严重的不良事件与保守的物理程序与宫脊柱相关:一个系统的审查
Bryden Leung1, Julia Treleaven1, Alana Dinsdale1
1School of Health and Rehabilitation Sciences, University of Queensland, Australia.
Journal of bodywork and movement therapies
|December 11, 2024
概括
部干预后的严重不良事件 (SAE) 通常是血管性的,与操纵有关. 然而,神经和其他罕见的SAE也会发生,需要在手术后48小时内对早期症状进行监测.
科学领域:
- 医学研究 医学研究
- 患者的安全性 患者安全性
- 物理治疗是一种物理治疗.
背景情况:
- 以前对部干预后严重不良事件 (SAE) 的审查主要集中在血管事件或与宫操纵有关的事件上.
- 在了解与各种身体部手术相关的SAE全谱方面存在差距.
研究的目的:
- 综合审查任何物理宫手术后所有严重不良事件 (SAE) 的证据.
- 描述这些SAE的性质和患者人口统计数据.
主要方法:
- 从创立到2023年5月,在主要的科学数据库 (PubMed,EMBASE,CINAHL,Scopus,Cochrane,Web of Science,Chiropractic文献索引) 中进行了广泛的文献搜索.
- 包括报告SAE特征和部干预后患者人口统计数据的研究.
主要成果:
- 在233项研究中发现了334个严重不良事件 (SAE),其中41个是在过去五年报告的.
- 血管事件 (58%),主要是动脉剖析或脊椎动脉问题,占主导地位,主要与操纵有关 (75%).
- 较少知名的SAEs,包括神经 (25%),联合血管/神经 (12%),以及其他 (5%),如脑脊液泄漏和神经,在各种程序 (例如,前庭检测,针,按摩) 后被确定.
结论:
- 虽然来自操纵的血管SAEs很常见,但对各种部手术的潜在神经和其他损伤的认识至关重要.
- 如果怀疑发生严重不良事件,建议早期识别SAE,并对干预后长达48小时进行监测.
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