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远程医疗检测手术部位感染的诊断准确性：一项系统评价和荟萃分析。

Diagnostic accuracy of telemedicine for detection of surgical site infection: a systematic review and meta-analysis.

作者信息

Lathan Ross, Sidapra Misha, Yiasemidou Marina, Long Judith, Totty Joshua, Smith George, Chetter Ian

机构信息

Centre for Clinical Sciences, Hull York Medical School, Hull, UK.

Bradford Teaching Hospitals, Bradford, UK.

出版信息

NPJ Digit Med. 2022 Aug 3;5(1):108. doi: 10.1038/s41746-022-00655-0.

DOI:10.1038/s41746-022-00655-0
PMID:35922663
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9349203/
Abstract

The Sars-CoV-2 pandemic catalysed integration of telemedicine worldwide. This systematic review assesses it's accuracy for diagnosis of Surgical Site Infection (SSI). Databases were searched for telemedicine and wound infection studies. All types of studies were included, only paired designs were taken to meta-analysis. QUADAS-2 assessed methodological quality. 1400 titles and abstracts were screened, 61 full text reports were assessed for eligibility and 17 studies were included in meta-analysis, mean age was 47.1 ± 13.3 years. Summary sensitivity and specificity was 87.8% (95% CI, 68.4-96.1) and 96.8% (95% CI 93.5-98.4) respectively. The overall SSI rate was 5.6%. Photograph methods had lower sensitivity and specificity at 63.9% (95% CI 30.4-87.8) and 92.6% (95% CI, 89.9-94.5). Telemedicine is highly specific for SSI diagnosis is highly specific, giving rise to great potential for utilisation excluding SSI. Further work is needed to investigate feasibility telemedicine in the elderly population group.

摘要

严重急性呼吸综合征冠状病毒2（Sars-CoV-2）大流行推动了全球远程医疗的整合。本系统评价评估了其在诊断手术部位感染（SSI）方面的准确性。对数据库进行了远程医疗和伤口感染研究的检索。纳入了所有类型的研究，仅采用配对设计进行荟萃分析。使用QUADAS-2评估方法学质量。筛选了1400篇标题和摘要，评估了61篇全文报告的 eligibility，17项研究纳入荟萃分析，平均年龄为47.1±13.3岁。汇总敏感性和特异性分别为87.8%（95%CI，68.4-96.1）和96.8%（95%CI 93.5-98.4）。总体SSI发生率为5.6%。照片方法的敏感性和特异性较低，分别为63.9%（95%CI 30.4-87.8）和92.6%（95%CI，89.9-94.5）。远程医疗对SSI诊断具有高度特异性，在排除SSI方面具有很大的应用潜力。需要进一步开展工作来研究远程医疗在老年人群体中的可行性。 （注：原文中“eligibility”未翻译，可能是拼写有误，推测应为“eligibility”，意为“合格性、适宜性” ）

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c668/9349203/61c1039048b1/41746_2022_655_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c668/9349203/2635e522787d/41746_2022_655_Fig1_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c668/9349203/51298f806568/41746_2022_655_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c668/9349203/ccff065c5e75/41746_2022_655_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c668/9349203/61c1039048b1/41746_2022_655_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c668/9349203/2635e522787d/41746_2022_655_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c668/9349203/f166db60feec/41746_2022_655_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c668/9349203/9b9a4015ab8c/41746_2022_655_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c668/9349203/51298f806568/41746_2022_655_Fig4_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c668/9349203/61c1039048b1/41746_2022_655_Fig6_HTML.jpg

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