急危重症患者院间转运评估分级的最佳证据总结  

Best evidence summary for assessment and classification of inter-hospital transfer in critically ill patients

作　　者：孙尚雪 周淼 乔安花 李阳洋 王芳 彭飞 SUN Shangxue;ZHOU Miao;QIAO Anhua;LI Yangyang;WANG Fang;PENG Fei

机构地区：[1]海军军医大学第二附属医院护理处,上海市200003 [2]苏州大学苏州医学院护理学院

出　　处：《中华急危重症护理杂志》2024年第5期473-480,共8页Chinese Journal of Emergency and Critical Care Nursing

基　　金：上海申康医院发展中心技术规范化管理和推广项目(SHDC22022224);海军军医大学深蓝护理科研项目(2022KYP07)。

摘　　要：目的总结评价并整合急危重症患者院间转运评估分级的最佳证据,为临床实践提供依据。方法按照证据资源“6S”模型系统检索国内外专业指南网、协会网以及数据库中有关急危重症患者院间转运评估分级的指南、证据总结、系统评价、临床决策、最佳实践、专家共识,检索时限为建库至2024年1月3日。由循证小组进行文献质量评价及证据提取。结果共纳入11篇文献,其中指南5篇、专家共识4篇、系统评价2篇,形成了5个类别的27条证据,包括实施评估及分级的人员、实施评估的工具、实施评估的时机、评估及分级的项目(病情评估、转运相关事项评估、风险评估、分级项目)、评估及分级的记录。结论该研究总结了急危重症患者院间转运评估分级的最佳证据,为临床开展院间转运实践提供依据。Objective To summarize and integrate the best evidence for assessment and classification of inter-hospital transport in critically ill patients,so as to provide references for clinical practice.Methods Guidelines,ev-idence summary,systematic review,clinical decision,best practice and expert consensus on the assessment and clas-sification of inter-hospital transport of critically ill patients were systematically searched in professional guideline networks,association networks and databases at home and abroad according to the"6S"model of evidence re-sources.The retrieval time was from the establishment of the database to January 3,2024.The evidence-based group evaluated the quality of the literature and extracted evidence.Results A total of 1l articles were included,involving 5 guidelines,4 expert consensuses and 2 systematic reviews.Finally,27 pieces of best evidence were summarized from 5 categories,namely personnel,tools,timing,items(disease assessment,transport-related matters assess-ment,risk assessment,classification),assessment and classification records.Conclusion This study summarizes the best evidence for the assessment and classification of inter-hospital transport in critically ill patients,so as to pro-vide a basis for clinical development of inter-hospital transport.

关 键 词：危重症 院间 患者转运 评估 证据总结 循证护理学 

分 类 号：R473[医药卫生—护理学]