Intensive Care Unit, Nanjing Drum Tower Hospital, Nanjing, China
Intensive Care Unit, Nanjing Drum Tower Hospital, Nanjing, China.
BMJ Open. 2023 Nov 17;13(11):e074082. doi: 10.1136/bmjopen-2023-074082.
This study aimed to assess the methodological quality of clinical practice guidelines (CPGs) associated with the management of poststroke sensory loss and develop an algorithm for health professionals.
We conducted a systematic review for relevant CPGs published between 2017 and 2022 using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Checklist. Appraisal of Guidelines for Research and Evaluation II instrument was used to assess methodological quality. Recommendations for managing poststroke sensory loss from high and average-quality CPGs were summarised and developed into an algorithm.
First, 1458 records were identified from the database searches and other sources. Finally, four CPGs were included: three were rated as high quality and one as average quality. Twenty-two recommendations were summarised from these CPGs and used to develop a draft algorithm. Then, we revised the draft algorithm developed by the authors based on expert feedback to form the final version.
The four CPGs included in this study had good quality. Based on these CPGs, we developed an algorithm to facilitate health professionals' adherence to CPGs and contribute to evidence-based medicine. In the future, more high-quality CPGs are required to give further scientific and convincing evidence to manage poststroke sensory loss.
本研究旨在评估与脑卒中后感觉丧失管理相关的临床实践指南（CPG）的方法学质量，并为卫生专业人员开发一个算法。
我们使用系统评价和荟萃分析的首选报告项目清单，对 2017 年至 2022 年期间发表的相关 CPG 进行了系统评价。使用评估研究和评估指南 II 工具来评估方法学质量。从高质量和中等质量的 CPG 中总结了管理脑卒中后感觉丧失的建议，并开发成一个算法。
首先，从数据库搜索和其他来源中确定了 1458 条记录。最终，纳入了 4 项 CPG：其中 3 项被评为高质量，1 项为中等质量。从这些 CPG 中总结了 22 条建议，并用于开发草案算法。然后，我们根据专家反馈对作者开发的草案算法进行了修订，形成了最终版本。
纳入本研究的四项 CPG 质量良好。基于这些 CPG，我们开发了一个算法，以促进卫生专业人员遵循 CPG，并有助于循证医学。未来需要更多高质量的 CPG 来提供进一步的科学和有说服力的证据来管理脑卒中后感觉丧失。
