血管移植和内移植感染:关于术语,定义,治疗,结果,随访和报告标准的德尔菲共识文件
Karl Sörelius1, Robin Verhoek2, Xavier Berard3
1Department of Vascular Surgery, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark; Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
概括
这项研究建立了关于血管移植和内移植感染 (VGEI) 以及二次大肠的术语和治疗的共识. 这些29个共识声明旨在标准化VGEI研究并改善患者护理.
科学领域:
- 血管外科 血管外科
- 传染性疾病 传染性疾病
- 医疗成像医学成像
背景情况:
- 关于血管移植和内移植感染 (VGEI) 以及次要的风脉肠侵蚀/管的术语,定义和报告标准存在缺乏共识.
- 对于这些复杂的疾病,需要标准化的治疗方法,结果报告和随访.
研究的目的:
- 通过使用Delphi方法论,在与VGEI和二次性大肠风侵蚀/有关的关键问题上达成专家共识.
- 为VGEI制定标准化定义,治疗指南和报告标准.
主要方法:
- 一项德尔菲共识研究,涉及43名来自血管外科,传染病,核医学和放射学的国际专家.
- 四轮在线调查问卷,共31个陈述,使用五分利克特级别进行分析,共识定义为≥75%的同意.
- 报告遵循ACcurate COnsensus报告文件 (ACCORD) 的指导方针,Cronbach的α>0.80表示高可靠性.
主要成果:
- 在所有四个Delphi轮中100%参与,可靠性很高 (Cronbach的α从0.88到0.90不等).
- 在涵盖多学科团队定义,微生物学诊断,治疗,二次移植肠侵蚀/,治疗结果,随访和报告标准的29个声明上达成共识.
- 第五轮证实了外科医生对二次性动脉肠侵蚀/的定义达成共识.
结论:
- 在29个陈述上达成共识,以建立对VGEI和二次动脉肠侵蚀/的共同理解.
- 达成共识的声明有可能加强VGEI的研究,并改善患者的护理.
- 标准化术语和报告对于推进血管移植感染领域至关重要.
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