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创伤后患者重要结果的完整性和不匹配
Arthur James1,2,3, Philippe Ravaud1,3, Carolina Riveros1
1Centre d'Epidémiologie Clinique, AP-HP (Assistance Publique des Hôpitaux de Paris), Hôpital Hôtel Dieu, Paris, France.
研究表明,严重创伤后患者重要的结果往往是不完整的. 研究经常错过关键的长期恢复领域,这些领域对创伤幸存者来说最重要.
科学领域:
- 创伤研究研究创伤研究
- 患者为中心的结果.
- 医疗服务研究 医疗服务研究
背景情况:
- 严重创伤研究传统上侧重于医院内死亡率.
- 绝大多数创伤幸存者 (80-90%) 从医院出院.
- 评估患者重要的长期结果对于综合创伤护理至关重要.
研究的目的:
- 评估创伤研究中患者重要结果收集的完整性.
- 确定研究测量结果与患者优先考虑的创伤后问题之间的不匹配.
主要方法:
- 一种混合方法方法,将系统审查和定性数据结合起来.
- 对创伤研究报告的结果进行系统审查 (2014年1月至2019年9月).
- 确定结果与97个患者引起的重要领域的比较.
主要成果:
- 116份报告产生了403个结局;只有10.3%捕获了任何患者重要的领域.
- 常见的测量结果包括格拉斯哥结果尺度,返回工作和EQ-5D.
- 在超过72%的报告中,没有测量到单一的患者重要领域;只有五个在测量前十名中.
结论:
- 在创伤研究中收集长期,患者重要的结果需要改进.
- 在研究中测量的结果和创伤幸存者优先考虑的结果之间存在显著的差异.
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