危重病人转运指南的重要回顾和证据图谱。

IF 2.6 3区 医学 Q1 NURSING
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

摘要

背景:危重患者易发生危及生命的不良事件,包括呼吸骤停和心脏骤停。在运输过程中,他们的生命体征往往出现显著波动,这可能增加死亡风险。目的:本研究旨在回顾危重病人院内转运的临床实践指南,以生成分析研究趋势和确定临床实践指南差距的证据图。研究设计:这是一项系统综述。系统地从PubMed、Embase、指南数据库和学会网站检索院内转运临床实践指南的文献。提取临床实践指南的基本信息、危重病人转运建议、方法学质量和报告质量,并在Excel中进行处理。每个临床实践指南的质量由四名研究人员使用指南评估研究和评估工具(AGREE II)工具和RIGHT清单独立评估。气泡图是用Excel软件生成的。结果:确定了9项临床实践指南,包括23项建议。获得不同水平的质量,基于表达清晰度的最高平均得分为81.64±12.97,而基于编辑独立性的最低平均得分为55.40±8.36。在RIGHT清单的7个领域中,领域1(基本信息)的报告率最高(60%),而领域6(资金、申报和利益管理)的报告率最低(15%)。结论:院内运输管理临床实践指南的方法学质量差异很大,有些建议不一致。因此,需要进一步研究危重患者院内转运管理,以制定更多循证、高质量的指南。与实践的相关性:确保重症患者院内运输的安全至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Critical Review and Evidence Mapping of Guidelines for Transport of Critically Ill Patients.

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.

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来源期刊
CiteScore
6.00
自引率
13.30%
发文量
109
审稿时长
>12 weeks
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
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