文章基本信息
- 标题：Is general inpatient obstetrics and gynaecology evidence-based? A survey of practice with critical review of methodological issues
- 本地全文：下载
- 作者：Aamir T Khan ; M Nauman Mehr ; Anne-Marie Gaynor 等
- 期刊名称：BMC Women's Health
- 印刷版ISSN：1472-6874
- 电子版ISSN：1472-6874
- 出版年度：2006
- 卷号：6
- 期号：1
- 页码：5
- DOI：10.1186/1472-6874-6-5
- 语种：English
- 出版社：BioMed Central
- 摘要：
Background
To examine the rates of evidence-supported care provided in an obstetrics-gynaecology unit.
Methods
The main diagnosis-intervention set was established for a sample of 325 consecutive inpatient admissions in 1998–99 in a prospective study in a UK tertiary care centre. A comprehensive literature search was conducted to obtain the evidence supporting the intervention categorised according to the following hierarchy: Grade A, care supported by evidence from randomised controlled trials; Grade B, care supported by evidence from controlled observational studies and convincing non-randomised evidence; and Grade C, care without substantial research evidence.
Results
Of the 325 admissions, in 135 (42%) the quality of care was based on Grade A evidence, in 157 (48%) it was based on Grade B evidence, and in 33 (10%) it was based on Grade C evidence. The patterns of care were not different amongst patients sampled in 1998 and 1999.
Conclusion
A significant majority (90%) of obstetric and gynaecological care was found to be supported by substantial research evidence.
