Tore A G Tørisen, Julie M Glanville, Andres F Loaiza, Julia Bidonde
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引用次数: 0
摘要
背景：我们对在医院和院前环境中对急诊儿科患者使用儿科评估三角（PAT）工具的证据进行了范围界定。我们重点研究了 PAT 的心理测量特性、报告的影响、在临床实践中使用该工具的环境和情况，以及 PAT 的教学证据：我们遵循乔安娜-布里格斯研究所（Joanna Briggs Institute）的范围界定综述方法，并注册了综述协议。2022 年 8 月，我们检索了 MEDLINE、PubMed Central、Cochrane Library、Epistemonikos、Scopus、CINAHL、灰色文献报告、Lens.org 以及部分急诊儿科组织的网页。两名审稿人对符合条件的文章进行了独立筛选和数据提取：结果：共纳入 55 篇文献。有证据表明，PAT 是一种有效的工具，可用于确定儿科急诊患者的优先次序、指导干预措施的选择以及确定医院和院前环境中患者所需的护理级别。据报道，PAT 快速、实用，对过度拥挤和人员不足的急救服务具有潜在影响。结果强调了在使用该工具之前进行指导的重要性。PAT 已被纳入若干有关儿科急诊护理的课程和教科书中：此次范围界定审查表明，有关使用 PAT 评估儿科急诊患者的证据越来越多，其中一些证据可能适合进行系统审查。我们的综述发现了一些研究空白，可为未来研究项目的规划提供指导。有必要进一步研究 PAT 的心理测量特性，为该工具的质量和实用性提供证据。在解决目前医疗服务短缺和急诊服务过度拥挤的问题时，应考虑该工具的简便性和准确性：https://osf.io/vkd5h/。
Emergency pediatric patients and use of the pediatric assessment triangle tool (PAT): a scoping review.
Background: We conducted a scoping review of the evidence for the use of the Pediatric Assessment Triangle (PAT) tool in emergency pediatric patients, in hospital and prehospital settings. We focused on the psychometric properties of the PAT, the reported impact, the setting and circumstances for tool implementation in clinical practice, and the evidence on teaching the PAT.
Methods: We followed the Joanna Briggs Institute methodology for scoping reviews and registered the review protocol. We searched MEDLINE, PubMed Central, the Cochrane Library, Epistemonikos, Scopus, CINAHL, Grey literature report, Lens.org, and the web pages of selected emergency pediatrics organizations in August 2022. Two reviewers independently screened and extracted data from eligible articles.
Results: Fifty-five publications were included. The evidence suggests that the PAT is a valid tool for prioritizing emergency pediatric patients, guiding the selection of interventions to be undertaken, and determining the level of care needed for the patient in both hospital and prehospital settings. The PAT is reported to be fast, practical, and useful potentially impacting overcrowded and understaff emergency services. Results highlighted the importance of instruction prior using the tool. The PAT is included in several curricula and textbooks about emergency pediatric care.
Conclusions: This scoping review suggests there is a growing volume of evidence on the use of the PAT to assess pediatric emergency patients, some of which might be amenable to a systematic review. Our review identified research gaps that may guide the planning of future research projects. Further research is warranted on the psychometric properties of the PAT to provide evidence on the tool's quality and usefulness. The simplicity and accuracy of the tool should be considered in addressing the current healthcare shortages and overcrowding in emergency services.
Review registration: Open Science Framework; 2022. https://osf.io/vkd5h/.
期刊介绍：
BMC Emergency Medicine is an open access, peer-reviewed journal that considers articles on all urgent and emergency aspects of medicine, in both practice and basic research. In addition, the journal covers aspects of disaster medicine and medicine in special locations, such as conflict areas and military medicine, together with articles concerning healthcare services in the emergency departments.
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