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支气管肺功能障碍的发展与血小板输血之间的关联:系统审查和元分析的协议
Roberto Chioma1, Stefano Ghirardello2, Krzysztof Włodarczyk3
1Department of Woman and Child Health and Public Health, Neonatology Unit, Università Cattolica del Sacro Cuore, Rome, Italy.
Frontiers in pediatrics
|June 26, 2023
概括
这一系统性审查检查了血小板输血是否会增加支气管肺功能失调 (BPD) 或患有血小板缺血的早产婴儿死亡的风险. 这些发现将指导临床实践,用于管理早产儿低血小板计数的治疗.
科学领域:
- 新生儿医学 新生儿医学
- 儿科肺病学 儿科肺病学
- 血液学 血液学 血液学
背景情况:
- 在早产婴儿的血小板缺失管理缺乏共识,与可变的输血值.
- 血小板可能会影响肺部发育;更高的输血暴露与增加支气管肺发育不良症 (BPD) 风险有关.
- 支气管肺功能障碍症 (BPD) 是早产婴儿的严重呼吸道疾病.
研究的目的:
- 系统地审查有关血小板和BPD/早产婴儿死亡之间关系的证据.
- 为管理早产新生儿血小板缺血提供基于证据的指导.
- 为了澄清预防性血小板输血在这个弱势群体中的风险.
主要方法:
- 在没有时间/语言限制的情况下,对MEDLINE,Embase,Cochrane和灰色文学进行全面搜索.
- 包括病例控制,队列和随机/非随机试验来评估BPD/死亡风险.
- 观察和试验数据的单独分析,并计划进行元分析和子组分析.
主要成果:
- 本节不适用于协议.
结论:
- 本系统性审查协议旨在澄清血小板输血和BPD/早产婴儿死亡之间的关联.
- 结果将为优化新生儿血小板输血策略的临床指南提供信息.
- 这项研究将有助于减少早产新生儿的呼吸道发病率和死亡率.
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