方法:
- 对心脏导管实践的文献进行系统审查.
- 分析了近几十年来积累的证据.
- 将做法分为程序前,程序内和程序后的阶段.
主要成果:
- 证据支持或反驳许多传统的做法.
- 特别强调了基于证据的具体例子.
- 传统信仰与经验数据形成对比.
结论:
- 心脏导管实践应该以科学证据为指导, 而不是传统.
- 根据累积的证据更新方案可以改善患者的护理.
- 对于缺乏确证据的做法,可能需要进一步研究.
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