院内成人呼吸心跳骤停预警指标的最佳证据总结  

Evidence summary of warning indicators of in-hospital cardiopulmonary arrest among adults

作　　者：周淑玲[1] 夏欣华[1] 孙艳玲[1] 陆翠[1] 张紫君 ZHOU Shuling;XIA Xinhua;SUN Yanling;LU Cui;ZHANG Zijun(TEDA Hospital,Tianjin 300457)

机构地区：[1]天津市泰达医院,天津300457

出　　处：《天津护理》2023年第3期288-293,共6页Tianjin Journal of Nursing

基　　金：天津市卫生健康科技项目(ZC20219)。

摘　　要：目的:检索、评价并总结院内成人呼吸心跳骤停(In-hospital cardiac arrest,IHCA)预警指标的最佳证据,为IHCA早期干预提供循证依据。方法:计算机检索国际指南协作网、英国国家卫生与临床优化研究所、国际指南协作网、苏格兰校际指南网、BMJ临床实践指南、中国临床指南文库、中国知网、万方数据知识服务平台、维普网、Cochrane Library、PubMed、Web of Science、Embase等指南网站和数据库。纳入涉及IHCA预警指标的证据,包括指南、专家共识、证据总结及系统评价,并采用相应的质量评价工具进行质量评判。检索时限为建库至2022年6月30日。结果:纳入指南5篇、专家共识1篇、系统评价12篇。共提取27条最佳证据,包含主要生命体征、心电图表现、检验指标、症状与主诉及病史共5个方面。结论:该研究总结了IHCA预警指标的最佳证据,为IHCA的早期干预提供临床参考。Objective:To retrieve,evaluate and summarize the best evidence of warning indicators of in-hospital cardiopulmonary arrest among adults,and to provide evidence-based basis for early intervention on in-hospital cardiopulmonary arrest.Methods:Guidelines websites and databases including the BMJ best practice,UK National Institute for Health and Clinical Excellence,International Guidelines Collaboration Network,Scottish Interscholastic Guidelines Network,China Clinical Guideline Library,CNKI,Wanfang,VIP,Cochrane Library,PubMed,Web of Science,Embase etc.were retrieved.Literatures including guidelines,expert consensus,systematic reviews with regard to in-hospital cardiopulmonary arrest among adults were included.The corresponding quality evaluation tools were used to evaluate the quality of included literatures.The retrieval time limit was from the inception of databases to June 30,2022.Results:Five guidelines,one expert consensus,and 12 systematic reviews were included.A total of 27 pieces of the best evidence were extracted,covering 5 aspects including main vital signs,electrocardiographic,test indicators,symptoms and chief complaints,and medical history.Conclusion:This study summarized the best evidence of warning indicators of in-hospital cardiopulmonary arrest among adults.Further translation and application of these evidence based on the current situation of domestic clinical practice is needed and the suitability needs further evaluation.

关 键 词：呼吸心跳骤停 预警 证据 质量评价 

分 类 号：R47[医药卫生—护理学]