多组件外科手术期间的干预措施,以改善脆弱患者的治疗结果:系统性审查
Vivian Ka-Yan Kwok1,2, Natasha Reid3, Ruth E Hubbard4,3
1Princess Alexandra Hospital, Metro South Hospital and Health Service, Brisbane, QLD, Australia. Vivian.Kwok@uqconnect.edu.au.
多组件外科手术期间的干预措施有望改善脆弱的外科患者的治疗结果,减少并发症和死亡率. 需要进一步的研究来优化这些干预措施的脆弱个体.
科学领域:
- 老年人手术是一门老年人手术.
- 在外科手术期间的医学.
- 基于证据的实践.
背景情况:
- 手术前的虚弱与不良的手术结果有关.
- 之前的审查表明,对脆弱患者有效干预的证据有限.
- 本次审查侧重于自2016年以来发表的证据.
结论:
- 有针对性的多组件外科手术期间的干预措施可能有利于接受选择性胃肠道手术的脆弱患者.
- 异质性和方法上的局限性阻止了关于最佳护理模式的最终结论.
- 需要更大的,低偏差的研究来指导最佳的干预交付和实施.
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