在文献中探索手术伤口脱光的定义:一个范围审查
Emmy Muller-Sloof1, Erik de Laat2, Pieter Zwanenburg3
1Department of Plastic and Reconstructive Surgery, Radboud University Medical Center, P/O Box 9101, 6500 HB, Nijmegen (634), the Netherlands; Department of Vascular Surgery, Erasmus University Medical Center, Dr. Molenwaterplein 40, 3015 GD, Rotterdam (Rg219), the Netherlands.
Journal of tissue viability
|September 28, 2024
概括
手术伤口脱光的定义差异很大,阻碍了一致的诊断和护理. 世界伤口治疗协会联盟的定义很少使用,影响伤口愈合质量.
科学领域:
- 伤口治愈研究研究 伤口治愈研究
- 手术并发症 手术并发症
- 医学文献分析 医学文献分析
背景情况:
- 手术伤口脱光 (SWD) 在科学文献中缺乏统一的定义.
- 这种不一致性使得SWD的准确诊断,治疗和基准测试变得复杂.
- 从2018年开始,基于共识的世界伤口治疗协会联盟 (WUWHS) 的定义得到了有限的采用.
研究的目的:
- 系统地审查和识别文献中所有现有的SWD定义.
- 提供这些定义的概述,并突出知识差距.
- 提取专门引用WUWHS定义的研究.
主要方法:
- 根据PRISMA-ScR和乔安娜·布里格斯研究所的指导方针进行范围审查.
- 在主要数据库中进行了系统的文献搜索:MEDLINE,EMBASE,Cochrane图书馆和谷歌学者.
- 由两名研究人员进行的独立资格选和数据提取.
主要成果:
- 包括34篇文章,包括系统审查,临床试验和其他类型的研究.
- SWD的定义是可变的,包括伤口破裂,边缘分离,间隙,机械故障和感染.
- 定义还考虑了伤口深度和长度,只有一个研究引用了WUWHS定义.
结论:
- 在已发表的文献中,SWD的定义存在显著的异质性.
- 在2018年后,WUWHS定义的采用显著缺乏.
- 实施统一的SWD定义对于提高患者护理质量至关重要.
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