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MOrtality and infectious complications of therapeutic EndoVAscular interventional radiology: a systematic and meta-analysis protocol.

Identifieur interne : 000432 ( Main/Curation ); précédent : 000431; suivant : 000433

MOrtality and infectious complications of therapeutic EndoVAscular interventional radiology: a systematic and meta-analysis protocol.

Auteurs : Kaoutar Mellouk Aid [Maroc, France] ; Hervé Tchala Vignon Zomahoun [Canada] ; Abdelmajid Soulaymani [Maroc] ; Karin Lebascle [France] ; Stephane Silvera [France] ; Pascal Astagneau [France] ; Benoit Misset [France]

Source :

RBID : pubmed:28438186

Descripteurs français

English descriptors

Abstract

BACKGROUND

Endovascular interventional radiology (EIR) is an increasingly popular, mini invasive treatment option for patient with symptomatic vascular disease. The EIR practiced by qualified hands is an effective, well-tolerated procedure that offers relief of patient's symptoms with a low risk of complications. During acute post procedural period, immediate complications may relate to vascular access, restenosis, thromboembolic events, uterine ischemia, infection, necrosis, sepsis, ICU stay, surgical recovery, pain management, treatment failure, and death. Moreover, additional non-life-threatening complications exist, but they are not well described and represent disparate information.

METHODS/DESIGN

A range of databases will be screened consulted to identify the relevant studies: PubMed, EMBASE, The Cochrane Library, NosoBase, and Google Scholar (to identify articles not yet indexed). Scientist librarian used Medical Subject Headings (MeSH) and free terms to construct the search strategy in PubMed. This search strategy will be adapted in other databases. Two coauthors will independently select the relevant studies, extract the relevant data, and assess the risk of bias in the included studies. Any disagreements between the two authors will be solved by a third author.

DISCUSSION

This systematic review will provide a synthesis of EIR complications. The spotlighted results will be analyzed in order to provide a state-of-knowledge synopsis of the current evidence base in relation to the epidemiology of the infectious complications after EIR. In the event of conclusive results, our findings will serve as a reference background to assess guidelines on reality of the problem of the infections linked to endovascular interventional radiology and to formulate of assumptions and propose preventive measures, based on the results of our investigations. These propositions will aim to reduce the risk and/or the severity of these complications in the concerned population in favor a positive medical economics report. It will also aim to decrease the antibio-resistance and in fine will improve health status and security of patients.

SYSTEMATIC REVIEW REGISTRATION

PROSPERO CRD42015025594.


DOI: 10.1186/s13643-017-0474-y
PubMed: 28438186
PubMed Central: PMC5402637

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pubmed:28438186

Le document en format XML

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<term>Humans (MeSH)</term>
<term>Infections (etiology)</term>
<term>Infections (mortality)</term>
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<p>
<b>BACKGROUND</b>
</p>
<p>Endovascular interventional radiology (EIR) is an increasingly popular, mini invasive treatment option for patient with symptomatic vascular disease. The EIR practiced by qualified hands is an effective, well-tolerated procedure that offers relief of patient's symptoms with a low risk of complications. During acute post procedural period, immediate complications may relate to vascular access, restenosis, thromboembolic events, uterine ischemia, infection, necrosis, sepsis, ICU stay, surgical recovery, pain management, treatment failure, and death. Moreover, additional non-life-threatening complications exist, but they are not well described and represent disparate information.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS/DESIGN</b>
</p>
<p>A range of databases will be screened consulted to identify the relevant studies: PubMed, EMBASE, The Cochrane Library, NosoBase, and Google Scholar (to identify articles not yet indexed). Scientist librarian used Medical Subject Headings (MeSH) and free terms to construct the search strategy in PubMed. This search strategy will be adapted in other databases. Two coauthors will independently select the relevant studies, extract the relevant data, and assess the risk of bias in the included studies. Any disagreements between the two authors will be solved by a third author.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>DISCUSSION</b>
</p>
<p>This systematic review will provide a synthesis of EIR complications. The spotlighted results will be analyzed in order to provide a state-of-knowledge synopsis of the current evidence base in relation to the epidemiology of the infectious complications after EIR. In the event of conclusive results, our findings will serve as a reference background to assess guidelines on reality of the problem of the infections linked to endovascular interventional radiology and to formulate of assumptions and propose preventive measures, based on the results of our investigations. These propositions will aim to reduce the risk and/or the severity of these complications in the concerned population in favor a positive medical economics report. It will also aim to decrease the antibio-resistance and in fine will improve health status and security of patients.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>SYSTEMATIC REVIEW REGISTRATION</b>
</p>
<p>PROSPERO CRD42015025594.</p>
</div>
</front>
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<AbstractText Label="BACKGROUND">Endovascular interventional radiology (EIR) is an increasingly popular, mini invasive treatment option for patient with symptomatic vascular disease. The EIR practiced by qualified hands is an effective, well-tolerated procedure that offers relief of patient's symptoms with a low risk of complications. During acute post procedural period, immediate complications may relate to vascular access, restenosis, thromboembolic events, uterine ischemia, infection, necrosis, sepsis, ICU stay, surgical recovery, pain management, treatment failure, and death. Moreover, additional non-life-threatening complications exist, but they are not well described and represent disparate information.</AbstractText>
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<AbstractText Label="DISCUSSION">This systematic review will provide a synthesis of EIR complications. The spotlighted results will be analyzed in order to provide a state-of-knowledge synopsis of the current evidence base in relation to the epidemiology of the infectious complications after EIR. In the event of conclusive results, our findings will serve as a reference background to assess guidelines on reality of the problem of the infections linked to endovascular interventional radiology and to formulate of assumptions and propose preventive measures, based on the results of our investigations. These propositions will aim to reduce the risk and/or the severity of these complications in the concerned population in favor a positive medical economics report. It will also aim to decrease the antibio-resistance and in fine will improve health status and security of patients.</AbstractText>
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<Affiliation>Paris Descartes University, Paris, France.</Affiliation>
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<Affiliation>Department of Intensive Care, Rouen, France.</Affiliation>
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<Affiliation>Rouen University Hospital, University of Rouen, Rouen, France.</Affiliation>
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<Country>England</Country>
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<MeshHeading>
<DescriptorName UI="D057510" MajorTopicYN="N">Endovascular Procedures</DescriptorName>
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<QualifierName UI="Q000401" MajorTopicYN="Y">mortality</QualifierName>
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<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D007239" MajorTopicYN="N">Infections</DescriptorName>
<QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName>
<QualifierName UI="Q000401" MajorTopicYN="Y">mortality</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D015642" MajorTopicYN="Y">Radiology, Interventional</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D000078202" MajorTopicYN="N">Systematic Reviews as Topic</DescriptorName>
</MeshHeading>
</MeshHeadingList>
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<Keyword MajorTopicYN="Y">Endovascular interventional radiology</Keyword>
<Keyword MajorTopicYN="Y">Epidemiology</Keyword>
<Keyword MajorTopicYN="Y">Infectious complications</Keyword>
<Keyword MajorTopicYN="Y">Meta-analysis</Keyword>
<Keyword MajorTopicYN="Y">Mortality</Keyword>
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