多学科心脏团队方法的现状:系统性审查
Arian Arjomandi Rad1,2, Sebastian Streukens3, Jindra Vainer3
1Department of Cardiothoracic Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.
概括
心脏团队 (HT) 方法改善了心血管保健,特别是对于门和冠状动脉疾病. 需要标准化指标来优化这种协作模式,以获得更好的患者结果.
科学领域:
- 心脏病学 心脏病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 心脏团队 (HT) 方法促进心血管疾病管理中的多学科合作.
- 关于HT方法的有效性和实施的证据是多样化和有限的.
研究的目的:
- 系统地审查心脏团队方法对患者结果和心血管护理中的护理提供的影响.
- 评估HT方法在治疗冠状动脉疾病和心脏膜疾病方面的有效性.
主要方法:
- 对2023年7月之前发表的研究进行了系统审查.
- 在MEDLINE,EMBASE,PubMed,Cochrane和谷歌学者中进行了搜索.
- 20项研究符合纳入标准,重点关注冠状动脉和心脏门疾病管理中的HT实施.
主要成果:
- 心脏团队的组成和组织存在显著的变化,很少有使用结构化模板的研究.
- 心脏小组在中枢干预中采取的方法显示,医院内死亡率降低,长期生存率改善.
- 在大动脉干预中,80%的患者接受了HT后评估的量身定制程序,这表明了个性化的护理.
结论:
- 心脏团队方法证明了改善心血管护理患者结果的潜力,特别是复杂的门和冠状动脉干预.
- 在HT实施的变化和缺乏标准化的结果指标需要进一步的研究来优化这种协作模式.
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