对非医院心脏骤停的成年幸存者的神经认知查仪器的测量质量和可行性进行评估:系统性审查
Theresa Aves1, Katherine S Allan1, Sajeevan Sujanthan2
1Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada; Division of Cardiology, Unity Health Toronto, Toronto, Ontario, Canada.
Resuscitation
|September 1, 2025
概括
对于医院外心脏骤停 (OHCA) 幸存者的神经认知查工具的证据有限. 蒙特利尔认知评估 (MoCA) 显示了一些有效性,但需要更多的研究才能进行可靠的查.
科学领域:
- 神经科学
- 心脏病学
- 心理测量
背景情况:
- 在医院外心脏骤停 (OHCA) 的成年幸存者经常经历神经认知缺陷.
- 准确的查仪器对于识别这一群体的认知障碍至关重要.
研究的目的:
- 系统地审查和评估结果测量仪器 (OMI) 的测量特性,解释性和可行性,以选成人OHCA幸存者的神经认知功能.
主要方法:
- 在多个在线数据库中进行了全面搜索.
- 使用基于共识的健康状况测量仪器选择标准 (COSMIN) 的指导方针进行证据评估.
- 使用推,评估,发展和评估 (GRADE) 标准对证据的确定性进行评分.
主要成果:
- 确定了13个仪器,但只有两个 (MoCA和IQCODE-CA) 报告了测量特性.
- 检测结果显示,高质量的证据证明了标准的有效性 (AUC总值为0. 80).
- 对于所有仪器的评分解释性和可行性存在有限的证据.
结论:
- 关于基本测量属性的证据不足,阻碍了OHCA幸存者的仪器选择.
- 虽然MoCA显示了可接受的标准有效性,但其内容有效性,可靠性和响应性需要进一步调查.
- 优先建立强有力的证据对于有效的神经认知查至关重要.
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