Dunning Joel, Khasati Noman, Barnard James
Department of Cardiothoracic Surgery, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK.
Interact Cardiovasc Thorac Surg. 2004 Mar;3(1):114-7. doi: 10.1016/S1569-9293(03)00230-5.
A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was whether low dose (renal dose) dopamine in the critically ill patient prevents acute renal failure. Altogether 141 papers were found using the reported search, of which three 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 no evidence to support the use of low-dose dopamine to treat acute renal failure in critically ill patients.
一篇心脏外科的最佳证据主题文章是根据结构化协议撰写的。所探讨的问题是，危重症患者使用低剂量（肾脏剂量）多巴胺是否可预防急性肾衰竭。通过报告的检索共找到141篇论文，其中3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，没有证据支持使用低剂量多巴胺治疗危重症患者的急性肾衰竭。
