Dunning Joel, Khasati Noman, Prendergast Brian
Department of Cardiothoracic Surgery, Manchester Royal Infirmary, Oxford Road, Manchester, M13 9WL, UK.
Interact Cardiovasc Thorac Surg. 2004 Mar;3(1):46-51. doi: 10.1016/S1569-9293(03)00215-9.
A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was which medical strategy is the optimal treatment for stable patients going into atrial fibrillation post cardiac surgery. Altogether 281 papers were found from medline and 83 from the Cochrane Central Register of Controlled Trials using the reported search, of which 12 presented the best evidence to answer the clinical question. The author, journal, date and country of publication, patient group studied, study type, relevant outcomes, results, and study weaknesses of these papers are tabulated. We conclude that there is very little evidence to support any one strategy over another.
一篇心脏外科的最佳证据主题文章是根据结构化方案撰写的。所探讨的问题是，对于心脏手术后发生房颤的稳定患者，哪种医学策略是最佳治疗方法。通过报告的检索方式，从医学在线数据库（Medline）共找到281篇论文，从Cochrane对照试验中央注册库找到83篇论文，其中12篇提供了回答该临床问题的最佳证据。这些论文的作者、期刊、发表日期和国家、所研究的患者群体、研究类型、相关结局、结果以及研究不足均列于表格中。我们得出结论，几乎没有证据支持某一种策略优于另一种策略。
