期刊文献+

脑卒中复发风险预测模型的系统评价 被引量:1

A systematic review of stroke recurrence risk prediction models
下载PDF
导出
摘要 目的:系统评价脑卒中复发的风险预测模型,以期为护理实践提供参考。方法:检索the Cochrane Library、PubMed、Web of Science、Embase、CINAHL、PsycINFO、中国生物医学文献数据库(CBM)、中国知网、万方数据库、维普数据库中有关脑卒中复发风险预测模型的文献,检索时限为建库至2022年9月。由2名研究者按照纳入和排除标准独立筛选文献并进行资料提取,再根据预测模型研究的偏倚风险评估工具(PROBAST)对纳入的文献进行质量评价。结果:共纳入10篇脑卒中复发风险预测模型研究,10项研究的受试者工作特征曲线下面积为0.640~0.861,其中7项研究评估了模型的校准度,模型的一致性较好。10项研究均存在一定的偏倚风险,主要的原因为对预测因子的评估未报告或未使用盲法、未报告缺失数据或对缺失数据处理不当、预测因子的筛选方法不当等。结论:脑卒中复发风险预测模型研究仍处于发展阶段,未来的研究应按照PROBAST构建高质量模型,以减少偏倚,同时进行内部和外部验证,促进模型的临床转化和应用。 Objective:To systematically evaluate the risk prediction models for stroke recurrence in order to provide reference for nursing practice.Methods:The literature on risk prediction models for stroke recurrence in the Cochrane Library,PubMed,Web of Science,Embase,PsycINFO,CINAHL,CBM,CNKI,WanFang Data and VIP were searched.The search time frame was from the establishment of the database to September 2022.Two researchers independently screened the literature and performed data extraction according to inclusion and exclusion criteria,and then evaluated the quality of the included literature according to the prediction model risk of bias assessment tool(PROBAST).Results:A total of 10 studies on stroke recurrence risk prediction models were included.The area under the receiver operating characteristic curve of the 10 studies ranged from 0.640 to 0.861,among which 7 studies evaluated the calibration degree of the models,showing good model consistency.All the 10 studies had a certain risk of bias,mainly due to the failure to report or use blind methods in the assessment of predictors,the failure to report missing data or improper processing of missing data,and improper screening methods for predictors.Conclusions:Research on stroke recurrence risk prediction model is still in the development stage,and future studies should build high-quality models according to PROBAST to reduce bias,while conducting internal and external validation to promote clinical transformation and application of the model.
作者 黄秀丹 马秋平 曹汝汝 明州彦 张纤 HUANG Xiudan;MA Qiuping;CAO Ruru;MING Zhouyan;ZHANG Xian(Faculty of Nursing,Guangxi University of Chinese Medicine,Guangxi 530000 China)
出处 《全科护理》 2023年第22期3046-3050,共5页 Chinese General Practice Nursing
基金 广西中医药大学高层次人才培育创新团队建设项目,编号:04B22058A0。
关键词 脑卒中 复发 风险预测模型 系统评价 stroke recurrence risk prediction model systematic review
  • 相关文献

参考文献16

二级参考文献115

共引文献1435

同被引文献12

引证文献1

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部