在紧急护理中关于儿科体重估计方法准确性的全球视角:系统性审查
Irrintzi Fernández-Aedo1, Sendoa Ballesteros-Peña2, Sandra Tobar-Cabrera3
1Biobizkaia Health Research Institute (IIS Biobizkaia), Plaza de Cruces s/n, Barakaldo, Bizkaia 48903, Spain; Nursing I department, Faculty of Medicine and Nursing, University of the Basque Country (EHU), Spain.
The American journal of emergency medicine
|January 24, 2026
概括
准确的儿科体重估计在紧急护理中至关重要. 多变量和本地验证的方法是最可靠的,但各种各样的全球数据需要为每个紧急系统量身定制的方法.
科学领域:
- 儿科急救医学 儿科急救医学
- 临床药理学 临床药理学
- 生物统计学 生物统计学
背景情况:
- 准确的患者体重在儿科急诊服务中至关重要.
- 现有的重量估计工具表现出偏差和可变的准确性.
- 需要对全球儿科体重估计方法进行全面评估.
研究的目的:
- 系统地审查和比较全球儿科体重估计方法的准确性和适用性.
- 确定在临床实践中使用的最可靠的方法.
主要方法:
- 按照PRISMA指南进行系统审查.
- 将观测和验证研究 (2010-2025) 与原始数据相结合.
- 在主要数据库 (PubMed,Scopus,Web of Science,ProQuest) 进行的搜索.
主要成果:
- 分析了来自全球不同地区的31项研究.
- 二维和父母估计方法显示出更高的准确性,特别是在超重/肥胖人口中.
- 在年龄范围,错误标准和验证方法中发现了显著的异质性.
结论:
- 结合多个人类测量变量或局部验证的方法是最可靠的.
- 全球证据基础不均,凸显了对本地化验证的需求.
- 应急系统应该根据当地的人口统计数据量身定制方法,并实施标准化验证.
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