儿童和年轻人的近乎致命性喘:国际eDelphi研究
Ann McMurray1,2, Louise Fleming2,3, Steve Cunningham4,5
1Respiratory and Sleep Medicine, Royal Hospital for Children and Young People, Edinburgh, Edinburgh, UK.
Archives of disease in childhood
|March 6, 2025
概括
研究人员建立了一个共识的定义和首选名称",近乎致命的喘" (NFA),用于儿童和年轻人的严重喘发作. 这旨在改善对这个脆弱群体的护理.
科学领域:
- 儿科呼吸系统医学 儿科呼吸系统医学
- 关键护理医学 关键护理医学
- 喘研究 喘研究
背景情况:
- 在儿童和青少年 (CYP) 中,严重的喘发作往往是致命的结果.
- 对最严重的喘发作缺乏普遍接受的定义和名称.
- 这种差距阻碍了CYP中严重喘恶化症的有效表征和管理.
研究的目的:
- 在CYP中建立严重喘发作的共识名称和定义.
- 通过标准化术语来为临床实践和研究提供信息.
- 改进对发生危及生命的喘事件的CYP患者的鉴定和护理.
主要方法:
- 对文献,指导方针和多媒体报告进行了结构化审查,确定了潜在的术语和定义.
- 一个涉及专家顾问的国际电子Delphi (eDelphi) 过程进行了三轮.
- 共识被定义为在1-5利克尔特等级上达成≥70%的共识,并为额外输入提供自由文本.
主要成果:
- 范围审查确定了52项研究和27条指导方针,产生了41项项目和4个潜在的名称.
- 104名专家参与者完成了 eDelphi 流程的所有三轮.
- 接近致命性喘 (NFA) 成为首选名称 (66.7%),79.8%的参与者同意达成共识定义.
结论:
- 这项研究成功地确定了儿童和年轻人近乎致命性喘 (NFA) 的首选名称和共识定义.
- 开发的定义和名称将有助于更好地描述严重喘发作.
- 预计改进的特征将提高对严重喘患者的CYP护理的提供.
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