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新生儿败血症后提出的核心结果:一个共识声明
Petek Eylul Taneri1,2, Linda Biesty2,3, Jamie J Kirkham4
1Health Research Board-Trials Methodology Research Network, University of Galway, Galway, Ireland.
JAMA network open
|February 24, 2025
概括
一个新的核心结果集 (COS) 标准化了新生儿败血症的研究,这是婴儿死亡的主要原因. 这一新生儿败血症核心成果集 (NESCOS) 提高了数据的可比性,以便更好地评估治疗.
科学领域:
- 新生儿医学 新生儿医学
- 儿童传染病 儿童传染病
- 临床试验方法论 临床试验方法论
背景情况:
- 新生儿败血症是全球婴儿死亡的主要原因之一.
- 关于新生儿败血症的现有研究显示出结果测量和报告的显著异质性.
- 标准化的核心成果集对于提高研究的一致性和可比性至关重要.
研究的目的:
- 为研究评估新生儿败血症治疗方法制定基于共识的核心成果集 (COS).
- 新生儿败血症核心成果集 (NESCOS) 项目旨在在临床试验中标准化结果报告.
- 提高新生儿败血症研究结果的可比性和可靠性.
主要方法:
- 一个四个阶段的过程,包括系统审查,实时Delphi (RTD) 调查和共识会议.
- 涉及多元化的利益相关者群体:医疗保健工作者,研究人员,学者,家长和家长代表.
- 使用9点的利克尔特等级来衡量结果的重要性,并使用80%的同意门将其纳入COS.
主要成果:
- 系统性审查确定了19个结果,并补充了之前的系统性审查.
- 共有306名参与者参与了RTD调查,确定了55个潜在结果.
- 最终完成的新生儿败血症核心结果集 (NESCOS) 包括9个关键结果.
结论:
- 开发的COS提供了一个标准化的框架,用于测量和报告新生儿败血症研究的结果.
- 实施NESCOS将提高研究结果的可比性,并促进证据综合.
- 未来的研究应该优先发展这些核心结果的标准化测量方法.
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