院外环境中对疑似或确诊新冠肺炎患者的护理人员评估：一项范围综述方案

Paramedic assessment of suspected or confirmed COVID-19 patients in the out-of-hospital environment: a scoping review protocol.

作者信息

Gleeson-Hammerton Thomas, Pearce James, Eckert Marion, Esterman Adrian, Peters Micah D J

机构信息

UniSA Clinical and Health Sciences, Rosemary Bryant AO Research Centre, University of South Australia, Adelaide, SA, Australia.

SA Ambulance Service, SA Health, Government of South Australia, Adelaide, SA, Australia.

出版信息

JBI Evid Synth. 2025 Apr 1;23(4):801-811. doi: 10.11124/JBIES-24-00069. Epub 2025 Jan 7.

DOI:10.11124/JBIES-24-00069

PMID:39763382

Abstract

OBJECTIVE

The objective of this review is to develop a comprehensive collection of information about the current processes for paramedics assessing and referring patients with suspected or confirmed COVID-19 in the out-of-hospital environment.

INTRODUCTION

Paramedics and ambulance service clinicians commonly encounter patients with COVID-19. Increased demand on ambulance services has resulted in many of these services developing alternative referral pathways to avoid unnecessary conveyance to emergency departments. There is not a strong body of literature or rigorous clinical practice guideline on this topic to support the assessment and referral decision-making for patients with COVID-19 in the out-of-hospital setting.

INCLUSION CRITERIA

Any sources of evidence on patients with suspected or confirmed COVID-19 in the out-of-hospital environment who are seeking care for COVID-19-related symptoms and being assessed by paramedics will be considered for inclusion. Sources from scholarly literature and gray literature, such as ambulance service clinical practice guidelines, will be included. Sources from Australia, Aotearoa New Zealand, the US, Canada, and the UK will be included.

METHODS

The review will be guided by the JBI methodology for scoping reviews and will be reported using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). A database search for scholarly literature will be performed, followed by a gray literature search. Databases will include MEDLINE (Ovid), CINAHL (EBSCOhost), Scopus (Ovid), Emcare (Ovid), Embase (Ovid), amber, JBI Evidence Synthesis , the Cochrane Database of Systematic Reviews, and Epistemonikos. Gray literature will include clinical practice guidelines, protocols, and procedures obtained from ambulance service websites and apps. Results will be presented through figurative, tabular, and narrative synthesis methods.

REVIEW REGISTRATION

Open Science Framework https://osf.io/yc7vq.

摘要

目的

本综述的目的是全面收集有关护理人员在院外环境中评估和转诊疑似或确诊 COVID-19 患者的当前流程的信息。

引言

护理人员和救护车服务临床医生经常会遇到 COVID-19 患者。对救护车服务需求的增加导致许多此类服务制定了替代转诊途径，以避免不必要地转运至急诊科。关于这一主题，目前尚无强有力的文献或严格的临床实践指南来支持院外环境中 COVID-19 患者的评估和转诊决策。

纳入标准

任何关于院外环境中寻求 COVID-19 相关症状护理并由护理人员进行评估的疑似或确诊 COVID-19 患者的证据来源都将被考虑纳入。将包括学术文献和灰色文献来源，如救护车服务临床实践指南。将纳入来自澳大利亚、新西兰、美国、加拿大和英国的来源。

方法

本综述将以 JBI 范围综述方法为指导，并将使用系统评价和 Meta 分析的首选报告项目扩展版（PRISMA-ScR）进行报告。将先进行学术文献的数据库搜索，随后进行灰色文献搜索。数据库将包括 MEDLINE（Ovid）、CINAHL（EBSCOhost）、Scopus（Ovid）、Emcare（Ovid）、Embase（Ovid）、amber、JBI 证据综合、Cochrane 系统评价数据库和 Epistemonikos。灰色文献将包括从救护车服务网站和应用程序获取的临床实践指南、方案和程序。结果将通过图表、表格和叙述性综合方法呈现。