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与轻微交通相关损伤后无法康复相关的生物心理社会因素:系统评价方案。

Biopsychosocial factors associated with non-recovery after a minor transport-related injury: protocol for a systematic review.

机构信息

Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.

The Ian Potter Library, Alfred Hospital, Melbourne, Victoria, Australia.

出版信息

BMJ Open. 2017 Sep 3;7(9):e016314. doi: 10.1136/bmjopen-2017-016314.

Abstract

INTRODUCTION

Globally, road transport accidents contribute substantially to the number of deaths and also to the burden of disability. Up to 50 million people suffer a transport-related non-fatal injury each year, which often leads to long-term disability. It has been shown that substantial number of people with minor injuries struggle to recover and the reasons are still not well explored.Despite the high prevalence, little is known about the factors hindering recovery following minor traffic-related injuries. The aim of this paper is to present a protocol for the systematic review aiming to understand biopsychosocial factors related to non-recovery and identify current gaps in the literature.

METHODS AND ANALYSIS

The review will be conducted in compliance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocol guidelines. A search of the electronic databases, MEDLINE, EMBASE, Cochrane Central Register of Controlled trials, will be undertaken, in addition to Google Scholar and grey literature to identify studies in period from 2006 to 2016. Quantitative and qualitative research articles describing and identifying biopsychosocial factors associated with non-recovery and health outcomes such as pain, disability, functional recovery, health-related quality of life, post-traumatic stress disorder, depression, anxiety and return to work will be included. A conceptual framework developed to identify biopsychosocial factors will be applied to assure defined criterion.At present, there is little anticipation for meta-analyses due to the heterogeneity of factors and outcomes assessed. Therefore, a narrative synthesis based on study findings will be conducted.

ETHICS AND DISSEMINATION

Ethical approval is not required as primary data will not be collected. Review results will be published as a part of thesis, peer-reviewed journal and conferences.

TRIALREGISTRATION NUMBER

PROSPEROregistration number: CRD42016052276.

摘要

简介

在全球范围内,道路交通伤害事故导致的死亡人数和残疾负担都很大。每年有多达 5000 万人遭受与交通相关的非致命伤害,这往往导致长期残疾。事实已经证明,相当多的轻伤患者难以康复,而其原因仍未得到很好的探索。尽管发病率很高,但对于阻碍轻伤者康复的因素知之甚少。本文旨在介绍一项系统评价的方案,旨在了解与非康复相关的生物心理社会因素,并确定当前文献中的空白。

方法和分析

本综述将遵循系统评价和荟萃分析报告的首选项目协议进行。除了 Google Scholar 和灰色文献外,还将对电子数据库 MEDLINE、EMBASE、Cochrane 对照试验中心注册库进行检索,以确定 2006 年至 2016 年期间的研究。将包括描述和确定与非康复和健康结果相关的生物心理社会因素的定量和定性研究文章,如疼痛、残疾、功能恢复、健康相关生活质量、创伤后应激障碍、抑郁、焦虑和重返工作岗位。将应用一个概念框架来识别生物心理社会因素,以确保明确的标准。目前,由于评估的因素和结果存在异质性,不太可能进行荟萃分析。因此,将根据研究结果进行叙述性综合。

伦理和传播

由于不会收集原始数据,因此不需要伦理批准。审查结果将作为论文、同行评议期刊和会议的一部分发表。

注册号

PROSPERO 注册号:CRD42016052276。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bf7/5588957/6391be90c5b7/bmjopen-2017-016314f01.jpg

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