中华护理杂志 ›› 2022, Vol. 57 ›› Issue (23): 2834-2841.DOI: 10.3761/j.issn.0254-1769.2022.23.003
吴文瑾(), 徐亦虹, 柳小琳, 颜梦雅, 王伊娜, 王美娟, 高杨, 杨丹, 潘红英(
), 沈旭慧
收稿日期:
2022-05-17
出版日期:
2022-12-10
发布日期:
2022-12-05
通讯作者:
潘红英,E-mail:panhy@srrsh.com作者简介:
吴文瑾:女,本科(硕士在读),护士,E-mail:767847839@qq.com
基金资助:
WU Wenjin(), XU Yihong, LIU Xiaolin, YAN Mengya, WANG Yina, WANG Meijuan, GAO Yang, YANG Dan, PAN Hongying(
), SHEN Xuhui
Received:
2022-05-17
Online:
2022-12-10
Published:
2022-12-05
摘要:
目的 系统检索和评价中心静脉导管相关性血栓的风险预测模型,以期为构建更高质量的中心静脉导管相关性血栓的风险预测模型提供参考。方法 检索中国知网、万方数据库、中国生物医学文献数据库、PubMed、Embase、Web of Science、Cochrane Library、CINAHL中中心静脉导管相关性血栓的风险预测模型的相关研究,语种限定为中文和英文,检索时限为建库至2022年2月16日。由2名研究者独立筛选文献和提取数据,并应用预测模型研究的偏倚风险评估工具分析纳入文献的偏倚风险和适用性。结果 共纳入15项中心静脉导管相关性血栓的风险预测模型构建研究,共涉及16个模型。16个模型的受试者工作特征曲线下面积为0.641~0.850。12项研究的适用性较好,其余3项研究的适用性较差。15项研究的偏倚风险均较高,偏倚主要来自未选择合适的数据来源、研究对象的纳入和排除标准欠妥当、预测因子未完全从结局指标中被排除、样本量不足、连续性变量处理方式不合理、对缺失数据关注不足、变量筛选过程不合理、缺乏模型性能评估以及模型过度拟合等。结论 现有中心静脉导管相关性血栓的风险预测模型构建尚不完善,需要在后期的构建中关注对不同风险评估方法有效性的研究,以得到更好的高准确度的风险预测模型,为制订相关预防策略提供一定的参考和依据。
吴文瑾, 徐亦虹, 柳小琳, 颜梦雅, 王伊娜, 王美娟, 高杨, 杨丹, 潘红英, 沈旭慧. 中心静脉置管患者导管相关性血栓风险预测模型的系统评价[J]. 中华护理杂志, 2022, 57(23): 2834-2841.
WU Wenjin, XU Yihong, LIU Xiaolin, YAN Mengya, WANG Yina, WANG Meijuan, GAO Yang, YANG Dan, PAN Hongying, SHEN Xuhui. Systematic review of risk prediction models for catheter-related thrombosis in patients undergoing central venous catheterization[J]. Chinese Journal of Nursing, 2022, 57(23): 2834-2841.
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表2 行中心静脉置管的患者导管相关性血栓风险预测模型的构建情况(n=15)
Table 2 Establishment of catheter-related thrombosis risk prediction model for patients undergoing central venous catheterization(n=15)
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表3 行中心静脉置管的患者导管相关性血栓风险预测模型性能及预测因子(n=15)
Table 3 Performance and predictors of catheter-related thrombosis risk prediction model for patients undergoing central venous catheterization(n=15)
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