医学
观察研究
梅德林
加强流行病学观察研究报告
主题分析
模态(人机交互)
定性研究
医学物理学
放射科
物理疗法
病理
社会科学
人机交互
社会学
政治学
计算机科学
法学
作者
Zain Sheikh,Beverley Yu,Emily G. Heywood,Natasha Quraishi,Shahed Quraishi
摘要
Abstract Objectives To summarise current practices in the diagnosis and management of deep neck space infections (DNSIs). To inform future studies in developing a framework in the management of DNSIs. Design This review was registered on PROSPERO ( CRD42021226449 ) and reported in line with PRISMA guidelines. All studies from 2000 that reported the investigation or management of DNSI were included. The search was limited to English language only. Databases searched included AMED, Embase, Medline and HMIC. Quantitative analysis was undertaken with descriptive statistics and frequency synthesis with two independent reviewers. A qualitative narrative synthesis was conducted using a thematic analysis approach. Setting Secondary or tertiary care centres that undertook management of DNSIs. Participants All adult patients with a DNSI. Main outcome measures The role of imaging, radiologically guided aspiration and surgical drainage in DNSIs. Results Sixty studies were reviewed. Thirty‐one studies reported on imaging modality, 51 studies reported treatment modality. Aside from a single randomised controlled trial, all other studies were observational ( n = 25) or case series ( n = 36). Computer tomography (CT) was used to diagnose DNSI in 78% of patients. The mean percentage of management with open surgical drainage was 81% and 29.4% for radiologically guided aspiration, respectively. Qualitative analysis identified seven major themes on DNSI. Conclusions There are limited methodologically rigorous studies investigating DNSIs. CT imaging was the most used imaging modality. Surgical drainage was commonest treatment choice. Areas of further research on epidemiology, reporting guidelines and management are required.
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