METHODS: Literature review through a search in six electronic databases, structured in PICO format, without date restrictions. Looking for studies that used submaximal field walking tests in children and adolescents with congenital heart disease aged 5 to 18 years. Methodological quality, effectiveness and safety and risk of bias were assessed.
RESULTS: Five studies met the eligibility criteria with a sample of 160 individuals with congenital heart disease, and all used the six-minute walk test. Note that different methodologies and modifications are used. Only the clinical trial showed good methodological quality.Four studies had low risk of bias and one study had moderate risk.
CONCLUSIONS: Although the six-minute walk test is the only test used as a field test found in our research, there is no standardization in the application of the test, making it difficult to compare the results. In this sense, reducing the limitations and heterogeneity in the application of the test will enable more concrete outcomes and facilitate their reproduction in clinical practice.
方法:通过在六个电子数据库中搜索的文献综述,以PICO格式构造,没有日期限制。寻找在5至18岁患有先天性心脏病的儿童和青少年中使用次最大野外步行测试的研究。方法学质量,评估了有效性,安全性和偏倚风险.
结果:五项研究符合资格标准,样本为160例先天性心脏病患者,都用了六分钟步行测试.注意,使用不同的方法和修改。只有临床试验显示出良好的方法学质量。四项研究的偏倚风险较低,一项研究的偏倚风险中等。
结论:尽管六分钟步行测试是我们研究中发现的唯一用作现场测试的测试,测试的应用没有标准化,很难比较结果。在这个意义上,减少试验应用中的局限性和异质性将获得更具体的结果,并促进其在临床实践中的复制。