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紧急腹腔切除术中术后护理途径的关键干预措施和结果:系统性审查
Deena P Harji1,2, Ben Griffiths3, Deborah Stocken4
1Manchester University NHS Foundation Trust, Manchester, UK. d.harji@leeds.ac.uk.
World journal of emergency surgery : WJES
|March 11, 2025
概括
在紧急腹腔切除术中,外科护理途径显示出不同的干预措施和糟糕的报告. 未来的研究必须使用TIDieR检查清单来更好地描述和评估干预措施.
科学领域:
- 手术重症监护手术重症监护
- 基于证据的医学是基于证据的医学.
- 医疗服务研究 医疗服务研究
背景情况:
- 紧急腹腔切除术 (EmLap) 涉及高风险患者,具有显著的术后发病率和死亡率.
- 术后护理途径可能会改善结果,但需要详细了解设计和交付.
- 透明的报告对于实施复杂的干预措施至关重要,例如外科手术期间的途径.
研究的目的:
- 在EmLap环境中系统地审查外科手术期间护理途径的设计和报告.
- 使用"干预描述和复制模板" (TIDieR) 检查清单来评估干预描述的全面性.
主要方法:
- 来自MEDLINE,EMBASE和Cochrane中央注册 (1950-2023) 的随机和非随机研究的系统综述.
- 包括接受重大紧急腹部手术的成年患者.
- 路径的叙述描述和对TIDieR检查清单进行评估.
主要成果:
- 确定了11个RCT和19个非随机研究,在44,055名患者中描述了26个独特的途径.
- 大多数研究具有中等偏差风险;66.6%没有报告TIDieR项目.
- 通常报告的结果包括发病率,死亡率和逗留时间.
结论:
- 在EmLap设置中,周围操作路径具有可变组件,缺乏深入的报告和评估.
- 未来的研究应该采用TIDieR检查列表,以在EmLap中标准化报告外科手术期间的途径.
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