确定大手术后不良多维恢复的风险因素:系统性审查
Jared Ou-Young1,2, Stuart Boggett1,2, Doa El Ansary1,3
1Department of Surgery, University of Melbourne, Parkville, Victoria, Australia.
预测多维术后恢复需要评估超出传统指标的因素. 术前风险因素,如身体功能和心理健康,对于了解患者的康复结果至关重要.
科学领域:
- 医学研究 医学研究
- 外科手术的结果
- 患者的康复 患者的康复
背景情况:
- 术后恢复的传统指标 (例如,并发症,住院) 可能无法完全捕捉患者的经验.
- 患者报告的结果对于定义康复变得越来越重要.
- 在了解多维恢复的术前风险因素方面存在差距,特别是在出院后.
研究的目的:
- 系统地审查有关预手术风险因素的现有文献,预测大手术后4-6周的多维患者康复.
- 确定与不良复苏结果相关的关键因素.
主要方法:
- 没有进行元分析的系统审查进行了.
- 搜索了三个电子数据库 (2012年1月 - 2022年4月).
- 包括的研究重点是手术前多维恢复的危险因素在手术后4-6周,与GRADE质量评估.
主要成果:
- 从5150项初步研究中,包括了9篇文章.
- 与恢复不良相关的因素包括ASA等级,基线恢复得分,身体功能,并发症,之前的手术和心理健康.
- 由于研究的局限性,证据质量被评为非常低至低.
结论:
- 很少有研究评估了多维术后恢复的术前风险因素.
- 需要更高质量的研究,以一致的,多维的恢复定义来准确预测患者的结果.
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