Department of Physical Therapy, Federal University of Rio Grande do Norte, Natal, Brazil
Faculty of Health Sciences of Trairi, Federal University of Rio Grande do Norte, Natal, Brazil.
BMJ Open. 2023 Apr 3;13(4):e069341. doi: 10.1136/bmjopen-2022-069341.
Chronic respiratory diseases (CRDs) have a high prevalence, morbidity and mortality worldwide. After the COVID-19 pandemic, the number of patients readmitted after hospital discharge increased. For some populations, early hospital discharge and home healthcare may reduce health costs in patients treated at home when compared with those hospitalised. This study aims to systematically review the effectiveness of home healthcare for patients with CRDs and post-COVID-19 syndrome.
We will search on MEDLINE, CENTRAL, Embase and PsycINFO. We will include randomised controlled trials (RCTs) and non-RCT studies reported in full text and abstracts. No language restriction will be applied. We will include studies related to adults with a diagnosis of CRDs or post-COVID-19 syndrome that compared in-patient hospital care with any home healthcare. We will exclude studies with participants with neurological, mental diseases, cancer or pregnant women. Two review authors will screen abstracts and select the eligible studies. To investigate the risk of bias, we will use the Cochrane 'Risk of Bias' tool for RCT, and the Risk of Bias In Non-randomised Studies-of Interventions for non-RCT. We will use the five Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) considerations to assess the quality of the evidence. Patients and the public will be involved in the preparation, execution and implementation phases of the review.
No ethical approval is required because only published data will be analysed. The publication of the results in peer-reviewed journals and at relevant conferences will guide the direction of future research in the field and healthcare practice. The results will also be disseminated in plain language on social media to disseminate the knowledge to society and the public interested in the topic.
慢性呼吸系统疾病（CRD）在全球范围内具有较高的患病率、发病率和死亡率。在 COVID-19 大流行之后，出院后再次入院的患者人数有所增加。对于某些人群来说，与住院治疗相比，早期出院和家庭医疗保健可能会降低在家中接受治疗的患者的健康成本。本研究旨在系统回顾家庭医疗保健对 CRD 和 COVID-19 后综合征患者的有效性。
我们将在 MEDLINE、CENTRAL、Embase 和 PsycINFO 上进行搜索。我们将纳入随机对照试验（RCT）和全文及摘要报告的非 RCT 研究。不限制语言。我们将纳入与诊断为 CRD 或 COVID-19 后综合征的成年人相关的研究，比较住院院内护理与任何家庭医疗保健。我们将排除参与者患有神经、精神疾病、癌症或孕妇的研究。两名综述作者将筛选摘要并选择合格的研究。为了调查偏倚风险，我们将使用 Cochrane 的 RCT 偏倚风险工具和非随机干预研究的偏倚风险工具。我们将使用 GRADE 考虑因素（推荐分级的评估、制定与评价）来评估证据的质量。患者和公众将参与审查的准备、执行和实施阶段。
由于仅分析已发表的数据，因此不需要伦理批准。在同行评议期刊上发表结果并在相关会议上发表，将指导该领域未来研究和医疗保健实践的方向。结果还将以通俗易懂的语言在社交媒体上传播，将知识传播给社会和对此主题感兴趣的公众。
