Department of Otolaryngology-Head and Neck Surgery, SUNY Downstate Health Sciences University, Brooklyn, NY, USA.
College of Medicine, SUNY Downstate Health Sciences University, Brooklyn, NY, USA.
J Perinatol. 2024 Dec;44(12):1839-1847. doi: 10.1038/s41372-024-02006-1. Epub 2024 Sep 17.
BACKGROUND/OBJECTIVES: Although neonates receiving Non-Invasive Ventilation (NIV) for respiratory support are at risk for nasal pressure injuries, efforts to standardize reporting are limited. A scoping review was conducted to identify the reporting systems used for describing these injuries.
SUBJECTS/METHODS: PubMed, Embase, and Web of Science were queried for papers reporting nasal injury with NIV usage in neonates. The primary outcome was reporting system usage.
705 titles and abstracts were screened. 40 papers met inclusion criteria. Most studies were Randomized Clinical Trials (37.5%) or cohort studies (37.5%). Most commonly, nasal injuries were reported using a unique, descriptive scale developed by the authors (10 studies, 25%). The Fischer et al 2010 scale, a three-stage reporting system, was used in 8 studies (20%). While 15 studies (38.0%) reported on specific anatomic subsite injury, only 2 studies (5.0%) employed endoscopy for assessment.
Wide heterogeneity in pressure injury reporting secondary to NIV exists across specialties, institutions, and literature.
背景/目的：尽管接受无创通气（NIV）进行呼吸支持的新生儿有发生鼻压伤的风险，但标准化报告的努力有限。进行了范围审查，以确定用于描述这些损伤的报告系统。
受试者/方法：在 PubMed、Embase 和 Web of Science 上查询了报告使用 NIV 治疗新生儿时鼻损伤的论文。主要结果是报告系统的使用情况。
筛选了 705 篇标题和摘要。符合纳入标准的有 40 篇论文。大多数研究是随机临床试验（37.5%）或队列研究（37.5%）。最常见的是，作者使用独特的描述性量表来报告鼻损伤（10 项研究，25%）。Fischer 等人 2010 年的三阶段报告系统在 8 项研究中使用（20%）。虽然 15 项研究（38.0%）报告了特定解剖亚部位损伤，但只有 2 项研究（5.0%）使用内窥镜进行评估。
NIV 引起的压力损伤报告存在广泛的异质性，涉及专业、机构和文献。
