定义儿童急性耳部泄漏术语:使用名义组技术进行系统审查和专家共识
Elliot Heward1,2, James Dempsey2, Amy McGovarin2
1Division of Infection, Immunity and Respiratory Medicine, School of Biological Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.
为患有耳部感染和排泄的儿童提出了一种新的标准化术语,即急性中耳炎与排泄 (AOMd). 这旨在改善这种常见的儿科疾病的患者护理和研究一致性.
科学领域:
- 儿童传染病 儿童传染病
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 医学术语标准化 标准化 医学术语标准化
背景情况:
- 急性中耳炎 (AOM) 是一种常见的儿童感染.
- 大约15%的AOM儿童经历了耳膜穿孔和耳部泄漏.
- 这一小组的患者可能需要不同的管理,需要不同的术语.
研究的目的:
- 为患有急性中耳炎和排泄的儿童标准化疾病术语.
- 为了区分这个特定的患者群体与没有穿孔的AOM.
- 在适当的诊断术语上建立共识.
主要方法:
- 使用OVID Embase进行了系统的文献审查.
- 在专家小组中使用了名义组技术的RAND版本.
- 在儿童急性耳部泄漏的术语上达成共识.
主要成果:
- 在文献中,该审查确定了AOM的九种不同的定义.
- 专家小组建议"急性中耳炎带出院 (AOMd) "适用于长达6周的病例.
- 复发性疾病被定义为每年发生四次或更多次.
结论:
- 建议在儿童中使用标准化术语,即AOMd,用于AOM的次要急性耳部泄漏.
- 一致的术语对于改善患者护理至关重要.
- 标准化术语将确保未来研究中的同质性.
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