Evaluation and Management of Obesity Hypoventilation Syndrome An Official American Thoracic Society Clinical Practice Guideline
Evaluation and Management of Obesity Hypoventilation Syndrome An Official American Thoracic Society Clinical Practice Guideline
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DOI：
10.1164/rccm.201905-1071st
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发表时间：
2019-08-01
影响因子：
24.7
通讯作者：
Teodorescu, Mihaela
中科院分区：
文献类型：
--
作者：
Mokhlesi, Babak;Fernando Masa, Juan;Teodorescu, Mihaela
背景资料：本指南的目的是优化肥胖低通气综合征（OHS）患者的评估和管理。方法：多学科小组确定并优先考虑五个临床问题。该小组对现有研究进行了系统性审查（截至2018年7月），并遵循建议分级，评估，发展和评价证据决策框架，以制定建议。所有专家组成员讨论并批准了这些建议。建议：在考虑到证据的总体质量非常低之后，专家组提出了五项有条件的建议。我们建议：1）临床医生使用血清碳酸氢盐水平
Background: The purpose of this guideline is to optimize evaluation and management of patients with obesity hypoventilation syndrome (OHS).Methods: A multidisciplinary panel identified and prioritized five clinical questions. The panel performed systematic reviews of available studies (up to July 2018) and followed the Grading of Recommendations, Assessment, Development, and Evaluation evidence-to-decision framework to develop recommendations. All panel members discussed and approved the recommendations.Recommendations: After considering the overall very low quality of the evidence, the panel made five conditional recommendations. We suggest that: 1) clinicians use a serum bicarbonate level