快速反应小组对患者结果的影响:系统性审查
Qiuxia Zhang1, Khuan Lee2, Zawiah Mansor3
1Department of Nursing, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang 43400, Malaysia; Nursing Department, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China.
Heart & lung : the journal of critical care
|September 29, 2023
概括
快速反应小组 (RRT) 对患者的治疗结果产生了积极的影响,尽管证据各不相同. 本系统性审查综合了数据,以评估医院的RRT有效性.
科学领域:
- 医疗保健管理的管理
- 临床干预 临床干预
- 患者安全 患者安全
背景情况:
- 快速反应小组 (RRT) 在改善患者死亡率和重症监护室入院等结果方面的有效性,尽管在医院广泛采用,但仍有争议.
- 可能受到RRT影响的关键患者结果指标包括医院死亡率,心肺骤停,计划外的ICU入院和入院时间.
研究的目的:
- 系统地审查RRT对患者结果的影响.
- 综合RRT在改善医院死亡率,心肺骤停,计划外的ICU入院和入院时间方面的有效性证据.
主要方法:
- 在主要数据库 (PubMed,Cochrane,Embase,CINAHL,Web of Science) 和试验注册表中进行系统的文献搜索.
- 包括到2022年5月6日发表的研究.
- 使用Cochrane风险偏差工具和ROBINS-I对RCT和非RCT进行质量评估.
主要成果:
- 确定了61项研究,包括RCT,非RCT,ITS和测试前后设计.
- 有相当多的研究报告了医院死亡率 (52),心肺骤停 (51),计划外的ICU入院 (18) 和入院时间 (10).
结论:
- 在RRT干预类型和医疗保健环境的变化限制了研究之间的直接比较.
- 虽然证据不一致,但大多数研究表明,RRT对患者的治疗结果有积极的影响.
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