Social science APPlied Healthcare and Improvement REsearch (SAPPHIRE) Group, Department of Population Health Sciences, College of Life Sciences, University of Leicester, Leicester, UK
Department of Emergency Medical Services, College of Applied Medical Science, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
BMJ Paediatr Open. 2024 Jul 20;8(1):e002672. doi: 10.1136/bmjpo-2024-002672.
In pre-hospital settings, identifying a deteriorating child can be challenging, especially considering that the proportion of paediatric patients with acute illnesses is lower compared with adults. This challenge is exacerbated in pre-hospital settings, where information might be scarce. Physiological alterations indicating changes in a patient's condition can be detected hours preceding a cardiac arrest. Therefore, maintaining continuous monitoring of the patient's clinical condition is crucial to detecting any physiological changes promptly, facilitating early identification of critical illness. This scoping review aims to assess the extent, range and nature of published research related to recognising paediatric out-of-hospital clinical deterioration by pre-hospital staff.
This scoping review is registered with the Open Science Framework. The review will follow the Joanna Briggs Institute's (JBI) methodology for scoping reviews. A systematic search of relevant databases (MEDLINE, EMBASE, Web of Science, CINAHL and Scopus) will be conducted. In this scoping review, all types of study designs including quantitative and qualitative studies will be considered. The inclusion is limited to English-language studies published between January 1990 and March 2024. Two independent reviewers (AG and SS) will conduct a thorough screening of titles and abstracts against the pre-defined inclusion criteria for the review. For the selected citations, the full texts will undergo detailed assessment by the two reviewers, ensuring alignment with the inclusion criteria. A quality assessment of the included studies will be done using the Mixed Methods Appraisal Tool. The findings will be presented using diagrams or tables, supplemented by narrative summaries following the JBI guidelines.
Ethical approval is not required. The findings will be disseminated through publication in a peer-reviewed journal and presentation at conferences and/or seminars.
在院前环境中，识别病情恶化的儿童可能具有挑战性，尤其是考虑到患有急性疾病的儿科患者比例低于成人。这一挑战在院前环境中更为加剧，因为信息可能匮乏。指示患者病情变化的生理改变可能在心脏骤停前数小时被检测到。因此，持续监测患者的临床状况对于及时发现任何生理变化至关重要，有助于及早识别危急病症。本范围综述旨在评估院前工作人员识别儿科院外临床恶化的相关研究的广度、范围和性质。
本范围综述在开放科学框架下注册。综述将遵循乔安娜·布里格斯研究所（JBI）的范围综述方法。将对相关数据库（MEDLINE、EMBASE、Web of Science、CINAHL 和 Scopus）进行系统检索。在本范围综述中，将考虑所有类型的研究设计，包括定量和定性研究。纳入范围仅限于 1990 年 1 月至 2024 年 3 月期间发表的英语语言研究。两名独立审查员（AG 和 SS）将根据综述的预先确定纳入标准，对标题和摘要进行彻底筛选。对于选定的引文，两名审查员将对全文进行详细评估，确保与纳入标准一致。将使用混合方法评估工具对纳入研究进行质量评估。研究结果将按照 JBI 指南使用图表或表格呈现，并辅以叙述性摘要。
不需要伦理批准。研究结果将通过在同行评议期刊上发表和在会议和/或研讨会上展示来传播。
