为患有心房动的成年人提供临床服务的组织
Caleb Ferguson1,2, Fahad Shaikh1,2, Sabine M Allida1,2
1Centre for Chronic & Complex Care Research, Western Sydney Local Health District, Sydney, Australia.
The Cochrane database of systematic reviews
|July 29, 2024
概括
对心房 (AF) 进行有组织的临床服务显著降低了全因死亡率,但对住院的影响很小. 多学科和虚拟护理模型是改善AF患者结果的关键.
科学领域:
- 心脏病学 心脏病学
- 医疗保健服务研究 医疗服务研究
- 临床管理 临床管理
背景情况:
- 前庭动 (AF) 是一个日益严重的心血管问题,需要创新的护理服务.
- 优化临床服务组织对于基于证据的AF管理至关重要.
- 建议AF患者使用多学科,协作和虚拟护理模式.
研究的目的:
- 评估组织的临床服务模型对AF的影响与通常护理相比.
- 评估对死亡率,住院和其他关键临床结果的影响.
主要方法:
- 随机对照试验 (RCT) 的系统审查和元分析.
- 搜索了主要的数据库 (CENTRAL,MEDLINE,Embase,CINAHL) 和临床试验注册表.
- 包括RCT比较有组织的,多学科的AF护理 (包括eHealth/mHealth) 与通常的护理.
主要成果:
- 有组织的AF服务显著降低了所有原因的死亡率 (中等确定性).
- 减少了心血管住院病例 (高确定性),但对所有原因住院病例的影响很小 (中等确定性).
- 没有对心血管死亡率,血栓栓塞事件或严重出血 (确定性低) 的显著影响.
结论:
- 组织的AF临床服务,特别是多学科和虚拟方法,改善死亡率并减少心血管住院.
- 需要对更大的试验进行进一步的研究,以确认研究结果并探索特定的护理模式.
- 通过多学科团队和虚拟增强的协调护理对于AF管理至关重要.
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