心脏评分系统,冠状动脉疾病和主要心血管不良事件:一个范围审查
Preesha Premsagar1, Colleen Aldous, Tonya Esterhuizen
1Department of Internal Medicine, Nelson R. Mandela School of Medicine, University of KwaZulu-Natal, Durban. preesha1@yahoo.com.
概括
心脏评分系统为预防冠状动脉疾病 (CAD) 和主要不良心血管事件 (MACE) 提供了客观的方法. 本次审查评估了它们在初级和二级预防策略中的使用情况.
科学领域:
- 心脏病学 心脏病学
- 预防医学 预防医学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 冠状动脉疾病 (CAD) 是全球主要的死亡原因.
- 主要不良心血管事件 (MACE) 对健康造成重大负担.
- 早期查和干预对于管理CAD和MACE至关重要.
研究的目的:
- 对预测CAD和MACE的心脏评分系统的文献进行范围审查.
- 评估目前关于在初级和二级预防中使用心脏评分系统的证据.
主要方法:
- 使用更新的Arksey和O'Malley和PRISMA-ScR方法进行了范围审查.
- 在PubMed,ScienceDirect,MedLine和Cochrane图书馆进行了布尔式搜索.
- 搜索术语包括"冠状动脉疾病"",心脏评分系统"和"主要心血管不良事件".
主要成果:
- 包括2000年以后发表的19项英语研究.
- 六项研究缺乏参与者,重点是指导方针和正在进行的试验.
- 来自多国临床试验的13项研究表明,用于二次预防CAD和MACE的评分系统的使用.
结论:
- 心脏评分系统为CAD和MACE的初级和二级预防提供了一个客观的方法.
- 这些系统可以帮助管理临床不确定性和标准化用于研究的患者数据.
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