Arvig Michael Dan, Laursen Christian B, Jacobsen Niels, Gæde Peter Haulund, Lassen Annmarie Touborg
Department of Emergency Medicine, Slagelse Hospital, Slagelse, Denmark.
Department of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.
JBI Database System Rev Implement Rep. 2019 Nov;17(11):2317-2325. doi: 10.11124/JBISRIR-D-19-00027.
The objective of this review is to evaluate the effectiveness of serial focused ultrasound of the lungs (FLUS) and/or inferior vena cava (IVC) compared to standard care for monitoring patients with acute dyspnea.
Acute dyspnea is one of the most common complaints reported by patients in hospital emergency departments, and has high in-hospital mortality rates. The current methods of monitoring patients with acute dyspnea lack both sensitivity and specificity. Point-of-care FLUS and IVC is a promising monitoring tool, but an overview of the existing evidence is absent.
This review will include studies of adult patients admitted to hospital with acute dyspnea that is examined via FLUS, IVC or both a minimum of twice during hospitalization compared to standard care.
The following electronic databases will be searched: PubMed, Cochrane, Embase, Scopus, Web of Science and Google Scholar. Gray literature will be sought in OpenGrey and ProQuest. The search is limited to articles written in English, Danish, Swedish, Norwegian and German. Articles published before 2003 will be excluded from the search and duplicates will be removed. Two independent reviewers will screen and critically appraise the included studies and perform the data extraction. If possible, data will be synthesized with statistical meta-analysis; otherwise, data will be presented in narrative form.
PROSPERO CRD42018116608.
本综述的目的是评估与标准护理相比，肺部及/或下腔静脉的系列聚焦超声（FLUS）监测急性呼吸困难患者的有效性。
急性呼吸困难是医院急诊科患者最常见的主诉之一，且院内死亡率较高。目前监测急性呼吸困难患者的方法缺乏敏感性和特异性。床旁FLUS和下腔静脉超声是一种很有前景的监测工具，但缺乏对现有证据的概述。
本综述将纳入因急性呼吸困难入院的成年患者的研究，这些患者在住院期间至少接受两次FLUS、下腔静脉超声或两者检查，并与标准护理进行比较。
将检索以下电子数据库：PubMed、Cochrane、Embase、Scopus、Web of Science和谷歌学术。将在OpenGrey和ProQuest中查找灰色文献。检索仅限于用英语、丹麦语、瑞典语、挪威语和德语撰写的文章。2003年以前发表的文章将被排除在检索范围之外，并去除重复项。两名独立的评审员将筛选并严格评估纳入的研究，并进行数据提取。如果可能，将用统计元分析对数据进行综合；否则，将以叙述形式呈现数据。
PROSPERO CRD42018116608。
