The efficacy of the Cook-Swartz implantable Doppler in the detection of free-flap compromise: a systematic review protocol
The efficacy of the Cook-Swartz implantable Doppler in the detection of free-flap compromise: a systematic review protocol
复制标题
Cook-Swartz 植入式多普勒检测自由皮瓣受损的功效：系统审查方案
作者：
R. Agha;B. Gundogan;A. Fowler;T. Bragg;D. Orgill
Cook-Swartz植入式多普勒监测游离皮瓣的静脉或动脉血流，并可检测游离皮瓣受损。以前的研究表明，使用这种多普勒可以提高检测和挽救率，因为它提供了比目前的临床评估方法更早的警告。这些研究表明，植入式多普勒在监测游离皮瓣在目前的显微外科单位是很有价值的。本系统综述旨在比较Cook-Swartz植入式多普勒监测游离皮瓣受损与传统临床游离皮瓣监测技术的有效性。方法和分析将系统检索各种电子数据库，以比较Cook-Swartz植入式多普勒的使用与临床评估。然后，选定的研究将由两位作者筛选其标题和摘要。在标题和摘要筛选后选择的文章将下载全文，并评估完整文章的适用性。一旦选择纳入文献，将进行数据提取。对于数据分析，将对研究结果进行制表，并酌情进行描述性统计，并在可能的情况下比较和综合多普勒和临床评估的检出率。伦理和传播作者希望尽可能广泛地传播研究结果。该系统性综述将发表在同行评审期刊上，并根据其中包含的证据提出一些建议作为结论。鉴于现在使用皮瓣的专业范围广泛，它将在广泛的国家和国际会议上提出。PROSPERO CRD 42013005818中的方案注册文献检索和数据提取持续到2014年1月28日。根据同行审议意见修订了这些步骤。
Introduction The Cook-Swartz implantable Doppler monitors venous or arterial blood flow from free flaps and can detect free-flap compromise. Previous studies have shown that the use of this Doppler can improve detection and salvage rates as it provides an earlier warning than the current method of clinical assessment. Such studies assert that the implantable Doppler is of great value in monitoring free flaps in current microsurgical units. This systematic review aims to compare the efficacy of the Cook-Swartz implantable Doppler in monitoring free-flap compromise against conventional clinical free-flap monitoring techniques. Methods and analysis Various electronic databases will be systematically searched for studies that compare the use of Cook-Swartz implantable Doppler with clinical assessment. The selected studies will then have their titles and abstracts screened by two authors. Articles selected after title and abstract screen will have full text downloaded and the complete article will be assessed for suitability. Once the articles have been selected for inclusion, data extraction will take place. For data analysis, the outcomes of the studies will be tabulated, with descriptive statistics performed as appropriate and the detection rate of the Doppler and clinical assessment will be compared and synthesised where possible. Ethics and dissemination The authors hope to disseminate the findings as widely as possible. This systematic review will be published in a peer-reviewed journal and include a number of recommendations as its conclusion based on the evidence contained within. Given the wide range of specialties now utilising flaps, it will be presented at a wide range of national and international conferences. Protocol Registration in PROSPERO CRD42013005818 The literature search and data extraction went on until 28 January 2014. These steps were revised in line with peer review comments.