Ya-Bin Zhang, Dan Ma, Rui Li, Ya-Juan Wei, Xu-Yao Wang, Yue Sun, Xue Zhang, Yan Liu, Jing Wang, Shui-Yu Wang
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引用次数: 0
Abstract
Background: Critically ill patients are susceptible to life-threatening adverse events, including respiratory arrest and cardiac arrest. During transport, their vital signs often exhibit significant fluctuations, which potentially increase mortality risk.
Aim: This study aimed to review clinical practice guidelines on intrahospital transport for critically ill patients to generate an evidence map for analysing research trends and identifying gaps in clinical practice guidelines.
Study design: This is a systematic review. The literature on clinical practice guidelines for intrahospital transport was systematically retrieved from PubMed, Embase, guideline databases and society websites. Basic information, recommendations for the transport of critically ill patients, methodological quality and reporting quality of clinical practice guidelines were extracted and processed in Excel. The quality of each clinical practice guideline was independently assessed by four researchers using the Appraisal of Guidelines Research and Evaluation Tool (AGREE II) instrument and the RIGHT checklist. Bubble charts were generated using the Excel software.
Results: Nine clinical practice guidelines, comprising 23 recommendations, were identified. Varying levels of quality were obtained, with the highest mean score based on clarity of presentation being 81.64 ± 12.97, whereas the lowest mean score based on editorial independence by AGREE II was 55.40 ± 8.36. Among the seven domains in the RIGHT checklist, Field 1 (basic information) had the highest reporting rate (60%), whereas Field 6 (funding, declaration and management of interest) obtained the lowest reporting rate (15%).
Conclusions: The methodological quality of clinical practice guidelines for intrahospital transport management varies significantly, with some recommendations being inconsistent. Therefore, further research is needed on the intrahospital transport management of critically ill patients to develop more evidence-based and high-quality guidelines.
Relevance to practice: Ensuring the safety of intrahospital transport for critically ill patients is paramount.
期刊介绍:
Nursing in Critical Care is an international peer-reviewed journal covering any aspect of critical care nursing practice, research, education or management. Critical care nursing is defined as the whole spectrum of skills, knowledge and attitudes utilised by practitioners in any setting where adults or children, and their families, are experiencing acute and critical illness. Such settings encompass general and specialist hospitals, and the community. Nursing in Critical Care covers the diverse specialities of critical care nursing including surgery, medicine, cardiac, renal, neurosciences, haematology, obstetrics, accident and emergency, neonatal nursing and paediatrics.
Papers published in the journal normally fall into one of the following categories:
-research reports
-literature reviews
-developments in practice, education or management
-reflections on practice