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关键护理期刊中的ARDS研究:研究患者的代表性如何?

Jennifer Varallo¹, Tarek Nahle², Peter Galiano¹

¹Department of Medicine, Cooper University Health Care, Camden, New Jersey, USA.

Critical care research and practice

|September 19, 2025

概括

在急性呼吸窘迫综合征 (ARDS) 研究中,少数群体患者的代表性有限. 大多数高度引用的ARDS研究主要包括白人患者,缺乏详细的种族人口统计数据,突出了重症监护研究中的差异.

科学领域:

关键护理医学关键护理医学
医学研究医学研究
健康差异在健康上的差异

背景情况:

医学中的隐性偏见有助于健康差异.
从历史上看,少数民族在医学研究中代表性不足.
包括ARDS在内的患者结局中的种族和种族差异得到了充分记录.

研究的目的:

检查少数群体患者在美国急性呼吸困扰综合征 (ARDS) 研究中的代表性.
确定十年来ARDS研究出版和患者人口统计的趋势.

主要方法:

2011-2021年最常引用的1000项ARDS研究的系统综述.
分析发表在五大重症监护期刊上的研究:AJRC,CHEST,重症监护,CCM和ICM.
从包含的研究中提取种族和民族人口统计数据.

主要成果:

211项研究符合纳入标准;90项提供人口统计数据.
研究中72%的患者是白人;35项研究仅报告了白人人口统计数据.
大多数研究报告主要是男性参与者,与出版年,引用或期刊无关.
在大多数备受引用的ARDS研究中,缺乏详细的种族组成信息.

结论:

在领先的期刊中大量引用的ARDS研究往往缺乏全面的种族人口统计数据.
参与ARDS研究的大多数患者都是白人,这表明少数群体的潜在代表性不足.
调查结果强调需要在重症监护研究中提高多样性和包容性,以解决健康差异.

关键词:

在 ARDS 中,ARDS 是指 ARDS 的类型.急性呼吸困扰综合征是什么包容性包容性包含性重症监护室的重症监护室是重症监护室的重症监护室.报告报告报告报告报告报告报告

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