Анализ положений и критериев качества оказания медицинской помощи методических рекомендаций «Периоперационное ведение пациентов с ишемической болезнью сердца», «Периоперационное ведение пациентов с сопутствующей патологией клапанного аппарата сердца» и «Периоперационное ведение пациентов с сопутствующим ожирением»: модифицированный метод Дельфи

Almazov National Medical Research Centre, St. Petersburg, Russia; North-Western State Medical University named after I.I. Mechnikov, St. Petersburg, Russia

https://orcid.org/0000-0001-5655-510X

S.I. Sitkin

Tver State Medical Academy, Tver, Russia

https://orcid.org/0000-0002-2305-9238

A.P. Spasova

Petrozavodsk State University, Petrozavodsk, Russia

https://orcid.org/0000-0002-2797-4740

V.V. Fisher

Stavropol State Medical University, Stavropol, Russia

https://orcid.org/0000-0003-1494-1613

V.E. Khoronenko

P.A. Hertsen Moscow Oncology Research Center, Moscow, Russia; RUDN University, Moscow, Russia

https://orcid.org/0000-0001-8845-9913

N.P. Shen

Tyumen State Medical University, Tyumen, Russia

https://orcid.org/0000-0002-3256-0374

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Keywords

myocardial ischemia
heart disease risk factors
heart valve diseases
obesity
guideline
Delphi technique

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Lakhin R.E., Dunts P.V., Trembach N.V., Andreenko A.A., Bayalieva A.Z., Gorokhovsky V.S., Grigoryev E.V., Gritsan A.I., Gruzdev V.E., Ezhevskaya A.A., Ershov V.I., Kitiashvili I.Z., Kokhno V.N., Kuzovlev A.N., Kuligin A.V., Levit A.L., Leiderman I.N., Magomedov M.A., Myasnikova V.V., Ovezov A.M., Orlov Y.P., Popugaev K.A., Potievskaya V.I., Savvina I.A., Sitkin S.I., Spasova A.P., Fisher V.V., Khoronenko V.E., Shen N.P. Analysis of the guideline “Perioperative management of patients with coronary artery disease”, “Perioperative management of patients with concomitant pathology of the heart valves” and “Perioperative management of patients with concomitant morbid obesity”: modified Delphi method. Annals of Critical Care. 2024;(2):21–30. doi:10.21320/1818-474X-2024-2-21-30.

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Abstract

INTRODUCTION: The development of clinical and methodological recommendations improves the quality of medical care and reduces the risk of complications. OBJECTIVE: To analyze the methodological recommendations “Perioperative management of patients with coronary heart disease”, “Perioperative management of patients with concomitant pathology of the valvular heart apparatus” and “Perioperative management of patients with concomitant morbid obesity” using the modified Delphi method. MATERIALS AND METHODS: A modified Delphi method was used with two rounds of questionnaires to develop a consensus. The agreement of specialists was reached in three stages: the preparatory stage, the discussion stage and the stage of developing a consensus conclusion. RESULTS: When discussing the methodological recommendation “Perioperative management of patients with coronary heart disease”, a consensus was reached on 35 out of 37 provisions and 7 out of 8 criteria for the quality of medical care. The analysis of the methodological recommendation “Perioperative management of patients with concomitant pathology of the valvular heart apparatus” showed that 57 out of 60 provisions, as well as all 13 criteria for the quality of medical care, were agreed upon. The discussion of the methodological recommendations “Perioperative management of patients with concomitant morbid obesity” showed that 22 of the 23 provisions of the recommendation and all 5 quality criteria were agreed upon. CONCLUSIONS: The results of the Delphic examination, obtained as a result of a detailed analysis by independent experts, will be useful for the co-authors of the discussed methodological recommendations before the planned revision.

https://doi.org/10.21320/1818-474X-2024-2-21-30

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References

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Analysis of the guideline “Perioperative management of patients with coronary artery disease”, “Perioperative management of patients with concomitant pathology of the heart valves” and “Perioperative management of patients with concomitant morbid obesity”: modified Delphi method

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Analysis of the guideline “Perioperative management of patients with coronary artery disease”, “Perioperative management of patients with concomitant pathology of the heart valves” and “Perioperative management of patients with concomitant morbid obesity”: modified Delphi method

Keywords

How to Cite

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Statistic

Language

block-menu

Announcements

2022/07/14 The result of the annual update.

2022/06/11 The journal has just been assigned the internal Scopus number.

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Abstract

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