对儿科尾炎风险分层的系统审查
Mahshid Mortazavi1, Alexandra Dimmer1, Elena Guadagno1
1Harvey E. Beardmore Division of Pediatric Surgery, The Montreal Children's Hospital, McGill University Health Center, 1001 Decarie Boulevard, Room B04.2314, Montreal, QC, H4A 3J1, Canada.
Pediatric surgery international
|July 27, 2025
概括
儿童尾炎风险分层缺乏,没有普遍的系统. 制定标准化的评分系统对于改善儿童的临床护理和结果报告至关重要.
科学领域:
- 儿科手术 儿科手术
- 临床风险分层的临床风险分层
- 附录 管理 附录 管理
背景情况:
- 疾病风险分层对于临床决策和预后至关重要.
- 儿童尾炎经常被过度简化为简单或穿孔,忽视了结果的变化.
研究的目的:
- 系统地审查和综合有关儿科尾炎风险分层的文献.
- 确定儿科尾炎风险分层的现有方法和差距.
主要方法:
- 在2024年7月之前,对10个数据库进行全面的系统搜索.
- 将儿科尾炎分为三种或更多风险组的研究纳入研究.
- 遵守系统审查和元分析 (PRISMA) 准则的首选报告项目.
主要成果:
- 七项研究在4332名选者中符合纳入标准.
- 包括的研究使用了各种标准:手术分级,AAST分类,外科医生报告,病理学尺度或二进制发现.
- 较高风险类别始终显示术后感染并发症和住院时间增加.
结论:
- 目前没有广泛接受或使用的儿童尾炎风险分层系统.
- 需要一个普遍的儿科尾炎等级来提高临床护理,预后和资源配置.
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