临床实践指南和专家关于康复COVID-19患者的共识声明:系统性审查
Yue Zhang1, Yuxi Li1, Dongling Zhong1
1School of Health Preservation and Rehabilitation, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
BMJ open
|September 11, 2024
概括
这项系统性审查发现,虽然炼疗法经常被推用于COVID-19康复,但临床实践指南 (CPG) 和专家共识陈述的质量往往不理想. 遵守AGREE II和RIGHT等质量标准对于开发可靠的康复指导至关重要.
科学领域:
- 康复医学 康复医学 康复医学
- 基于证据的实践.
- 卫生政策 卫生政策
背景情况:
- 临床实践指南 (CPG) 和专家共识陈述对于指导COVID-19患者康复至关重要.
- 评估这些指南的质量和一致性对于有效的患者护理至关重要.
研究的目的:
- 评估COVID-19康复的CPG和专家共识陈述的质量.
- 总结康复评估和干预建议.
- 评估不同指南中建议的异质性.
主要方法:
- 进行了对CPG和专家共识陈述的系统审查.
- 数据库和指南存储库的搜索持续到2024年8月.
- 使用AGREE II评估方法质量,使用RIGHT检查清单评估报告质量,使用同意率测量表评估建议异质性.
主要成果:
- 包括31条指南,运动疗法是COVID-19各个阶段最推的干预措施.
- 17个指南的方法质量低,10个中等质量,4个高质量.
- 报告质量各不相同,在10%-100%的范围内遵守正确的检查列表项目.
结论:
- 针对COVID-19的康复评估和干预措施需要一致的实施和特定阶段的定制.
- 在许多指南中,低于最佳的方法和报告质量需要严格遵守AGREE II和RIGHT标准.
- 开发高质量的CPG和专家共识陈述对于推动COVID-19康复至关重要.
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