对重症产科患者的研究报告结果:系统性审查
Julien Viau-Lapointe1, Julia Kfouri2, Mary Thompson3,4
1Department of Medicine, Hôpital Maisonneuve-Rosemont, Université de Montréal, Montreal, Canada.
Obstetric medicine
|December 11, 2024
概括
这一综述强调了在重症产科患者中不一致的结果报告. 创建了一个结果列表,以指导在这个人群中进行研究的核心结果集的开发.
科学领域:
- 关键护理医学 关键护理医学
- 产科 产科 产科 产科 产科
- 健康研究成果研究结果
背景情况:
- 标准化结果报告对于重症产科患者至关重要.
- 现有的研究缺乏一致的结果定义和报告实践.
研究的目的:
- 进行一项系统的审查报告的结果在重症产科患者.
- 识别结果报告和定义中的变化.
- 创建一个结果列表,用于为重症产科患者 (COSCO) 制定一个核心结果集.
主要方法:
- 通过对五个数据库进行全面的搜索,确定了在2017年11月之前发表的相关随机和非随机研究.
- 研究包括在怀孕期间或怀孕后立即入住重症监护或高依赖病房的患者.
- 报告的结果被分类为领域,并记录了定义.
主要成果:
- 从12581个引用中,包括了136项研究.
- 所有原因的孕产妇死亡率,资源使用和临床/生理结果是最常见的报告.
- 与功能/生命影响和不良治疗效应相关的结果很少报告 (2.9%).
- 结果定义中观察到显著的不一致性.
结论:
- 对重症产科患者的结果报告和定义存在相当大的差异.
- 产生的结果列表作为开发COSCO的基础.
- 标准化报告将提高该领域的研究质量和可比性.
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