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预测与外围插入的中央静脉导管相关的血液感染风险的模型:范围审查
Langping Cao1,2, Yingxiang Tao1,2, Shiqiang Lei1,2
1Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, Hunan, China.
这次审查分析了与外围插入的中央静脉导管 (PICC) 相关的血液感染风险模型. 虽然模型有希望,但未来的研究必须改进研究设计,以提高临床适用性.
科学领域:
- 感染控制 感染控制
- 医疗信息学 医疗信息学
- 临床流行病学临床流行病学
背景情况:
- 周围插入的中央静脉导管 (PICC) 与中央线路相关的血液感染 (CLABSI) 有关.
- 了解和减轻PICC-CLABSI风险对于患者安全和临床护理实践至关重要.
研究的目的:
- 为PICC-CLABSI进行风险预测模型的范围审查.
- 分析和总结现有的模型,以告知临床护理实践.
主要方法:
- 对六个文献数据库 (CNKI,万芳,VIP,PubMed,Embase,Web of Science) 的范围审查,截至2024年11月5日.
- 使用预测模型风险偏差评估工具 (PROBAST) 进行独立数据提取和偏差风险评估.
主要成果:
- 八项研究符合纳入标准,包括分数模型,名录和ELM模型.
- 确定的预测因素包括导管内置时间,维护,导管类型,肠道营养,糖尿病和恶性瘤.
- 四个模型经过了外部验证;两个模型被评估为合适度好,由于异质性而存在偏差的高风险.
结论:
- PICC-CLABSI风险预测模型显示出强大的预测性能.
- 未来的研究应该集中在PROBAST框架元素上,以改善模型验证和临床适用性.
- 目标是开发低偏差,高性能和临床实用的PICC-CLABSI风险预测模型.
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