Supporting health-related parenting: A scoping review of programs assisted by the Internet and related technologies

Supporting health-related parenting: A scoping review of programs assisted by the Internet and related technologies
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DOI:
10.1136/emermed-2017-206732.1
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发表时间:
2017-09-01
影响因子:
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通讯作者:
GREFFIN, Klara
GREFFIN, Klara
中科院分区:
其他
文献类型:
--
作者:
BARROS, Luísa;GREFFIN, Klara

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进行了一项简短的审查,以确定除抗凝治疗外的溶栓治疗是否对次大面积(中等风险)肺栓塞(PE)有益。使用报告的检索策略发现了64篇直接相关的论文。其中,三个提供了回答临床问题的最佳证据。这些最佳论文的作者、发表日期和国家、研究的患者群体、研究类型、相关结局、结果和研究弱点均列表列出。结论是没有足够的证据支持亚大块PE患者常规使用任何剂量的辅助溶栓治疗。精心挑选的出血风险低、高度重视功能结局的患者可能会受益。
A short-cut review was carried out to establish whether thrombolysis in addition to therapeutic anticoagulation could be of benefit in submassive (intermediate risk) pulmonary embolism (PE). 64 directly relevant papers were found using the reported search strategy. Of these, three presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these best papers are tabulated. It is concluded that there is insufficient evidence to support the routine use of adjuvant thrombolytic therapy at any dose for patients with submassive PE. Carefully selected patients with a low bleeding risk who attribute high importance to functional outcome may stand to benefit.