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重症监护病房冠状动脉搭桥术患者呼吸物理治疗随机临床试验的方法学质量:一项系统评价

Methodological Quality of Randomized Clinical Trials of Respiratory Physiotherapy in Coronary Artery Bypass Grafting Patients in the Intensive Care Unit: a Systematic Review.

作者信息

Lorscheitter Jaqueline, Stein Cinara, Plentz Rodrigo Della Méa

机构信息

Graduate Program in Health Sciences, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, RS, Brazil.

Laboratory of Clinical Investigation, Instituto de Cardiologia do Rio Grande do Sul (IC), Porto Alegre, RS, Brazil.

出版信息

Braz J Cardiovasc Surg. 2017 Jul-Aug;32(4):318-337. doi: 10.21470/1678-9741-2017-0014.

Abstract

OBJECTIVE

To assess methodological quality of the randomized controlled trials of physiotherapy in patients undergoing coronary artery bypass grafting in the intensive care unit.

METHODS

The studies published until May 2015, in MEDLINE, Cochrane and PEDro were included. The primary outcome extracted was proper filling of the Cochrane Collaboration's tool's items and the secondary was suitability to the requirements of the CONSORT Statement and its extension.

RESULTS

From 807 studies identified, 39 were included. Most at CONSORT items showed a better adequacy after the statement's publication. Studies with positive outcomes presented better methodological quality.

CONCLUSION

The methodological quality of the studies has been improving over the years. However, many aspects can still be better designed.

摘要

目的

评估重症监护病房中接受冠状动脉搭桥手术患者的物理治疗随机对照试验的方法学质量。

方法

纳入截至2015年5月在MEDLINE、Cochrane和PEDro上发表的研究。提取的主要结果是Cochrane协作工具项目的正确填写情况,次要结果是是否符合CONSORT声明及其扩展要求。

结果

在识别出的807项研究中,纳入了39项。大多数CONSORT项目在声明发表后显示出更好的充分性。有阳性结果的研究呈现出更好的方法学质量。

结论

这些研究的方法学质量多年来一直在提高。然而,许多方面仍可进行更好的设计。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/140c/5613714/b066c347b8c6/rbccv-32-04-0318-g01.jpg

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