对于一般非运送人口 (AQUA) 的救护车质量和结果措施:范围审查
Erik Höglund1, Carl Magnusson2, Jakob Lederman3
1Faculty of Medicine and Health, University Health Care Research Center, Örebro University, Örebro, Sweden.
PloS one
|August 20, 2024
概括
对于非运送患者的救护车护理缺乏标准化的质量指标. 这次审查确定了多种结果指标,强调需要统一报告以改善患者护理和研究可比性.
科学领域:
- 紧急医疗服务研究 医疗服务研究
- 改善医疗保健质量 改善医疗保健质量
- 分析患者结果分析.
背景情况:
- 增加救护车护理,而无需将患者运送至终身护理,会带来挑战.
- 紧急医疗服务 (EMS) 的临床医生发现非运输复杂,缺乏指导支持.
- 没有研究过非传送患者的质量和结果措施.
研究的目的:
- 确定目前的非传送患者的质量和结果措施.
- 描述非传输测量的主要趋势.
- 识别评估非转移患者的知识差距.
主要方法:
- 对EMS中关于非转移措施的同行评审文章的范围审查.
- 遵循PRISMA-ScR的指导方针;搜索主要的数据库 (PubMed,CINAHL,Scopus,科学网,Cochrane). 在这些数据库中进行了搜索.
- 在2023年11月进行的搜索,检查PROSPERO和OSF的协议.
主要成果:
- 三十六项研究符合纳入标准.
- 死亡率是最常见的结果指标 (67%),其次是急救服务和住院.
- 随访持续时间高度变化,死亡率指标的随访时间最长 (中位数>1周).
结论:
- 研究报告说,对于非传输的质量/结果措施多样化和异质化.
- 多样化的后续时间框架使比较和质量改进工作复杂化.
- 在研究和元分析中,对报告和测量非传输的统一方法至关重要.
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