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肺高血压患者起立测试的心理测量学特性:系统综述方案。

Psychometric properties of the sit-to-stand test for patients with pulmonary hypertension: A systematic review protocol.

机构信息

Laboratory of Technological Innovation in Rehabilitation and PneumoCardioVascular Lab/HUOL, Onofre Lopes University Hospital, Brazilian Company of Hospital Services (EBSERH), Federal University of Rio Grande do Norte (UFRN), Natal, Rio Grande do Norte, Brazil.

Laboratory of Cardiorespiratory and Metabolic Assessment-CORE/HUOL, Onofre Lopes University Hospital, Brazilian Company of Hospital Services (EBSERH), Federal University of Rio Grande do Norte (UFRN), Natal, Rio Grande do Norte, Brazil.

出版信息

PLoS One. 2022 Oct 5;17(10):e0275646. doi: 10.1371/journal.pone.0275646. eCollection 2022.

DOI:10.1371/journal.pone.0275646
PMID:36197937
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9534407/
Abstract

BACKGROUND

Pulmonary hypertension (PH) is a complex syndrome characterized by increased pulmonary arterial pressure and classified into five groups, according to dyspnea on exertion and systemic muscle dysfunction. These symptoms can be identified using the sit-to-stand test (STS), which indirectly evaluates exercise tolerance and lower limb muscle strength. Previous studies used the STS in PH; however, psychometric properties to understand and validate this test were not described for patients with PH.

OBJECTIVE

To evaluate the psychometric properties (validity, reliability, and responsiveness) of different STS protocols in patients with PH.

METHODS AND ANALYSES

This is a systematic review protocol that will include studies using STS in patients with PH. Searches will be conducted on PubMed/MEDLINE, EMBASE, SciELO, Cochrane Central Register of Controlled Trials (CENTRAL), and Web of Science databases following PICOT mnemonic strategy and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P). Rayyan software will be used for study selection. The Risk of bias will be assessed using the Consensus-Based Standards for the Selection of Health Measurement Instruments (COSMIN) tool, while the quality of evidence will be assessed using the modified Grading of Recommendations, Assessment, Development, and Evaluation (GRADE). Two researchers will independently conduct the study, and a third researcher will be consulted in case of disagreement. The psychometric properties will be evaluated according to the COSMIN. This protocol was registered in the International Prospective Register of Systematic Reviews (PROSPERO, no. CRD42021244271).

CONCLUSION

This systematic review will attempt to identify and show the available evidence on STS for different groups of PH and report validity, reliability, and responsiveness of different protocols.

摘要

背景

肺动脉高压(PH)是一种以肺动脉压力升高为特征的复杂综合征,根据运动时呼吸困难和全身肌肉功能障碍分为五组。这些症状可以通过坐立试验(STS)来识别,该试验间接评估运动耐量和下肢肌肉力量。先前的研究已经在 PH 中使用了 STS,但尚未描述用于 PH 患者的 STS 的心理测量特性以了解和验证该测试。

目的

评估不同 PH 患者 STS 方案的心理测量特性(有效性、可靠性和反应性)。

方法和分析

这是一个系统评价方案,将包括使用 STS 评估 PH 患者的研究。将根据 PICOT 记忆策略和系统评价和荟萃分析方案的首选报告项目(PRISMA-P)在 PubMed/MEDLINE、EMBASE、SciELO、Cochrane 对照试验中心注册数据库(CENTRAL)和 Web of Science 数据库中进行搜索。将使用 Rayyan 软件进行研究选择。使用共识基础健康测量仪器选择标准(COSMIN)工具评估偏倚风险,使用改良的推荐评估、制定和评估(GRADE)评估证据质量。两名研究人员将独立进行研究,如果存在分歧,将咨询第三名研究人员。将根据 COSMIN 评估心理测量特性。该方案已在国际前瞻性系统评价注册库(PROSPERO,编号 CRD42021244271)中进行了注册。

结论

本系统评价将尝试识别和展示不同 PH 组 STS 的现有证据,并报告不同方案的有效性、可靠性和反应性。

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