护理学报 ›› 2024, Vol. 31 ›› Issue (8): 43-48.doi: 10.16460/j.issn1008-9969.2024.08.043
心力衰竭患者30天非计划性再入院风险预测模型的系统评价
余璐1,2, 黄晓沁2, 刘琳1, 袁嘉敏1, 邬青1
- 1.苏州大学附属第一医院 护理部,江苏 苏州 215006;
2.苏州大学苏州医学院 护理学院,江苏 苏州 215006
摘要： 目的 系统评价心力衰竭患者30 d再入院风险预测模型,以期为医务工作者及早识别患者再入院风险提供参考。方法 检索中国知网、维普、万方、中国生物医学文献数据库、PubMed、Embase、CINAHL、Web of Science和Cochrane Library中有关心力衰竭患者再入院风险模型的研究,检索时间为建库至2023年4月30日。由2名研究者独立筛选文献并提取信息,采用预测模型研究的偏倚风险评估工具（Prediction Model Risk of Bias Assessment Tool,PROBAST）评价纳入文献的偏倚风险和适用性。结果 纳入9篇研究,共包括9个预测模型,模型受试者工作特征曲线下面积均>0.6。主要预测因子包括血钠、心脏再同步治疗、N端脑钠肽前体、住院时长、肌酐、射血分数、尿素氮等。所有研究的整体偏倚风险较高,适用性良好。结论 心力衰竭患者30 d再入院风险预测模型的研究处于初步探索阶段,现有预测模型虽具备一定的预测性能,但在预测因子的选择上较为局限且总体偏倚风险较高,期待未来开发出性能优良、可大范围实际应用的预测模型。
中图分类号:
- R473.54
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