EBM 報告 吳晉嘉 張哲浣 何怡慧.

Presentation on theme: "EBM 報告 吳晉嘉 張哲浣 何怡慧."— Presentation transcript:

1 EBM 報告 吳晉嘉 張哲浣 何怡慧

2 形成問題 找出相關文獻 評估文獻品質 總結證據結果 解讀文獻發現

3 Free form question The role of albumin use in resuscitation of trauma patients

4 Structured question Critically ill
Population: major trauma patients with unstable hemodynamics in intensive care units. Intervention: albumin use duration Outcome: mortality rate, morbidity comparison

5 形成問題 找出相關文獻 評估文獻品質 總結證據結果 解讀文獻發現

6 Literature review Pubmed CINAHL Plus with Full Text Cochrane Library
DynaMed Ovid Medline Wiley-Blackwell

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11 形成問題 找出相關文獻 評估文獻品質 總結證據結果 解讀文獻發現 罩門所在

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13 Exclude 1980以前study

14 形成問題 找出相關文獻 評估文獻品質 總結證據結果 解讀文獻發現

15 Comprehensive meta-analysis

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19 Sensitivity test: One study removed

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25 形成問題 找出相關文獻 評估文獻品質 總結證據結果 解讀文獻發現

26 In general, compared with crystlloids, current albumin use has no statistical significance in treating critically ill patients. However, improvement of research method or subgroup analysis should be performed further.

27 感恩聆聽