口腔和面外科手术中的术后妄:一个范围审查
Eman Alhammadi1,2, Julian Max Kuhlmann3, Majeed Rana4
1Cranio-and-Maxillo Facial Surgery, University Hospital Düsseldorf, Moorenstraße 5, Düsseldorf, 40225, Germany. eman.alhammadi@med.uni-duesseldorf.de.
Head & face medicine
|July 23, 2024
概括
本范围审查检查了口腔和面外科手术中的术后妄 (POD). 识别患者的风险因素和实施预防策略是减少这些手术环境中的POD发病率的关键.
科学领域:
- 医学研究 医学研究
- 手术瘤学手术瘤学
- 老年医学 老年医学
背景情况:
- 手术后痴呆症 (POD) 在口腔和面外科手术中越来越多地被认可.
- 医疗技术的进步允许扩大对老年和脆弱患者的治疗,增加POD研究的相关性.
- 本综述侧重于口腔和面外科手术中与POD相关的具体挑战和风险因素.
研究的目的:
- 探索POD与口腔和面外科手术之间的相关性.
- 要总结当前的查和管理协议的POD在这个外科专业.
- 在口腔和大面部手术的背景下,确定POD的特定风险因素.
主要方法:
- 采用了符合PRISMA-ScR指导方针的范围审查方法.
- 在多个数据库中对2002年至2023年间发表的文章进行了全面的文献搜索.
- 审查协议在开放科学透明度框架中预先注册.
主要成果:
- 在最初的644篇文章中,包括了68篇,揭示了POD诊断方法的显著异质性.
- 在术前,术后和术后阶段确定了多种导致POD的风险因素.
- 通过多重回归分析突出显著的独立风险因素,形成POD发生的临床预测清单.
结论:
- 术前识别和积极管理患者的风险因素对于减轻POD至关重要.
- 为降低POD发病率,建议对有风险的患者采取非药物预防措施.
- 未来的研究应该优先考虑标准化,专业特定的协议与验证的评估工具,以全面解决POD.
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