低收入和中等收入国家的快速反应小组:一个范围审查
Larissa Bianchini1,2,3, Luiz Marcelo Almeida de Araújo2, Daryl Jones4
1Postgraduate Program in Medical Sciences, Department of Internal Medicine, Faculdade de Medicina, Universidade de São Paulo - São Paulo (SP), Brazil.
Critical care science
|October 31, 2025
概括
关于低收入和中等收入国家快速反应小组的证据有限. 需要进一步的研究和政策来评估它们在资源有限的环境中的有效性.
科学领域:
- 医疗保健管理的管理
- 临床操作 临床操作
- 患者安全 患者安全
背景情况:
- 快速反应小组 (RRT) 在高收入国家对于管理病情恶化的患者至关重要.
- 在低收入和中等收入国家 (LMICs) 实施RRT并未得到充分记录.
- 这项研究旨在绘制LMICs中RRTs的现有证据.
研究的目的:
- 对低收入和中等收入国家的快速响应小组发表的文献进行范围审查.
- 分析出版趋势,研究设计,团队组成,以及在这些环境中报告的RRT结果.
主要方法:
- 对6,679项研究进行了全面的范围审查.
- 52项研究符合资格标准,包括全文文章和会议摘要.
- 提取的数据包括出版年,研究类型,团队组成和结果.
主要成果:
- 大多数研究来自巴西,印度和土耳其,早期报告来自2009年.
- 前后和队列研究是主要的设计.
- 重症监护病房的医生和护士是常见的团队成员;报告的常见结果是死亡率和代码蓝色发病率.
结论:
- 关于LMIC中RRT的公布证据有限,落后于高收入国家.
- 需要更多的研究和政策制定来评估RRT在资源有限的环境中的有效性.
- RRTs可能在关怀讨论的目标中发挥作用,尽管这被低估了.
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