在紧急腹腔外科手术后加强术后恢复 (ERAS) 协议:系统性审查和元分析协议
Tyler McKechnie1,2, Sameer Parpia3, Mohit Bhandari2,3
1Division of General Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.
PloS one
|September 8, 2023
概括
本系统性审查评估了紧急腹腔外科手术后增强恢复 (ERAS) 协议. 结果将确定ERAS是否与传统护理相比可以减少住院时间,发病率和死亡率.
科学领域:
- 手术成果研究的研究结果.
- 基于证据的医学是基于证据的医学.
- 优化外科手术期间护理的优化
背景情况:
- 手术后增强恢复 (ERAS) 协议是选择性手术的标准,但在紧急情况下不太常见.
- 紧急腹内外科手术对患者的康复提出了独特的挑战.
- 关于ERAS在紧急腹部手术中的有效性的证据有限.
研究的目的:
- 系统地审查和元分析ERAS协议对接受紧急腹腔外科手术的成年患者的影响.
- 为了比较ERAS协议与传统的外科手术期间护理,关于关键的患者结果.
- 评估ERAS在减少术后停留时间,发病率和死亡率方面的潜在好处.
主要方法:
- 按照PRISMA指南进行系统审查和元分析.
- 在主要数据库 (MEDLINE,EMBASE,Web of Science,CENTRAL,PubMed) 和试验注册表中进行全面搜索.
- 包括随机对照试验和队列研究,将ERAS与紧急腹腔外科手术的传统护理进行比较,重点关注住院时间,发病率和死亡率等结果.
主要成果:
- 数据合成将使用随机效应模型进行.
- 值得关注的结果包括术后停留时间,30天的发病率和死亡率,传染性发病率,大肠,肠功能恢复和再入院.
- 结果将量化ERAS协议的比较有效性.
结论:
- 这一审查将为ERAS协议在紧急腹内外科手术中的有效性提供关键的见解.
- 这些发现可能有助于在紧急外科护理中更广泛地实施ERAS.
- 该研究旨在为临床实践提供信息并指导未来的研究,可能促进更大规模的试验.
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