急危重症患者院内转运意外事件发生危险因素的系统评价

Risk factors of adverse events during intra-hospital transport of critical patients:a systematic review

目的:系统评价国内外急危重症患者院内转运意外事件发生的危险因素。方法:计算机检索PubMed、EMbase、The Cochrane Library、JBI、Web of Science、CINHAL、CNKI、WanFang Data、VIP和CBM数据库,检索时限为数据库建库至2021年12月,搜集有关急危重症患者院内转运意外事件发生危险因素的队列研究、病例对照研究和横断面研究。由2位研究者独立筛选文献、提取资料并对纳入研究的质量进行评价。结果:纳入8篇横断面研究,合计3072例患者。描述性分析的结果显示,急危重症患者院内转运意外事件的危险因素涉及11项,包括患者年龄、病情以及治疗/护理相关因素等。结论:年龄、病情严重程度、转运仪器/设备、转运人员等可增加急危重症患者院内转运意外事件的发生风险。受纳入研究数量和质量限制,上述结论尚需开展更多高质量的研究予以验证。

Objective:To systematically evaluate the risk factors of the adverse events during intra-hospital transport of critical patients.Methods:PubMed,EMbase,The Cochrane Library,JBI database,Web of Science,CINHAL,CNKI,WanFang Data,VIP,and CBM databases were searched to collect cohort studies,case-control studies and cross-sectional studies on the risk factors associated with adverse events during intra-hospital transport of critical patients from inception to December,2021.Two researchers independently screened the literature,extracted data and evaluated the quality of the included research.Results:A total of 8 cross-sectional studies were included with a total of 3072 patients.Descriptive analysis showed that 11 risk factors were summarized including age,disease status and treatment/nursing related factors.Conclusion:Age,severity of illness,equipment/device,and staff are possible risk factors of adverse events during intra-hospital transport in critical patients.Due to the limitation of quantity and quality of included studies,more high-quality studies are needed to verify the above conclusions.