糖尿病足溃疡复发风险预测模型的范围综述

Scoping review of risk prediction models for the recurrence of diabetic foot ulcers

目的对国内外糖尿病足溃疡复发风险预测模型进行范围综述,为临床护理实践及相关研究提供依据。方法通过计算机检索9个中英文数据库,检索时间限定为建库至2023年9月1日,2名研究者独立进行数据筛选和提取,并使用预测模型偏倚风险评价工具(PROBAST)对纳入研究的方法学进行评价。结果共纳入7篇研究,包含13个风险预测模型,既往足溃疡史、吸烟、糖尿病病程、足部病变为主要的预测因子,预测区分度为0.660~0.943。结论护理人员应密切关注糖尿病足溃疡复发的危险因素,构建低偏倚高适用性的风险预测模型,并对现有的风险预测模型进行验证与完善。

Objective To conduct a scoping review of domestic and international risk prediction models for the recurrence of diabetic foot ulcers(DFU)and provide a basis for clinical nursing practices and related research.Methods A computer search of nine databases in both Chinese and English was conducted,with the search period extending up to September 1,2023.Two researchers independently performed data selection and extraction.The methodological quality of the included studies was assessed using the Prediction model Risk of Bias Assessment Tool(PROBAST).Results A total of seven studies were included,comprising thirteen risk prediction models.History of previous foot ulcers,smoking,duration of diabetes,and foot lesions were identified as the primary predictive factors,with predictive discrimination ranging from 0.660 to 0.943.Conclusions Nursing staff should pay close attention to the risk factors for recurrence of DFU,develop low-bias and highly applicable risk prediction models,and validate and refine existing models.