一个核心结果集和报告检查清单对重症产科患者的研究:一个国际共识研究研究
Tiffany Yeretsian1, Julien Viau-Lapointe2, Rizwana Ashraf1
1Department of Obstetrics and Gynecology, McMaster University, Hamilton, Ontario, Canada.
Acta obstetricia et gynecologica Scandinavica
|February 15, 2026
概括
为研究重病产科患者 (COSCO) 制定了一个基于共识的核心成果集. 这种标准化框架提高了研究对重症孕妇的一致性和可比性.
科学领域:
- 关键护理医学 关键护理医学
- 产科和妇科 产科和妇科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 对重症产科患者的研究缺乏标准化的结果报告.
- 不一致的报告妨碍了研究的可比性和临床相关性.
- 需要一个核心成果集来统一这群弱势群体的研究.
研究的目的:
- 通过国际共识,为研究重症产科患者 (COSCO) 制定一个核心成果集.
- 在涉及重病产科患者的研究中提高一致性,可比性和临床相关性.
主要方法:
- 从2023年2月到2024年1月进行的国际多方法研究.
- 使用了两轮的在线Delphi调查,小组讨论和最后的共识会议.
- 来自16个国家的68名参与者,包括11名医疗服务用户和57名医疗保健专业人员.
主要成果:
- 对于COSCO,10个核心成果和7个报告检查清单项目被选中.
- 关键结局包括孕产妇死亡率,心脏骤停,器官功能障碍,停留时间,再入院,新的医疗状况,不孕症,围产损失,新生儿发病率以及妊娠年龄/早产.
- 另外四个非核心结果被确定为重要,但可能具有挑战性,以一致的方式进行测量.
结论:
- 科斯科提供了一个标准化,基于共识的框架,用于在重症监护产科研究中报告结果.
- 采用COSCO将加强方法论的严谨性,并减少报告的异质性.
- 该框架支持基于证据的指导方针制定和以患者为中心的护理.
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