关键词: Adult intensive & critical care Meta-Analysis Systematic Review

Mesh : Adult Humans Critical Illness Meta-Analysis as Topic Quality of Life Research Design Systematic Reviews as Topic Tracheostomy / instrumentation

来  源:   DOI:10.1136/bmjopen-2024-086415   PDF(Pubmed)

Abstract:
BACKGROUND: Tracheostomy is a common emergency procedure for critically ill patients to secure their airway. The speaking valve is a one-way ventilation valve that is attached to the end of the tracheostomy tube to help the patient remodel subglottic pressure. However, the efficacy and safety of speaking valves in adult patients with tracheostomy remain controversial. The purpose of this protocol is to describe and evaluate the effectiveness, safety and impact on the quality of life of speaking valves in adult patients with tracheostomy.
METHODS: We will search four English databases (PubMed, Embase, Cochrane Library and Web of Science), grey literature websites and reference lists of original studies to screen for studies that might meet the criteria. The two authors will independently screen the literature, extract data and assess the quality and risk of bias of the included studies. The primary outcomes will focus on the patients\' swallowing function, vocalisation and quality of life. We will use a fixed effects model or a random effects model based on heterogeneity testing or a descriptive analysis only. The quality of evidence on the effects of interventions will be assessed using the Grading of Recommendations Assessment, Development, and Evaluation.
BACKGROUND: This study is based on the literature in the database and does not require the approval of the ethics committee. The results will be disseminated through a peer-reviewed journal and conferences.
UNASSIGNED: CRD42024502906.
摘要:
背景:气管造口术是危重病人安全气道的常用急诊手术。说话阀是附接到气管造口管的末端以帮助患者重建声门下压力的单向通气阀。然而,成人气管造口术患者使用说话瓣膜的疗效和安全性仍存在争议.该协议的目的是描述和评估有效性,成人气管造口术患者说话瓣膜的安全性及对生活质量的影响。
方法:我们将搜索四个英文数据库(PubMed,Embase,Cochrane图书馆和WebofScience),灰色文献网站和原始研究的参考列表,以筛选可能符合标准的研究。两位作者将独立筛选文献,提取数据并评估纳入研究的质量和偏倚风险。主要结果将集中在患者的吞咽功能,发声和生活质量。我们将使用基于异质性测试的固定效应模型或随机效应模型,或仅使用描述性分析。干预措施效果的证据质量将使用建议分级评估进行评估,发展,和评价。
背景:本研究基于数据库中的文献,不需要伦理委员会的批准。结果将通过同行评审的期刊和会议传播。
CRD42024502906。
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