手术的安全性:对世卫组织清单上的元分析的质量评估
1Department of Obstetrics and Gynecology, Faculty of Medicine, Universidad Nacional de Colombia, Bogotá, Colombia.
Annals of medicine and surgery (2012)
|May 2, 2024
概括
世界卫生组织 (WHO) 的手术安全检查清单可能会减少并发症和死亡率. 然而,由于研究偏见,对这些发现的信心非常低.
科学领域:
- 医疗安全 医疗安全
- 提高质量 提高质量
- 外科手术的结果
背景情况:
- 世界卫生组织 (WHO) 的手术安全检查清单是旨在改善手术环境中的患者安全的关键干预措施.
- 分析已经探索了世卫组织手术安全检查清单的有效性,但这些审查的质量需要评估.
研究的目的:
- 批判性地评估现有的元分析的质量,审查世界卫生组织 (WHO) 的外科安全检查清单.
- 评估支持检查清单对外科手术结果影响的证据的可靠性.
主要方法:
- 进行了对元分析研究的系统审查.
- 在PubMed,Embase和Lilacs数据库中进行了搜索,使用与世卫组织手术安全检查清单相关的术语.
- 选择的元分析的质量使用AMSTAR 2工具进行了评估.
主要成果:
- 评估了三个元分析.
- 这些元分析表明,世卫组织的外科安全检查清单与并发症和死亡率的降低有关.
- 对评估的元分析结果的整体信心非常低.
结论:
- 虽然元分析表明,世卫组织的外科安全检查清单与较低的并发症和死亡率有关,但证据质量受到损害.
- 包含的研究主要是观察性的,引入了潜在的偏见.
- AMSTAR 2评估显示,对审查后的元分析结果的总体信心非常低.
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