传染性内心炎管理的多学科团队:系统性审查和元分析
Anne-Sophie Roy1, Hamila Hagh-Doust1, Ahmed Abdul Azim2
1Faculty of Medicine and Health Sciences, McGill University, Montreal, Canada.
Open forum infectious diseases
|September 7, 2023
概括
多学科团队 (MDTs) 在传染性内心炎 (IE) 管理中显著降低了短期死亡率. 这一系统性审查强调了MDT的好处,尽管需要对患者报告的结果进行进一步的研究.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 医疗保健服务研究 医疗服务研究
背景情况:
- 传染性内心炎 (IE) 给患病率和死亡率带来了重大挑战.
- 目前的指导方针主张在IE患者管理中建立专门的多学科团队 (MDTs).
- 对MDT管理对患者结果的有效性需要全面评估.
研究的目的:
- 系统地审查和元分析MDT管理对感染性内心炎患者结果的影响.
- 综合有关专用MDT与常规护理相比有效性的证据.
主要方法:
- 一个系统的审查和相关研究的元分析.
- 数据提取和质量评估由两个独立审查员进行.
- 限制最大概率随机效应模型用于短期死亡率的元分析.
主要成果:
- 对15项研究的元分析显示,在MDT管理下,死亡率的降低风险比为0.61 (95% CI,0.47-7.8).
- 大多数研究报告了手术时间的减少和手术干预率的增加.
- 逗留时间各不相同,大多数研究报告增加.
结论:
- 在IE中,MDT管理与改善短期死亡率有显著的关联.
- 需要进一步的研究来探索虚拟MDT护理,成本效益和长期患者报告的结果.
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