在小儿心脏病治疗中缺乏高水平的证据
Emily Littman1, Diana Hsiao1, Kanekal S Gautham1,2
1Department of Medicine, University of Central Florida College of Medicine, Orlando, FL, USA.
Annals of pediatric cardiology
|May 20, 2024
概括
在2021年,大多数儿科心脏病学研究提供了低科学证据. 在儿科心脏病学方面,急需更多高层次的证据研究,以改善临床实践.
科学领域:
- 心脏病学 心脏病学
- 儿科 儿科 儿科
- 基于证据的医学基于证据的医学.
背景情况:
- 临床实践依赖于高质量的证据.
- 评估儿科心脏病学出版物中的证据水平至关重要.
研究的目的:
- 在2021年按证据水平分类儿科心脏病学出版物.
- 确定研究设计和证据质量的趋势.
主要方法:
- 在PubMed搜索2021年发表的儿科心脏病学文章.
- 根据研究设计,根据证据水平 (低,中,高) 分类研究.
- 随机对照试验 (RCT) 与新生儿和成人心脏病学的比较.
主要成果:
- 确定了731项研究,50.1%的证据低,44.2%的证据中等,5.8%的证据高.
- 在所有心脏病类型和治疗中,低水平的证据占主导地位.
- 大多数高级别的证据研究来自美国,中国和印度.
结论:
- 2021年儿童心脏病学研究主要基于低水平的证据.
- 在儿科心脏病学中需要更多高层次的证据研究.
- 提高证据质量对于推进现场临床实践至关重要.
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