强调以患者为中心的结果和在临床营养临床营养的随机对照试验中改进的排除标准
Vijay Sundarsingh1, Manoj Kumar2
1Department of Critical Care Medicine, Father Muller Medical College, Mangaluru, Karnataka, India.
概括
这项研究强调了对重症患者临床营养试验中需要以患者为中心的结果和更好的排除标准. 改进这些方面可以提高研究结果在重症监护机构的相关性和适用性.
科学领域:
- 关键护理医学 关键护理医学
- 临床营养学 临床营养学
- 研究方法研究方法论.
背景情况:
- 随机对照试验 (RCT) 对于推进重症患者的临床营养至关重要.
- 目前的RCT可能无法完全捕捉以患者为中心的结果或采用最佳排除标准.
- 这可能会限制研究结果的概括性和临床实用性.
研究的目的:
- 强调临床营养RCT中以患者为中心的结果的重要性.
- 倡导在这些试验中改进和完善排除标准.
- 提高营养研究在重症监护中的质量和适用性.
主要方法:
- 审查和分析临床营养临床营养临床营养临床营养临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床临床
- 讨论结果指标和排除标准对试验结果的影响.
- 对未来试验设计的综合建议.
主要成果:
- 以患者为中心的结果,如生活质量和功能恢复,往往代表性不足.
- 不一致或过于严格的排除标准可能会导致结果偏差,并限制研究的患者群体.
- 专注于相关的结果和明确的标准对于强有力的证据至关重要.
结论:
- 未来临床营养临床临床临床试验对重症患者应优先考虑以患者为中心的结果.
- 改进排除标准对于提高研究的有效性和适用性至关重要.
- 采用这些改进将导致重症监护营养更有意义的进步.
更多相关视频
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
8.3K
10:38Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
Published on: January 16, 2019
20.2K
相关概念视频
01:27Parentral Nutrition: Centeral and Peripheral Parental Nutrition
112
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
112
01:15Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
92
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
92
01:16Clinical Trials
6.6K
Clinical trials are prospective experimental studies conducted on humans to determine the safety and efficacy of treatments, drugs, diet methods, and medical devices. Using statistics in clinical trials enables researchers to derive reasonable and accurate conclusions from the collected data, allowing them to make wise decisions in uncertain situations. In medical research, statistical methods are crucial for preventing errors and bias.
There are four phases in a clinical trial. A phase one...
There are four phases in a clinical trial. A phase one...
6.6K
01:11Guidelines for Writing Outcome
2.7K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
2.7K
01:13Patient-centered Care
2.0K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.0K
01:29Nursing Interventions II: Selecting and Classifying the Nursing Interventions
2.1K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
2.1K