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灾害相关非传染性疾病:系统评价方案

Non-communicable diseases in disasters: a protocol for a systematic review.

机构信息

Social Determinants of Health Research Center, Urmia University of Medical Sciences, Urmia, Iran.

Department of Health in Emergencies and Disasters, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

J Inj Violence Res. 2021 Jan;13(1):61-68. doi: 10.5249/jivr.v13i1.1512. Epub 2021 Jan 18.

DOI:10.5249/jivr.v13i1.1512
PMID:33459280
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8142338/
Abstract

BACKGROUND

NCDs require an ongoing management for optimal outcomes, which is challenging in emergency settings, because natural disasters increase the risk of acute NCD exacerbations and lead to health systems' inability to respond. This study aims to develop a protocol for a systematic review on non-communicable diseases in natural disaster settings.

METHODS

This systematic review protocol is submitted to the International Prospective Register of Systematic Reviews (Registration No. CRD42020164032). The electronic databases to be used in this study include: Medline, Scopus, Web of Science, Clinical Key, CINAHL, EBSCO, Ovid, EMBASE, ProQuest, Google Scholar, Cochrane Library (Cochrane database of systematic reviews; Cochrane central Register of controlled Trials). Records from 1997 to 2019 are subject to this investigation. Three independent researchers will review the titles, abstracts, and full texts of articles eligible for inclusion, and if not matched, they will be reviewed by a final fourth reviewer. The proposed systematic review will be reported in accordance with the reporting guideline provided in the Preferred Reporting Items for Systematic review and Meta-Analysis (PRISMA) statement. We select studies based on: PICOs (Participants, Interventions, Comparators, and Outcomes).

RESULTS

This systematic review identifies any impacts of natural disasters on patients with NCDs in three stages i.e. before, during and in the aftermath of natural disasters.

CONCLUSIONS

A comprehensive response to NCD management in natural disasters is an important but neglected aspect of non-communicable disease control and humanitarian response, which can significantly reduce the potential risk of morbidity and mortality associated with natural disasters.

摘要

背景

慢性病需要持续管理以获得最佳效果,但在紧急情况下这具有挑战性,因为自然灾害会增加急性慢性病恶化的风险,并导致卫生系统无法做出应对。本研究旨在制定一个针对自然灾害环境中非传染性疾病的系统评价方案。

方法

本系统评价方案已提交至国际前瞻性系统评价登记处(注册号:CRD42020164032)。本研究将使用的电子数据库包括:Medline、Scopus、Web of Science、Clinical Key、CINAHL、EBSCO、Ovid、EMBASE、ProQuest、Google Scholar、Cochrane 图书馆(Cochrane 系统评价数据库;Cochrane 对照试验中心注册库)。本次调查涵盖 1997 年至 2019 年的记录。将有三位独立的研究人员对符合纳入标准的文章的标题、摘要和全文进行评审,如果存在分歧,将由最终的第四位评审人员进行评审。该拟议的系统评价将按照系统评价和荟萃分析首选报告项目(PRISMA)声明中提供的报告准则进行报告。我们根据 PICOS(参与者、干预措施、对照和结果)选择研究。

结果

本系统评价在三个阶段(即自然灾害发生前、发生期间和发生后)确定了自然灾害对慢性病患者的任何影响。

结论

对自然灾害中慢性病管理的全面应对是慢性病控制和人道主义应对中一个重要但被忽视的方面,它可以显著降低与自然灾害相关的发病和死亡风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef44/8142338/0ef11d952b68/jivr-13-61-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef44/8142338/0ef11d952b68/jivr-13-61-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef44/8142338/0ef11d952b68/jivr-13-61-g001.jpg

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