2024年RECOVER指导方针:方法,证据识别,评估和共识过程,用于制定治疗建议
Daniel J Fletcher1, Manuel Boller2,3, Jamie M Burkitt-Creedon4
1Department of Clinical Sciences, College of Veterinary Medicine, Cornell University, Ithaca, New York, USA.
概括
兽医复苏再评估运动 (RECOVER) 开发了基于证据的临床指南,用于使用GRADE方法进行动物心肺复苏和复苏. 这项合作工作涉及200多名专家,旨在改善兽医紧急护理.
科学领域:
- 兽医医学 兽医医学 兽医医学
- 紧急和重症监护服务
- 基于证据的实践.
背景情况:
- 兽医复苏再评估运动 (RECOVER) 在2012年之前已经制定了CPR指导方针.
- 根据不断变化的科学证据,需要不断更新兽医复苏指南.
研究的目的:
- 描述重新评估小型和大型动物中心肺复苏,新生儿复苏和急救的科学证据的方法.
- 制定更新的,基于共识的兽医复苏临床指南.
主要方法:
- 采用推评估,开发和评价 (GRADE) 方法进行证据对准则的开发.
- 由200多名兽医专业人员进行系统的文献搜索和证据评估.
- 利用跨学科的国际合作模式,涉及学术界和实践.
主要成果:
- 为RECOVER 2024指导方针解决了135个人口,干预,比较和结果 (PICO) 问题.
- 这代表了GRADE方法在指导方针开发中的首次兽医应用.
- 确定了知识差距,以指导未来的兽医复苏科学研究.
结论:
- 通过大规模的协作努力,制定基于证据和共识的兽医指南是可行的,尽管复杂.
- 恢复过程为未来的兽医指南倡议提供了宝贵的经验.
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