困难气道的管理:对临床实践指南的评估
Christian Fritz1, Stylianos Monos2, Jinggang Ng3
1Department of Otorhinolaryngology-Head & Neck Surgery, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
概括
这项研究使用研究和评估指南评估II (AGREE II) 工具评估了难以理解的气道管理指南的质量. 美国麻醉学会 (ASA) 的指导方针在其他指导方针相比显示出更高的质量.
科学领域:
- 麻醉学 麻醉学
- 临床实践指南 临床实践指南
- 卫生政策 卫生政策
背景情况:
- 困难的气道管理是一个关键的临床挑战.
- 高质量的临床实践指南 (CPG) 对于有效的管理至关重要.
- 评估现有CPG的质量是必要的,以确保可靠的建议.
研究的目的:
- 系统地评估出版的临床实践指南的质量,以解决难以管理的呼吸道问题.
- 确定高质量的指导方针和在指导方针制定中需要改进的领域.
- 为临床医生和指南制定者提供参考.
主要方法:
- 在主要数据库 (Scopus,EMBASE,PubMed) 进行了系统的文献搜索.
- 十二条指导方针符合质量评估的纳入标准.
- 专家评审人员使用研究和评估指南评估II (AGREE II) 工具在六个领域评估指南的质量,并计算了评审者之间的可靠性.
主要成果:
- 美国麻醉学会 (ASA) 准则获得了最高的质量评分 (83.1%).
- 日本麻醉学会 (JSA) 和中国紧急气道管理合作小组 (CCGEAM) 的指导方针显示质量较差.
- 在利益相关者参与,开发严格性和编辑独立性方面,缺陷最为明显,评审者之间的可靠性高 (58.0%-70.0%).
结论:
- "2022年ASA指南"是一个高质量的资源,用于困难的气道管理.
- 本评估强调了在制定未来临床实践指南方面需要改进的领域.
- 临床医生可以使用这种评估来选择最可靠的实践指南.
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