Effectiveness of serial focused ultrasound of the lungs and inferior vena cava for monitoring patients with acute dyspnea: a systematic review protocol.
Michael Dan Arvig, Christian B Laursen, Niels Jacobsen, Peter Haulund Gæde, Annmarie Touborg Lassen
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引用次数: 2
Abstract
Objective: The objective of this review is to evaluate the effectiveness of serial focused ultrasound of the lungs (FLUS) and/or inferior vena cava (IVC) compared to standard care for monitoring patients with acute dyspnea.
Introduction: Acute dyspnea is one of the most common complaints reported by patients in hospital emergency departments, and has high in-hospital mortality rates. The current methods of monitoring patients with acute dyspnea lack both sensitivity and specificity. Point-of-care FLUS and IVC is a promising monitoring tool, but an overview of the existing evidence is absent.
Inclusion criteria: This review will include studies of adult patients admitted to hospital with acute dyspnea that is examined via FLUS, IVC or both a minimum of twice during hospitalization compared to standard care.
Methods: The following electronic databases will be searched: PubMed, Cochrane, Embase, Scopus, Web of Science and Google Scholar. Gray literature will be sought in OpenGrey and ProQuest. The search is limited to articles written in English, Danish, Swedish, Norwegian and German. Articles published before 2003 will be excluded from the search and duplicates will be removed. Two independent reviewers will screen and critically appraise the included studies and perform the data extraction. If possible, data will be synthesized with statistical meta-analysis; otherwise, data will be presented in narrative form.
目的:本综述的目的是评估肺部连续聚焦超声(FLUS)和/或下腔静脉(IVC)与标准护理相比监测急性呼吸困难患者的有效性。简介:急性呼吸困难是医院急诊科患者最常见的主诉之一，并且具有很高的院内死亡率。目前监测急性呼吸困难患者的方法缺乏敏感性和特异性。即时流感监测和IVC是一种很有前景的监测工具，但缺乏对现有证据的概述。纳入标准:本综述将纳入与标准治疗相比，住院期间至少两次通过FLUS、IVC或两者检查的急性呼吸困难成年患者的研究。方法:检索PubMed、Cochrane、Embase、Scopus、Web of Science、Google Scholar等电子数据库。灰色文献将在OpenGrey和ProQuest中寻找。搜索仅限于用英语、丹麦语、瑞典语、挪威语和德语撰写的文章。2003年以前发表的文章将被排除在检索范围之外，重复的文章将被删除。两名独立审稿人将对纳入的研究进行筛选和批判性评估，并进行数据提取。如有可能，将采用统计荟萃分析综合数据;否则，数据将以叙述形式呈现。系统评价注册号:PROSPERO CRD42018116608。
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