发生率和与周管内心骤停相关的诱导因素:系统性审查和元分析
Nattikarn Meelarp1, Wachira Wongtanasarasin1,2
1Department of Emergency Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Turkish journal of emergency medicine
|April 18, 2025
概括
周周输入心脏骤停 (PICA) 发生在约3%的新兴内内输入管中. 关键的危险因素包括低血压,低氧化和较高的BMI,这凸显了对这一关键并发症的进一步前性研究的需要.
科学领域:
- 紧急医疗 紧急医疗
- 关键的护理关键的护理
- 麻醉学 麻醉学
背景情况:
- 周周输管心脏骤停 (PICA) 是一个危及生命的并发症在新出现的内内输管.
- 之前的研究已经探讨了PICA的发病率和风险因素,但缺乏全面的元分析.
研究的目的:
- 量化评估周管内心骤停 (PICA) 的全球发病率.
- 为了识别PICA在新出现的内内管管道输入过程中的相关风险因素.
主要方法:
- 在主要数据库 (PubMed,Embase,Web of Science,Cochrane Library) 进行系统的文献搜索.
- 包括同行评审的研究报告PICA发病率在成年人以外的手术室.
- 聚合发病率的随机效应模型;风险因素的子组分析和元回归;使用埃格尔测试和乔安娜·布里格斯研究所检查清单进行偏差评估.
主要成果:
- 包括15项研究,其聚合PICA发病率为2.7% (95%CI:1.9-3.6).
- 在急诊室发生率为2.5%,在急诊室以外发生率为2.9%.
- 输管前低血压,低氧化和更高的BMI是显著的风险因素; 潜在的出版偏差.
结论:
- PICA发生在约3%的新兴输管中,在ED内外的比例相似.
- 在PICA定义和潜在偏差中发现了显著的异质性.
- 为了进一步了解和减轻PICA,前性研究至关重要.
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