成年人使用加厚液体的不良影响和事件:系统性审查
Sophia Werden Abrams1, Pooja Gandhi2,3, Ashwini Namasivayam-MacDonald1
1School of Rehabilitation Science, McMaster University, Hamilton, Ontario, Canada.
加厚的液体 (TLs) 常见于消化不良症,但可能导致脱水和肺炎等不良事件. 临床医生必须权衡TL使用的风险和益处,以保护患者.
科学领域:
- 临床实践 临床实践
- 吞障碍 吞障碍 吞障碍
- 患者安全 患者安全
背景情况:
- 液体修饰是一种常见的策略,用于管理食障碍.
- 与加厚液体 (TLs) 相关的负面影响的全谱尚不清楚.
研究的目的:
- 系统地审查和总结关于加厚液体 (TL) 成人使用不良事件和影响的证据.
主要方法:
- 在2022年2月进行了对6个数据库 (EMBASE,MEDLINE,Speechbite,AMED,AgeLine,CINAHL) 的全面搜索.
- 包括的研究比较了成年人不同的TL粘度,并报告了至少一个不良事件或影响.
- 两位独立审稿人对文章进行了选,并提取了数据;使用Cochrane工具评估了偏差风险.
主要成果:
- 包括33项涉及4990名参与者的研究.
- 报告的不良事件包括脱水,肺炎和死亡.
- 副作用包括降低生活质量,渴望,减少摄入量,增加残留物,降低药物的生物可用性.
结论:
- 多种不良结果与加厚液体的使用有关.
- 监测和报告失调研究中的不良结果至关重要.
- 临床医生必须仔细考虑TL的风险和益处,以尽量减少潜在的危害.
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