改善肝衰竭重症患者死亡率的因素 - 一项系统性审查
Enikő Kovács1, Nicolò Maimeri2, Filippo Orlando2
11Department of Anaesthesiology and Intensive Therapy, Semmelweis University, Budapest, H-1428, Hungary.
Physiology international
|August 28, 2023
概括
这一系统性审查确定了9项随机试验,显示了肝功能衰竭患者的生存益处. 针对败血症和功能的干预措施显示,危急病患者的死亡率减少最为显著.
科学领域:
- 关键护理医学 关键护理医学
- 肝病学 肝病学是一种肝病学.
- 基于证据的医学基于证据的医学.
背景情况:
- 肝衰竭,无论是急性还是慢性,都会显著增加危急病患者和术前患者的死亡率.
- 了解肝衰竭的病理生理学对于开发有效的干预措施来降低死亡率至关重要.
- 本系统性审查旨在确定随机对照试验 (RCT),证明肝功能衰竭患者的死亡率有统计学意义的降低.
结论:
- 只有9个RCT报告了肝衰竭患者的生存益处.
- 最有效改善死亡率的干预措施与败血症和功能改善结果有关.
- 对针对败血症和功能障碍的干预措施的进一步研究可能对改善肝功能衰竭的存活率至关重要.
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