走向术前康复的共同定义:对随机试验的范围审查
Chloé Fleurent-Grégoire1, Nicola Burgess2, Daniel I McIsaac3
1School of Human Nutrition, McGill University, Montréal, QC, Canada; Research Institute of the McGill University Health Centre, Montréal, QC, Canada.
British journal of anaesthesia
|April 27, 2024
概括
这次范围审查确定了手术预康复的共同定义,包括运动,营养和心理支持. 这种标准化定义旨在提高预康复干预措施的研究质量和患者结果.
科学领域:
- 在外科手术期间的医学.
- 手术科学 手术科学
- 康复医学 康复医学 康复医学
背景情况:
- 术前康复缺乏普遍接受的定义.
- 这种变化阻碍了该领域的标准化和研究进步.
研究的目的:
- 在随机对照试验 (RCT) 中确定手术预康复的现有定义.
- 提出一个统一的,共同的术前康复的定义.
主要方法:
- 在2023年2月,对RCT进行了全面的范围审查.
- 包括专注于运动,营养和心理支持选择性手术患者的干预措施.
- 用总结性内容分析分析了定性数据.
主要成果:
- 在各种外科专业中确定了76个预康复RCT.
- 超过一半 (55%) 的RCT提供了预康复的明确定义.
- 一个综合的定义出现了:"预康复是从诊断到手术的过程,包括一个或多个手术前的运动,营养,心理策略和呼吸训练的干预,旨在增强功能能力和生理储备,使患者能够承受手术压力,改善术后结果,并促进恢复.
结论:
- 一个共同的定义对于标准化预康复研究至关重要.
- 拟议的定义需要国际利益相关者进一步评估,以获得全球接受.
- 标准化将指导未来的高质量研究,并推动预康复领域的发展.
更多相关视频
09:51The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
2.6K
03:53Author Spotlight: Regenerative Peripheral Nerve Interface (RPNI) Surgery in Postamputation Pain Management
Published on: March 15, 2024
1.6K
相关概念视频
01:30Psychosurgery
54
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
54
01:30Preventive Healthcare Services
1.0K
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
1.0K
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
78
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
78