■临床实践应基于可用的最高质量证据。因此,我们的目标是在2021年根据科学证据水平对儿科心脏病学领域的出版物进行分类.
■进行了PubMed搜索,以识别2021日历年发表的儿科心脏病学文章。审查了每项研究的摘要或手稿。每一项研究都被归类为高,中等,或基于研究设计的低水平证据。疾病调查,治疗研究,并记录了出版国。确定了新生儿学和成人心脏病学相似领域的随机对照试验(RCT)进行比较。对证据水平进行了描述性统计,疾病类型,出版国,和治疗干预。
■2021年,确定了731项研究。作为低的函数,证据水平的患病率下降,中等,并发现高(50.1%,44.2%,和5.8%,分别)。对于所有类型的心脏病,大多数证据研究都是低水平的,包括获得性心脏病,心律失常,先天性心脏病,心力衰竭,对于治疗方式,包括循环支持,除颤器,经皮介入,医学,和手术。在亚组分析中,大多数高级证据研究来自美国(31%),其次是中国(26.2%)和印度(14.3%)。比较RCT,在儿科心脏病学中鉴定出21个RCTs,而在新生儿学中鉴定出178个RCTs,在成人缺血性心脏病中鉴定出413个RCTs。
■非常需要开展在儿科心脏病学学科中提供高水平证据的研究。
UNASSIGNED: Clinical practice should be based on the highest quality of evidence available. Therefore, we aimed to classify publications in the field of pediatric cardiology in the year 2021 based on the level of scientific evidence.
UNASSIGNED: A PubMed search was performed to identify pediatric cardiology articles published in the calendar year 2021. The abstract or manuscript of each study was reviewed. Each study was categorized as high, medium, or low level of evidence based on the study design. Disease investigated, treatment studied, and country of publication were recorded. Randomized control trials (RCTs) in similar fields of neonatology and adult cardiology were identified for comparison. Descriptive statistics were performed on the level of evidence, type of disease, country of publication, and therapeutic intervention.
UNASSIGNED: In 2021, 731 studies were identified. A decrease in prevalence for the level of evidence as a function of low, medium, and high was found (50.1%, 44.2%, and 5.8%, respectively). A low level of evidence studies was the majority for all types of cardiac disease identified, including acquired heart disease, arrhythmias, congenital heart disease, and heart failure, and for treatment modalities, including circulatory support, defibrillator, percutaneous intervention, medicine, and surgery. In a subgroup analysis, most high-level evidence studies were from the USA (31%), followed by China (26.2%) and India (14.3%). Comparing RCTs, 21 RCTs were identified in pediatric cardiology compared to 178 in neonatology and 413 in adult ischemic heart disease.
UNASSIGNED: There is a great need for the conduct of studies that offer a high level of evidence in the discipline of pediatric cardiology.