危急疾病后6个月动员的效果 - 元分析
Michelle Paton1,2, Sarah Chan2, Claire J Tipping3
1Australian and New Zealand Intensive Care Research Centre, Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
NEJM evidence
|February 6, 2024
概括
早期积极动员严重病情严重的成年人并没有显著改善医院外的生存日. 然而,它与幸存者的更好的身体功能有关,尽管增加死亡率和不良事件等潜在风险需要考虑.
科学领域:
- 临界护理医学 临界护理医学
- 康复医学 康复医学 康复医学
- 证据综合 证据综合
背景情况:
- 关于早期积极动员的长期有效性和安全性与成年重病幸存者的通常护理相比,存在不确定性.
- 这一系统性审查和元分析涉及早期动员在下放后最长180天后对结果的比较有效性.
结论:
- 危急病患者的早期积极动员并没有显著地影响活着和出院的日子的主要结果.
- 虽然与幸存者的身体功能改善有关,但潜在的死亡率增加和不良事件需要仔细考虑.
- 可能需要进一步的研究来平衡这种患者群体的益处和风险.
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