术后谵妄诊断工具:范围审查协议。

IF 1.9 4区 医学 Q2 ANESTHESIOLOGY
Acta Anaesthesiologica Scandinavica Pub Date : 2024-11-01 Epub Date: 2024-07-08 DOI:10.1111/aas.14486
Charlotte Levy Hansen, Thordis Thomsen, Aske Tøgern, Ann Merete Møller, Morten Vester-Andersen, Søren Overgaard, Nicolai Bang Foss, Daniel Hägi-Pedersen
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引用次数: 0

摘要

背景:谵妄是一种急性、波动性的注意力、意识和认知障碍,常见于医院环境中,尤其是老年人、危重病人和手术病人。谵妄给患者护理带来了巨大挑战,导致发病率、死亡率、住院时间延长和功能衰退的增加。目的:本综述旨在绘制适用于因髋部骨折接受手术治疗的患者的谵妄诊断工具的现有证据图,为临床实践提供参考,并加强术后患者护理方案:我们将根据 "系统综述和荟萃分析首选报告项目"(Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews,PRISMA-ScR)对术后成年患者使用的谵妄诊断工具进行范围界定综述。资格标准包括所有语言、发表日期和研究设计,病例报告除外。我们将系统地搜索多个数据库,并纳入未发表的试验,确保根据预定方案进行全面综述:结果:结果将以描述性方式呈现,并配有补充表格和图表。研究将按设计、外科专科和诊断工具分组,以确定潜在的差异:本范围综述将概述术后环境中使用的现有谵妄诊断工具,并强调知识差距以支持未来的研究。由于受术后谵妄影响的患者人数众多,因此亟需证据图谱来促进循证实践。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Delirium diagnostic tools in the postoperative setting: A scoping review protocol.

Background: Delirium is an acute and fluctuating disturbance in attention, awareness, and cognition, commonly observed in hospital settings, particularly among older adults, critically ill and surgical patients. Delirium poses significant challenges in patient care, leading to increased morbidity, mortality, prolonged hospital stays, and functional decline.

Aim: The aim of this review is to map existing evidence on delirium diagnostic tools suitable for use in patients treated surgically due to hip fracture, to inform clinical practice and enhance patient care protocols in the postoperative setting.

Method: We will conduct a scoping review on delirium diagnostic tools used for adult patients in the postoperative setting according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). Eligibility criteria encompass all languages, publications dates, and study designs, with exception of case-reports. We will systematically search multiple databases and include unpublished trials, ensuring a comprehensive review based on a predefined protocol.

Results: Results will be presented descriptively, with supplementary tables and graphs. Studies will be grouped by design, surgical specialties, and diagnostic tools to identify potential variations.

Conclusion: This scoping review will provide an overview of existing delirium diagnostic tools used in the postoperative setting and highlight knowledge-gaps to support future research. Due to the large number of patients affected by postoperative delirium, evidence mapping is much needed to facilitate evidence-based practice.

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来源期刊
CiteScore
4.30
自引率
9.50%
发文量
157
审稿时长
3-8 weeks
期刊介绍: Acta Anaesthesiologica Scandinavica publishes papers on original work in the fields of anaesthesiology, intensive care, pain, emergency medicine, and subjects related to their basic sciences, on condition that they are contributed exclusively to this Journal. Case reports and short communications may be considered for publication if of particular interest; also letters to the Editor, especially if related to already published material. The editorial board is free to discuss the publication of reviews on current topics, the choice of which, however, is the prerogative of the board. Every effort will be made by the Editors and selected experts to expedite a critical review of manuscripts in order to ensure rapid publication of papers of a high scientific standard.
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