@Article{info:doi/10.2196/33380,作者=“Teng, Rachel and Ding, Yichen and See, Kay Choong”,标题=“机器人在重症监护中的应用:系统综述”,期刊=“J Med Internet Res”,年=“2022”,月=“5”,日=“16”,卷=“24”,号=“5”,页=“e33380”,关键词=“COVID-19;重症监护;高的依赖;远程监控;背景:最近对关键环境的关注,特别是在COVID-19大流行的情况下,突出了减少接触性护理和增加机器人使用的必要性。机器人技术在医疗保健领域是一个新兴领域,我们试图评估机器人在重症护理环境中的使用。目的:虽然机器人在外科手术中很普遍,但它在重症监护中的作用尚未得到很好的确立。我们的目的是研究机器人对危重病人的用途和局限性。方法:本系统评价按照PRISMA(系统评价和荟萃分析首选报告项目)指南进行。检索了MEDLINE、Embase、IEEE explore和ACM Library从创建到2021年12月23日的数据库。 Included studies involved patients requiring critical care, both in intensive care units or high-dependency units, or settings that required critical care procedures (eg, intubation and cardiopulmonary resuscitation). Randomized trials and observational studies were included. Results: A total of 33 studies were included. The greatest application of robots in the intensive care unit was in the field of telepresence, whereby robots proved advantageous in providing a reduced response time, earlier intervention, and lower mortality rates. Challenges of telepresence included regulatory and financial barriers. In therapy and stroke rehabilitation, robots achieved superior clinical outcomes safely. Robotic use in patient evaluation and assessment was mainly through ultrasound evaluation, obtaining satisfactory to superior results with the added benefits of remote assessment, time savings, and increased efficiency. Robots in drug dispensing and delivery increased efficiency and generated cost savings. All the robots had technological limitations and hidden costs. Conclusions: Overall, our results show that robotic use in critical care settings is a beneficial, effective, and well-received intervention that delivers significant benefits to patients, staff, and hospitals. Looking ahead, it is necessary to form strong ethical and legislative frameworks and overcome various regulatory and financial barriers. Trial Registration: PROSPERO International Prospective Register of Systematic Reviews CRD42021234162; https://www.crd.york.ac.uk/prospero/display{\_}record.php?RecordID=234162 ", issn="1438-8871", doi="10.2196/33380", url="//www.mybigtv.com/2022/5/e33380", url="https://doi.org/10.2196/33380", url="http://www.ncbi.nlm.nih.gov/pubmed/35576567" }
Baidu
map