Routine chest x-rays in intensive care units a systematic review and meta-analysis 英文参考文献.docVIP

下载本文档

7
0
约4.55万字
约 12页
2017-05-13 发布于上海
举报
版权申诉

Routine chest x-rays in intensive care units a systematic review and meta-analysis 英文参考文献.doc

1、原创力文档（book118）网站文档一经付费（服务费），不意味着购买了该文档的版权，仅供个人/单位学习、研究之用，不得用于商业用途，未经授权，严禁复制、发行、汇编、翻译或者网络传播等，侵权必究。。
2、本站所有内容均由合作方或网友上传，本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺！文档内容仅供研究参考，付费前请自行鉴别。如您付费，意味着您自己接受本站规则且自行承担风险，本站不退款、不进行额外附加服务；查看《如何避免下载的几个坑》。如果您已付费下载过本站文档，您可以点击这里二次下载。
3、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等，请点击“版权申诉”（推荐），也可以打举报电话：400-050-0827(电话支持时间：9:00-18:30)。
4、该文档为VIP文档，如果想要下载，成为VIP会员后，下载免费。
5、成为VIP后，下载本文档将扣除1次下载权益。下载后，不支持退款、换文档。如有疑问请联系我们。
6、成为VIP后，您将拥有八大权益，权益包括：VIP文档下载权益、阅读免打扰、文档格式转换、高级专利检索、专属身份标志、高级客服、多端互通、版权登记。
7、VIP文档为合作方或网友上传，每下载1次，网站将根据用户上传文档的质量评分、类型等，对文档贡献者给予高额补贴、流量扶持。如果你也想贡献VIP文档。上传文档

Routine chest x-rays in intensive care units a systematic review and meta-analysis 英文参考文献

Ganapathyetal.CriticalCare2012,16:R68 /content/16/2/R68 RESEARCH OpenAccess Routinechestx-raysinintensivecareunits: asystematicreviewandmeta-analysis AnusoumyaGanapathy1,NeillKJAdhikari2*,JamieSpiegelman3andDamonCScales2 Abstract Introduction:Chestx-rays(CXRs)arethemostfrequentradiologicaltestsperformedintheintensivecareunit (ICU).However,theutilityofperformingdailyroutineCXRsisunclear. Methods:WesearchedMedlineandEmbase(1948toMarch2011)forrandomizedandquasi-randomized controlledtrials(RCTs)andbefore-afterobservationalstudiescomparingastrategyofroutineCXRstoamore restrictiveapproachwithCXRsperformedtoinvestigateclinicalchangesamongcriticallyilladultsorchildren.In duplicate,weextracteddataontheCXRstrategy,studyqualityandclinicaloutcomes(ICUandhospitalmortality; durationofmechanicalventilationandICUandhospitalstay). Results:Ninestudies(39,358CXRs;9,611patients)wereincludedinthemeta-analysis.Threetrials(N=870)of moderatetogoodqualityprovidedinformationonthesafetyofarestrictiveroutineCXRstrategy;onlyonetrial systematicallyassessedformissedfindings.Pooleddatafromtrialsshowednoevidenceofeffectofarestrictive approachonICUmortality(riskratio[RR]1.04,95%confidenceinterval[CI]0.84to1.28,P=0.72;twotrials,N= 776),hospitalmortality(RR0.98,95%CI0.68to1.41,P=0.91;twotrials,N=259),ICUlengthofstay(weighted meandifference[WMD]-0.86days,95%CI-2.38to0.66days,P=0.27;threetrials,N=870),hospitallengthofstay (WMD-2.50days,95%CI-6.62to1.61days,P=0.23;twotrials,N=259),ordurationofmechanicalventilation (WMD-0.30days,95%CI-1.48to0.89days,P=0.62;threetrials,N=705).Addingdatafromsixobservational studies,oneofwhichsystematicallyscreenedformissedfindings,gavesimilarresults. Conclusions:Thismeta-analysisdidnotdetectanyharmassociatedwitharestrictivechestradiographstrategy. However,confidenceintervalswerewideandharmwasnotrigorouslyassessed.Therefore,thesafetyof abandoningroutineCXRsinpatientsadmittedtotheICUremainsuncertain. Introduction ventilation[2].AdvantagesofroutineCXRsmayinclude Physiciansof