全科护理2024,Vol.22Issue(16):2985-2992,8.DOI:10.12104/j.issn.1674-4748.2024.16.004
脑卒中病人深静脉血栓风险预测模型的系统评价
Risk prediction models for deep vein thrombosis in stroke patients:a systematic review
摘要
Abstract
Objective:To systematically evaluate the risk prediction models for deep vein thrombosis in stroke patients and provide reference for clinical practice.Methods:Comprehensively searched literatures on deep vein thrombosis risk prediction models in stroke patients from PubMed,the Cochrane Library,Embase,CINAHL,CNKI,VIP database,SinoMed,Wanfang Data Knowledge Service Platform and other databases.The retrieval period was from the establishment of the database to October 2023.Two researchers independently screened literature and extracted data.The bias risk assessment tool(PROBAST)for predictive model studies was used to analyze the risk of bias and applicability for literature.Results:A total of 18 models for predicting the risk of deep vein thrombosis in stroke patients were included.The AUC of the modeling cohort ranged from 0.610 to 0.912,and that of the validation cohort ranged from 0.550 to 0.840.Older age,D-dimer,female,malignant tumor,hemorrhagic stroke were the predictors of higher frequency.Conclusions:The development and application of deep vein thrombosis risk prediction model for stroke patients are still in the development stage.In the future,researchers can use different modeling methods and strictly follow the predictive model bias risk assessment tool to design the development and application of the model.The clinical staff should carefully select the corresponding prediction model for clinical application,identify the risk of deep vein thrombosis in stroke patients as early as possible and take corresponding preventive measures.关键词
脑卒中/深静脉血栓/预测/模型/系统评价/护理Key words
stroke/deep vein thrombosis/forecast/the model/systematic evaluation/nurse引用本文复制引用
王艳芸,马彩虹,王艳,陆静钰..脑卒中病人深静脉血栓风险预测模型的系统评价[J].全科护理,2024,22(16):2985-2992,8.基金项目
宁夏医科大学校级科研项目,编号:XM2022058 ()
宁夏自然科学基金项目,编号:2023AAC03613. ()