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An Evidenced-Based Review of Emergency Target Blood Pressure Management for Acute Aortic Dissection

OBJECTIVE: To summarize the best evidence of emergency target blood pressure management for acute aortic dissection and provide guidance for evidence-based practice of emergency target blood pressure management. METHODS: According to the “6S” evidence pyramid model, the evidence of emergency target...

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Autores principales: Hu, Hankui, Wu, Zhoupeng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10374381/
https://www.ncbi.nlm.nih.gov/pubmed/37521720
http://dx.doi.org/10.1155/2023/8392732
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author Hu, Hankui
Wu, Zhoupeng
author_facet Hu, Hankui
Wu, Zhoupeng
author_sort Hu, Hankui
collection PubMed
description OBJECTIVE: To summarize the best evidence of emergency target blood pressure management for acute aortic dissection and provide guidance for evidence-based practice of emergency target blood pressure management. METHODS: According to the “6S” evidence pyramid model, the evidence of emergency target blood pressure management of acute aortic dissection in various foreign databases and websites of professional associations from January 1, 2010, to August 1, 2022, was retrieved, including clinical decision-making, guidelines, expert consensus, systematic reviews, randomized controlled trials, cohort studies, and case series. Two researchers used the corresponding document quality evaluation tools to evaluate the documents and extracted and summarized the evidence of documents above grade B. RESULTS: A total of 17 articles were included, including 6 clinical decision-making articles, 5 guidelines, 2 expert consensus articles, 1 systematic review article, 1 randomized controlled trial article, 1 cohort study article, and 1 case series article, forming 36 best evidences, including 9 topics, which are target value setting, management strategy, disease observation, medical history collection, monitoring methods, vasoactive drugs, nonvasoactive drugs, related examinations, and patient education. CONCLUSION: The best evidence summarized provides a reference for doctors and nurses in the emergency department to manage the emergency target blood pressure of patients with acute aortic dissection. It is recommended that doctors and nurses in the emergency department follow the best evidence summarized to develop individualized target blood pressure management plan for patients.
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spelling pubmed-103743812023-07-28 An Evidenced-Based Review of Emergency Target Blood Pressure Management for Acute Aortic Dissection Hu, Hankui Wu, Zhoupeng Emerg Med Int Review Article OBJECTIVE: To summarize the best evidence of emergency target blood pressure management for acute aortic dissection and provide guidance for evidence-based practice of emergency target blood pressure management. METHODS: According to the “6S” evidence pyramid model, the evidence of emergency target blood pressure management of acute aortic dissection in various foreign databases and websites of professional associations from January 1, 2010, to August 1, 2022, was retrieved, including clinical decision-making, guidelines, expert consensus, systematic reviews, randomized controlled trials, cohort studies, and case series. Two researchers used the corresponding document quality evaluation tools to evaluate the documents and extracted and summarized the evidence of documents above grade B. RESULTS: A total of 17 articles were included, including 6 clinical decision-making articles, 5 guidelines, 2 expert consensus articles, 1 systematic review article, 1 randomized controlled trial article, 1 cohort study article, and 1 case series article, forming 36 best evidences, including 9 topics, which are target value setting, management strategy, disease observation, medical history collection, monitoring methods, vasoactive drugs, nonvasoactive drugs, related examinations, and patient education. CONCLUSION: The best evidence summarized provides a reference for doctors and nurses in the emergency department to manage the emergency target blood pressure of patients with acute aortic dissection. It is recommended that doctors and nurses in the emergency department follow the best evidence summarized to develop individualized target blood pressure management plan for patients. Hindawi 2023-07-20 /pmc/articles/PMC10374381/ /pubmed/37521720 http://dx.doi.org/10.1155/2023/8392732 Text en Copyright © 2023 Hankui Hu and Zhoupeng Wu. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Hu, Hankui
Wu, Zhoupeng
An Evidenced-Based Review of Emergency Target Blood Pressure Management for Acute Aortic Dissection
title An Evidenced-Based Review of Emergency Target Blood Pressure Management for Acute Aortic Dissection
title_full An Evidenced-Based Review of Emergency Target Blood Pressure Management for Acute Aortic Dissection
title_fullStr An Evidenced-Based Review of Emergency Target Blood Pressure Management for Acute Aortic Dissection
title_full_unstemmed An Evidenced-Based Review of Emergency Target Blood Pressure Management for Acute Aortic Dissection
title_short An Evidenced-Based Review of Emergency Target Blood Pressure Management for Acute Aortic Dissection
title_sort evidenced-based review of emergency target blood pressure management for acute aortic dissection
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10374381/
https://www.ncbi.nlm.nih.gov/pubmed/37521720
http://dx.doi.org/10.1155/2023/8392732
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