针对急性心力衰竭的早期动员:范围和系统性审查
Masatsugu Okamura1, Yuki Kataoka2, Shunsuke Taito3
1Berlin Institute of Health Center for Regenerative Therapies (BCRT), Charité - Universitätsmedizin Berlin, Berlin, Germany; Department of Rehabilitation Medicine, School of Medicine, Yokohama City University, Yokohama, Japan; Scientific Research WorkS Peer Support Group (SRWS-PSG), Osaka, Japan.
Journal of cardiology
|October 5, 2023
概括
早期动员,定义为干预或在急性心力衰竭 (HF) 住院后3天内行走,可能会降低再入院率. 需要进一步的研究来证实这一关联.
科学领域:
- 心脏病学 心脏病学
- 康复医学 康复医学 康复医学
- 基于证据的实践.
背景情况:
- 对于住院患者来说,早期动员越来越被认可.
- 它在急性心力衰竭 (HF) 中的应用缺乏明确的定义,有效性和安全性数据.
- 对于急性HF患者的现有临床实践需要建立早期动员的协议.
研究的目的:
- 在急性心力衰竭的背景下,定义"早期动员".
- 系统地审查和对急性HF早期动员的有效性和安全性进行元分析.
- 为临床实践提供基于证据的建议.
主要方法:
- 范围审查 (第一部分) 确定了早期动员的定义.
- 一项系统性审查和元分析 (第二部分) 评估了有效性和安全性.
- 搜索内容包括MEDLINE,Cochrane,Embase,CINAHL和PEDro. 这三家公司的搜索.
主要成果:
- 早期动员被定义为基于协议的干预措施或在入院后3天内行走.
- 两个观察性研究 (283名参与者) 被纳入了元分析.
- 早期动员显示,在低确定性证据的情况下,再接收率可能大幅降低 (OR 0.25,95% CI 0.14-0.42).
结论:
- 早期动员,定义为干预或在入院后3天内行走,可能与急性HF的再入院率较低有关.
- 由于研究细节有限,早期动员的频率,强度和数量仍未确定.
- 进一步的研究对于建立因果关系和优化急性HF早期动员策略至关重要.
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