PICC相关性血栓风险评估工具的范围综述
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女,硕士,护师

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2022年浙江省卫生健康科技计划项目(2022KY522)


A scoping review of risk assessment tools for peripherally inserted central catheter related venous thrombosis
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    目的 对国内外PICC相关性血栓风险评估工具研究进行范围审查,为规范此类风险评估提供参考。 方法 系统检索中、英文数据库和指南网站有关PICC相关性血栓风险评估工具的文献,检索时间为自建库至2022年11月26日。 结果 最终纳入24篇文献,工具类型分为风险预测模型(14种)、风险评估表(8种)、血栓弹力图(1种)和风险评估体系(1种)。24篇文献包含了疾病因素,19篇文献包含了治疗因素,13篇文献包含导管因素。疾病或治疗因素出现频率超过10次的评估内容为高风险因素、D-二聚体、静脉血栓史、化疗史;导管因素中导管并发症(6次)、导管—血管直径比(6次)、导管异位(5次)提及频次最多。 结论 疾病因素和治疗因素为PICC-RVT风险评估的重要内容。PICC-RVT风险评估工具的种类多样,但其信效度仍有待进一步检验,需要开展多中心、大范围的临床应用研究。

    Abstract:

    Objective To review domestic and international studies regarding peripherally inserted central catheter related venous thrombosis (PICC-RVT) risk assessment tools through scoping review methodology, and to provide a basis for standardization of PICC-RVT risk assessment. Methods We systematically searched Chinese or foreign databases as well as guideline websites for li-terature on PICC-RVT risk assessment tools from database/website inception to November 26th, 2022. Results A total of 24 papers were finally included, and the types of risk assessment tools were divided into risk prediction models (n=14), risk assessment scales (n=8), thromboelastograms (n=1), and risk assessment systems (n=1).All 24 papers included disease factors,19 included treatment factors and 13 included catheter-related factors.Among the diseases or treatment factors, assessment items with a frequency of more than 10 counts included high-risk factors, D-dimer, history of venous thrombosis, and history of chemotherapy; among the catheter-related factors, the catheter-related complications (6 counts), catheter-vessel diameter ratio (6 counts), and catheter malposition (5 counts) were mentioned most frequently. Conclusion Disease factors and treatment factors are important elements of PICC-RVT risk assessments.There are various types of PICC-RVT risk assessment tools, but their reliability and validity remain to be further tested, and multi-center and large scale clinical application studies are needed.

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黄培培,钦晓英,朱薇,项小燕,卢琪,陈立姣,张烨,崔智萍. PICC相关性血栓风险评估工具的范围综述[J].护理学杂志,2023,28(11):113-116

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  • 收稿日期:2023-01-19
  • 最后修改日期:2023-03-18
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  • 在线发布日期: 2024-01-13