烧伤患者院前液体复苏的准确性:系统评价

IF 16.4 1区 化学 Q1 CHEMISTRY, MULTIDISCIPLINARY
Fahad Alsaqabi, Z. Ahmed
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引用次数: 0

摘要

烧伤的早期处理是实现理想患者预后的重要组成部分。在烧伤的情况下,病人管理的最早的一点是在院前设置。与可由非保健工作者提供的急救不同,液体复苏可由紧急医疗服务人员在院前环境中提供。本系统综述旨在调查烧伤患者在院前是否接受了准确的液体复苏。此外,它还将调查现有的不准确性是否会对患者的预后产生负面影响。本系统评价按照系统评价和荟萃分析首选报告项目(PRISMA)的指南完成。通过搜索相关数据库(PubMed, Embase, Medline和谷歌Scholar)开始搜索符合条件的研究。对选定的研究进行筛选,并使用叙事综合方法提取和分析数据。7项研究符合本综述的纳入标准,共961例患者。本综述中包括的所有7项研究都报告了院前烧伤患者用于复苏的液体量是不准确的。然而,大多数报告称患者的预后没有受到影响。然而,大多数研究被评为“良好”,在提出强有力的建议之前,还需要进一步的高质量随机对照研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Accuracy of Prehospital Fluid Resuscitation of Burn Patients: A Systematic Review
Early management of burns is an essential component of achieving desirable patient outcomes. One of the earliest points of patient management in the case of burn injuries is in the prehospital setting. Unlike first aid, which can be provided by a non-healthcare worker, fluid resuscitation can be provided in the prehospital setting by emergency medical services personnel. This systematic review aims to investigate whether burn patients are receiving accurate fluid resuscitation in the prehospital setting. In addition, it will investigate if existing inaccuracies could impact patient outcomes negatively. This systematic review was completed in accordance with the guidelines from the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The search for eligible studies started by searching relevant databases (PubMed, Embase, Medline, and Google Scholar). The selected studies were screened, and data were extracted and analyzed using a narrative synthesis approach. Seven studies met the inclusion criteria of this review, with a total of 961 patients. All seven studies included in this review reported that the volume of fluids for resuscitation purposes received by burn patients in the prehospital setting was inaccurate. However, most reported that the patient outcomes were not affected. Most of the studies were rated as “good,” however, and further high-quality randomized control studies are required before strong recommendations can be made.
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来源期刊
Accounts of Chemical Research
Accounts of Chemical Research 化学-化学综合
CiteScore
31.40
自引率
1.10%
发文量
312
审稿时长
2 months
期刊介绍: Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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