重症监护室患者获得性衰弱的风险因素:一个总体审查
Yimei Zhang1, Qiulan Hu2, Min Zhou1
1Department of Nursing, The First Affiliated Hospital of Kunming Medical University, Kunming, China.
Intensive & critical care nursing
|January 18, 2025
概括
本综合性审查综合了关于重症监护病房所获得的弱点风险因素的证据. 它强调了现有审查中的低质量证据和高偏见,需要高质量的未来研究.
科学领域:
- 关键护理医学 关键护理医学
- 康复医学 康复医学 康复医学
- 老年医学 老年医学
背景情况:
- 在重症监护室获得的虚弱 (ICU-AW) 是影响患者康复的重大并发症.
- 确定可靠的风险因素对于制定有效的预防和干预策略至关重要.
研究的目的:
- 从现有的系统审查中系统地总结和综合关于ICU获得的弱点风险因素的证据.
- 评估包含的审查的方法质量,偏差风险和证据确定性.
主要方法:
- 采用了总体审查方法,系统地搜索了八个数据库,直到2023年11月1日.
- 数据提取和选由两个研究人员独立进行.
- 使用AMSTAR-2,ROBIS和GRADE标准评估了方法质量,偏差风险和证据确定性.
主要成果:
- 包括10项系统性审查,包括42个因素和22个元分析的关联.
- 大多数纳入的研究表明方法和证据质量低或极低.
- 大多数系统性审查和元分析都表现出高偏差风险.
结论:
- 本次审查提供了ICU获得的弱点风险因素的全面概述,但揭示了现有证据质量的重大局限性.
- 未来的高质量研究,如队列研究,对于完善理解和确定可靠的风险因素至关重要.
- 这些发现可以为ICU获得的弱点的评估工具和干预目标的开发提供信息.
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