將實(shí)證醫(yī)學(xué)納入臨床操作-以dextran之使用為例-文庫吧資料
2024-07-31 22:37本頁面
【正文】 依照實(shí)證醫(yī)學(xué)而改變的成效評(píng)估 ?病人的醫(yī)療成果評(píng)估 結(jié)果 ?本科六位主治醫(yī)師於約一年內(nèi)逐漸停用Dextran。 ?所以不應(yīng)使用。 Neck Surgery 2022 Clinical Bottom Line ?Dextran對(duì)病患是有害的，如果功效不彰，不應(yīng)使用。 Oute: benefit/risk 2. Was this a randomised controlled trial (RCT) and was it appropriately so? Consider: – why this study was carried out as an RCT – if this was the right research approach for the question being asked Y For such a therapy question, a systematic review is not available, a RCT is the right approach, and this is an RCT. Is it worth continuing? Free Flap Survival in Literature. Source No, of cases Flap survival (%) Anticoagulation agent used Blackwell, 19992 119 Aspirin Jones wt al., 19963 305 LMWD and aspirin Simpson et al., 19964 150 Unknown Schusterman et al., 19945 308 Unknown Urken et al., 19946 200 LMWD Present study 216 Aspirin and SQH Chien et al. Aspirin and LowDose Heparin in Head and Neck Reconstruction. Laryngoscope. 2022 Jun。112(6):15349.) Critical Appraisal Skills Programme (CASP) Screening Questions Y/N Comment 1. Did the study ask a clearly focused question? Consider if the question is ‘focused’ in terms of – the population studied – the intervention given – the outes considered
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