运动测试以指导COVID-19的医院安全出院:一个范围审查以确定候选测试的范围
Gwenllian Haf Rhys1,2, Tara Wakeling1, Jonathan P Moore3
1Medicine, Ysbyty Gwynedd, Bangor, UK.
BMJ open
|October 31, 2023
概括
需要验证的运动测试来支持安全的医院出院. 目前的短时间运动测试对于有或没有COVID-19的患者缺乏验证,这凸显了进一步研究的需要.
科学领域:
- 康复医学 康复医学 康复医学
- 临床运动生理学 临床运动生理学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 确定安全的医院出院需要经过验证的功能评估.
- 运动测试是评估患者准备出院的潜在工具.
- COVID-19在评估患者康复和出院准备状态方面提出了独特的挑战.
研究的目的:
- 确定有效的运动测试,支持包括COVID-19患者在内的患者安全出院.
- 对临床决策中短时间运动试验的有效性进行现有证据的审查.
主要方法:
- 根据PRISMA-ScR标准进行了范围审查.
- 在多个数据库 (Medline,PubMed,AMED,Embase,CINAHL,LitCovid) 进行了搜索,截至2021年2月.
- 包括专注于短时间运动测试和与安全放电相关的结果的研究.
主要成果:
- 分析了19项研究,涉及不同患者群体 (COPD,心力衰竭,严重疾病) 和各种运动测试.
- 只有六项研究专门检查了COVID-19患者,目前正在进行的两项试验评估了1分钟的坐立和40步测试.
- 在患者群体,测试和结果指标中存在显著的异质性,很少有测试被验证用于出院决定.
- 目前,没有足够的证据支持在COVID-19患者中进行选或出院决策的短期运动测试.
结论:
- 进一步的研究对于验证用于医院出院时临床决策的运动测试至关重要.
- 需要开发可靠和验证的短练习测试,特别是用于COVID-19后的恢复.
- 关于运动测试在不同患者群体 (包括患有传染病患者) 的有用性,仍然存在证据差距.
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