早期预警评分系统对手术患者不良结果的影响:系统性审查
Annick Stolze1, Tara N M Woolley-Hendriks2, Yara Bassa1
1Department of Anesthesiology, Amsterdam University Medical Centre, VU University, Amsterdam, The Netherlands.
International journal of nursing studies advances
|December 24, 2024
概括
早期预警评分系统可能会降低手术患者的死亡率和ICU入院率,但证据有限. 需要更多高质量的试验来确认这些系统对患者结果的好处.
科学领域:
- 医学研究 医学研究
- 临床信息学是一种临床信息学.
- 患者安全 患者安全
背景情况:
- 早期预警评分系统的目的是尽早发现患者病情的恶化.
- 预防救助失败是住院患者的一个关键目标.
- 本综述侧重于这些系统在外科患者群体中的影响.
研究的目的:
- 系统地审查早期预警评分系统对手术患者不良结果的影响.
- 评估这些系统在提高患者安全方面有效性的现有证据.
主要方法:
- 在遵守PRISMA指南的基础上进行系统审查.
- 在多个数据库 (PubMed,Embase,CINAHL,Cochrane Library) 进行了搜索,截至2023年6月.
- 包括随机对照试验和非随机研究,评估早期预警评分系统与随机检查监测.
主要成果:
- 包括8项研究,其中2项是随机对照试验;总体偏差风险很高.
- 三项研究表明,死亡率显著下降.
- 在一些研究中报告了心肺骤停和ICU入院的减少,但有异质性.
结论:
- 目前支持手术患者早期预警评分系统的证据较少,原因是研究有限和设计缺陷.
- 需要进一步进行精心设计的试验,以确定对患者结果的影响.
- 改进的研究设计对于验证这些系统的有效性至关重要.
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