摘要
目的对国内外PICC导管相关性血栓(PICC-CRT)风险预测模型相关的文献进行总结,以期为PICC-CRT风险预测模型的开发、完善及医务人员选择与使用提供参考。方法系统检索2012年6月至2022年6月中英文文献数据库中有关PICC-CRT风险预测模型的研究,由2名研究者独立筛选文献和提取数据。采用预测模型偏倚风险评价工具对纳入文献进行偏倚风险及适用性评价。结果共纳入13篇文献,其中多中心研究1篇,单中心研究12篇;8篇文献为回顾性研究,5篇文献为前瞻性研究。偏倚风险评价显示,6项研究总体存在偏倚风险;在适用性评价方面,13项研究各领域和总体适用性均较好。结论PICC-CRT风险评估模型的种类多样,其预测效能较好,但偏倚风险较高,PICC-CRT风险预测模型的重要内容为患者因素和治疗因素。未来需要对现有模型进行验证和完善,或构建低偏倚风险的预测模型,以有效预防PICC-CRT。
Objective To summarize literature of risk prediction models for catheter-related thrombosis in PICC at home and abroad,in order to provide reference for the development and improvement of risk prediction models for PICC catheter-related thrombosis(PICC-CRT)and the selection and use of medical staff.Methods All studies on the risk prediction model of PICC-CRT were systematically searched in the Chinese and English literature database from June 2012 to June 2022.Two researchers independently screened the literature and extracted the data.The prediction model risk of bias assessment tool was used to evaluate the bias risk and applicability of the included literature.Results A total of 13 articles were included,including 1 multicenter study and 12 single-center studies.Eight literatures were retrospective studies and five were prospective studies.Bias risk assessment showed that there was a bias risk in all the 6 studies.In terms of applicability evaluation,the 13 studies had good applicability in all fields and overall.Conclusions There were various types of PICC catheter-related thrombosis risk assessment models,which had good predictive efficiency,but there was also a high risk of bias in these studies.The important contents of PICC catheter-related thrombosis risk prediction model are patient factors and treatment factors.In the future,the existing models need to be validated and improved,or a prediction model with low risk of bias should be constructed to effectively prevent PICC-CRT.
作者
胡可纯
刘哲
刘海飞
王兵
刘维维
Hu Kechun;Liu Zhe;Liu Haifei;Wang Bing;Liu Weiwei(Department of Maternal and Child Nursing,School of Nursing,Capital Medical University,Beijing 100069,China;Department of Traditional Chinese Medicine,Air Force Medical University,Air Force Medical Center,PLA,Beijing 100142,China;Department of Oncology,Beijing Chaoyang Hospital,Capital Medical University,Beijing 100020,China)
出处
《中国实用护理杂志》
2023年第25期1961-1966,共6页
Chinese Journal of Practical Nursing
