对心力衰竭中并发症的测量进行了范围审查
The Journal of cardiovascular nursing
|August 8, 2023
概括
评估心力衰竭患者的并发症对于预测结果至关重要,但目前的方法缺乏标准化. 本次审查强调了共发病性测量的不一致性,强调需要明确的指导方针来改善临床结果预测.
科学领域:
- 心脏病学 心脏病学
- 临床研究方法论 临床研究方法论
背景情况:
- 伴随性疾病显著影响心力衰竭患者的结果.
- 缺乏标准化的方法来评估心力衰竭中的并发病.
研究的目的:
- 审查心力衰竭研究中的并发症评估方法.
- 为了识别作为并发症而被研究的慢性疾病.
- 评估选择并发症评估工具和特定条件背后的理由.
主要方法:
- 对39篇文章的系统文献综述.
- 在三个电子数据库和参考列表中进行搜索.
- 分析并发症评估策略 (仪器,疾病计数,个体情况).
主要成果:
- 确定了三种评估方法:使用仪器 (例如,查尔森并发症指数),疾病计数和个人并发症.
- 分析了90种并发症,但定义和标签不一致.
- 超过一半的研究 (22/39) 缺乏对仪器或并发症选择的明确理由,其中一些理由不合适.
结论:
- 在测量心力衰竭临床结果的并发症方面存在重大方法问题.
- 研究人员必须解决这些问题,以准确评估并发症.
- 制定准则来选择适当的并发症措施是必要的.
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