P|COs始终贯穿SR
PICOs始终贯穿SR
例子 Antenatal corticosteroids for accelerating fetal lung maturation for women at risk of preterm birth ● Roberts d, Dalziel s Cochrane Database of Systematic Reviews 2006 Issue 3. Copyright o 2006 The Cochrane Collaboration Published by John Wiley Sons, Ltd
例子 Antenatal corticosteroids for accelerating fetal lung maturation for women at risk of preterm birth Roberts D, Dalziel S Cochrane Database of Systematic Reviews 2006 Issue 3. Copyright © 2006 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd
系统综述 ●问题提出? o Respiratory distress syndrome(RDs)is a serious complication of preterm birth and the primary cause of early neonatal mortality and disability o Effects of antenatal corticosteroids for preterm birth
系统综述 问题提出？ Respiratory distress syndrome (RDS) is a serious complication of preterm birth and the primary cause of early neonatal mortality and disability. Effects of antenatal corticosteroids for preterm birth
系统综述 1)“焦点”问题: 定义了干预定义了对照 The review addresses whether corticosteroid are more effective than placebo or ' no corticosteroids in reducing the risk of respiratory distress syndrome, neonatal death, intraventricular haemorrhage, necrotisi g enterocolitis, chronic lung disease in survivors of neonatal intense care, the use of surfactant in the newborn, the lost of neonatal care, and the duration of neonatal hospital care 定义了结果因素 定义了对象 过程是“问题驱策”而不是“资料驱策
1) “焦点” 问题: The review addresses whether corticosteroids are more effective than placebo or 'no corticosteroids' in reducing the risk of respiratory distress syndrome, neonatal death, intraventricular haemorrhage, necrotising enterocolitis, chronic lung disease in survivors of neonatal intensive care, the use of surfactant in the newborn, the cost of neonatal care, and the duration of neonatal hospital care. 定义了干预 定义了对象 定义了结果因素 过程是“问题驱策”而不是“资料驱策” 系统综述 定义了对照
提出临床问题一Pco原则 P population/ patients人群病人群 ●关心的是哪一类病人群或对象 ● Intervention/ exposure干预/暴露 我们所感兴趣的治疗策略,诊断试验或暴 露是什么?如一种药物、食物,外科手术 方式,诊断试验或暴露于一种化学?
提出临床问题－PICO原则 P population/patients 人群/病人群 关心的是哪一类病人群或对象 I intervention/exposure 干预/暴露 我们所感兴趣的治疗策略，诊断试验或暴 露是什么？如一种药物、食物，外科手术 方式，诊断试验或暴露于一种化学？