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住院儿童喘的出院标准:一个叙述性的系统性审查
Aryanto Sudarmana1, Joanna Lawrence2,3,4, Neda So5
1General Medicine, The Royal Children's Hospital Melbourne, Parkville, Victoria, Australia ary.sudarmana@rch.org.au.
Archives of disease in childhood
|July 10, 2023
概括
基于标准的出院 (CLD) 和住院护理途径 (ICP) 改善了儿科喘患者的住院时间,而不会增加再入院. 然而,核准标准缺乏标准化,需要进一步研究以获得最佳定义.
科学领域:
- 儿科肺病学 儿科肺病学
- 医疗保健管理的管理
- 基于证据的医学基于证据的医学.
背景情况:
- 以标准为导向的出院 (CLD) 和住院护理途径 (ICP) 旨在规范护理并提高医院的效率.
- 这些方法允许患者在满足特定标准后出院.
研究的目的:
- 系统地审查关于使用儿童喘住院患者的CLD和ICP中的出院标准的证据.
- 总结这些途径中使用的支持个人排放标准的证据.
主要方法:
- 通过使用Medline,Embase和PubMed数据库进行了叙事系统审查,截至2022年6月9日.
- 包括涉及儿童患者 (<18岁) 因喘或喘息而住院的研究,使用CLD或ICP.
- 用多样性研究的质量评估工具评估研究质量;由于异质性,没有进行元分析.
主要成果:
- 在2478项已识别的研究中,有17项符合纳入标准.
- 通常使用的排出标准包括支气管扩展器的频率,氧和和呼吸评估.
- 大多数释放标准的定义与减少逗留时间 (LOS) 有关,但没有增加再出示或再接收率.
结论:
- 临床临床医生和临床临床医生表明,在儿童喘护理中改善LOS的潜力,而不会对再接收率产生负面影响.
- 有一个显着的缺乏共识和一个薄弱的证据基础,具体的核准标准的定义.
- 进一步的研究是必不可少的,以建立在儿科喘管理中释放标准的最佳定义.
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