成人慢性呼吸系统疾病和新冠后综合征患者家庭医疗保健对病床周转率影响的系统评价与荟萃分析方案。

Effects of home healthcare for adults with chronic respiratory diseases and post-COVID-19 syndrome on hospital bed turnover rate: a protocol of systematic review with meta-analysis.

机构信息

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.

出版信息

BMJ Open. 2023 Apr 3;13(4):e069341. doi: 10.1136/bmjopen-2022-069341.

DOI:10.1136/bmjopen-2022-069341

PMID:37012017

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10083526/

Abstract

INTRODUCTION

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.

METHODS AND ANALYSIS

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.

ETHICS AND DISSEMINATION

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.

摘要

简介

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。

方法和分析

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。