ICU谵妄预测评估和预防相关系统评价的再评价

Overview of systematic reviews on the prediction assessment and prevention of ICU delirium

目的对ICU谵妄相关的系统评价进行再评价,旨在为临床ICU谵妄的评估及预防提供参考依据。方法计算机检索中、英文循证数据库及原始研究数据库,检索与ICU谵妄相关的系统评价或Meta分析,对纳入研究进行筛选和资料提取,并使用AMSTAR 2工具评价纳入研究的方法学质量。结果共纳入16篇系统评价或Meta分析,内容涉及ICU谵妄危险因素、评估工具及预防措施3个方面。结论本系统评价为ICU谵妄临床实践提供了部分可靠的证据支持,但部分证据仍需更多高质量原始研究证实。

Objective To overview the systematic reviews(SR)of ICU delirium,so as to provide evidence for ICU delirium assessment and prevention.Methods The systematic evaluation or meta-analysis related to delirium in ICU were searched in Chinese and English evidence-based databases and original research databases.The included studies were screened and the data were extracted,and AMSTAR 2 tool was used to evaluate the methodological quality of the included studies.Results 16 systematic or meta-analysis were included,including the risk factors,assessment tools and preventive measures of delirium in ICU.Conclusion This systematic evaluation provides some reliable evidences for clinical practice of delirium care in ICU,but some evidences still need to be confirmed by more high-quality original researches.