实施指南 预防低温与局部适应,以保持周围手术患者温暖 (GLOW):一个阶梯集群随机混合II型有效性实施研究的协议
Judy Munday1,2, Jed Duff3,4, Fiona M Wood5,6
1School of Health, University of The Sunshine Coast, Sippy Downs, Queensland, Australia jmunday1@usc.edu.au.
BMJ open
|February 12, 2025
概括
这项研究评估了一种新策略,以预防外科手术期间的低温症,旨在减少手术期间患者的体温下降. 这项研究将评估澳大利亚五家医院对本指南的有效性和实施情况.
科学领域:
- 临床研究是临床研究.
- 实施科学 实施科学
- 公共卫生 公共卫生
背景情况:
- 周围手术期间的低温是经常发生的,可以避免的手术并发症.
- 需要适应性,系统层面的策略,将低温预防纳入外科实践.
- 这项试验的目标是减少外科手术期间的低温风险.
研究的目的:
- 评估局部适应的外科手术期间低温症预防指南的有效性.
- 评估本指南在临床,操作和经济成果方面的实施情况.
- 为了降低外科手术患者的术后低温的发生率.
主要方法:
- 一个混合型II有效性实施研究,利用一个不完整的阶梯集群随机控制试验设计.
- 澳大利亚昆士兰州东南部的五家主要公立医院将在27个月内参加.
- 共同主要的结局包括PACU到达时的低温和温度监测/升温的程度;次要的结局包括临床事件,停留时间和实施忠实性.
主要成果:
- 有效性结果将测量低温发病率的减少.
- 实施结果将评估预防战略的采用和忠实性.
- 经济评估将使用质量调整的寿命年来确定成本效益.
结论:
- 该研究旨在提供有效和可实施的外科手术期间低温症预防策略的证据.
- 调查结果将为改善患者安全的实践和政策建议提供信息.
- 成功实施可以减少并发症和改善外科手术结果.
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