Department of Anesthesiology and Operative Intensive Care Medicine (CCM/CVK), Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
Institute for Medical Knowledge Management, Association of the Scientific Medical Societies in Germany (AWMF), Philipps-Universität Marburg, Marburg, Germany.
BMJ Open. 2022 Feb 15;12(2):e058314. doi: 10.1136/bmjopen-2021-058314.
There is only moderate adherence to evidence-based practice in critical care. Care bundles can be used to increase adherence to best clinical practice. Components of bundle interventions, bundle implementation rates, barriers and facilitators of bundle implementation, and the effect of care bundles on short-term patient outcomes such as intensive care unit (ICU) mortality all appear to be regularly studied. However, over the last years, critical care research has turned towards long-term patient-relevant outcomes after discharge from the ICU. To our knowledge, there is no systematic overview on the long-term effect of care bundle implementation on patient-relevant outcomes. We present a protocol for a scoping review of the available literature on the effect of the implementation of care bundles in the ICU on long-term patient-relevant outcomes.
This scoping review will adhere to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines and the Arksey and O'Malley framework. The recommendations of the Joanna Briggs Institute for Scoping Reviews will also be followed. A systematic literature research will be performed using electronic databases (MEDLINE, EMBASE, CINAHL, PsycINFO, Web of Science, CDSR and CENTRAL). A preliminary search has been conducted on 1 September 2021, yielding 1929 entries. The main search, data extraction and charting has not been started yet. This scoping review will provide an overview of the long-term patient-relevant outcomes that have been used to assess the implementation of care bundles in the ICU. It will be the first study to summarise the long-term impact of care bundles for critically ill patients and identify research gaps to inform future research.
Due to the utilisation of already published primary studies, ethical approval is dispensable. Results of this work will be published in a peer-reviewed journal.
在重症监护中，只有中等程度的循证实践依从性。护理套餐可用于提高对最佳临床实践的依从性。套餐干预的组成部分、套餐实施率、套餐实施的障碍和促进因素，以及护理套餐对短期患者结局（如重症监护病房（ICU）死亡率）的影响，这些似乎都在定期研究中。然而，近年来，重症监护研究已转向 ICU 出院后患者的长期相关结局。据我们所知，目前尚无关于护理套餐实施对患者相关结局的长期影响的系统综述。我们提出了一项方案，对 ICU 护理套餐实施对长期患者相关结局的影响进行综述。
本综述将遵循系统评价和荟萃分析扩展对综述（PRISMA-ScR）指南和 Arksey 和 O'Malley 框架的偏好报告项目，也将遵循 Joanna Briggs 研究所的综述建议。将使用电子数据库（MEDLINE、EMBASE、CINAHL、PsycINFO、Web of Science、CDSR 和 CENTRAL）进行系统文献检索。2021 年 9 月 1 日进行了初步检索，得到 1929 项条目。主要检索、数据提取和图表尚未开始。本综述将提供 ICU 护理套餐实施情况的长期患者相关结局的概述。这将是第一项总结护理套餐对危重病患者的长期影响并确定研究空白以指导未来研究的研究。
由于使用了已发表的原始研究，因此不需要伦理批准。这项工作的结果将发表在同行评议的期刊上。
