需要侵入性管理的儿科重大创伤患者的心理结果:系统审查和元分析的协议
Owen Hibberd1,2, Caroline E Thomas3, Sarah Gentle2
1Emergency and Urgent Care Research in Cambridge (EURECA), PACE Section, Department of Medicine, Cambridge University, Cambridge, UK oh296@cam.ac.uk.
BMJ open
|August 19, 2025
概括
这项研究调查了需要手术或干预性放射 (IR) 的儿科创伤患者是否比非侵入性治疗的患者面临更高的心理问题的风险. 这些发现将为儿童的创伤护理提供信息.
科学领域:
- 儿科创伤护理 儿童创伤护理
- 儿科患者的心理结果.
- 干预性放射学是干预性的放射学.
背景情况:
- 儿童的重大创伤往往需要侵入性手术,如手术或干预性放射 (IR).
- 在儿科创伤患者中,不良心理结果很常见,侵入性治疗可能会增加这种风险.
- 在儿科重大创伤中,侵袭性和保守性治疗之间的心理结果的比较风险尚未得到充分证实.
研究的目的:
- 为了确定需要手术或IR的儿科重大创伤患者与保守管理的患者相比,不良心理结果的几率是否增加.
- 系统地审查和综合有关这个主题的现有证据.
主要方法:
- 按照PRISMA指南进行系统审查和元分析.
- 在2025年2月之前进行全面的数据库搜索 (Medline,Embase,PsycInfo,Cinahl).
- 使用Cochrane风险偏差工具和纽卡斯尔-太华尺度进行质量评估,通过漏斗图和trim-fill分析进行偏差评估.
- 使用推评估,开发和评估 (GRADE) 方法评估的证据确定性.
主要成果:
- 该部分应在研究完成后填写,因为结果尚未提供摘要.
- 这项研究旨在量化侵袭性管理 (手术/IR) 与儿科重大创伤中不良心理结果之间的关联.
- 预期的结果将比较侵入性和保守性管理组之间的心理结果的几率比率和置信区间.
结论:
- 这一系统性审查将提供关键的见解与入侵性手术相关的心理风险在儿科重大创伤.
- 研究结果将为临床决策提供信息,以确定儿童创伤患者中必要干预措施与潜在心理后果之间的平衡.
- 该研究将突出未来研究领域和潜在干预措施,以减轻心理伤害.
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