急危重症患者院间转运评估分级的最佳证据总结

doi:10.3761/j.issn.2096-7446.2024.05.016

摘要/Abstract

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。

关键词: 危重症, 院间, 患者转运, 评估, 证据总结, 循证护理学

Abstract: 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,evidence summary,systematic review,clinical decision,best practice and expert consensus on the assessment and classification 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 resources. 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 11 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 assessment,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 provide a basis for clinical development of inter-hospital transport.

Key words: Critical Illness, Inter-Hospital, Patient Transfer, Assessment, Evidence Summary, Evidence-Based Nursing

孙尚雪, 周淼, 乔安花, 李阳洋, 王芳, 彭飞. 急危重症患者院间转运评估分级的最佳证据总结[J]. 中华急危重症护理杂志, 2024, 5(5): 473-480.

SUN Shangxue, ZHOU Miao, QIAO Anhua, LI Yangyang, WANG Fang, PENG Fei. Best evidence summary for assessment and classification of inter-hospital transfer in critically ill patients[J]. Chinese Journal of Emergency and Critical Care Nursing, 2024, 5(5): 473-480.

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