{"id":16,"date":"2021-11-02T08:17:33","date_gmt":"2021-11-02T08:17:33","guid":{"rendered":"https:\/\/soledaddemo.pencidesign.net\/soledad-modern-news-magazine\/?page_id=16"},"modified":"2024-07-25T11:29:44","modified_gmt":"2024-07-25T08:29:44","slug":"pico_oner","status":"publish","type":"page","link":"https:\/\/tatd.org.tr\/arastirma\/pico_oner\/","title":{"rendered":"PICO \u00d6ner"},"content":{"rendered":"\t\t
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L\u00dcTFEN OKUYUN!<\/b><\/p>

\u00a0<\/p>

De\u011ferli Acil T\u0131p Doktorlar\u0131,
AKOM olarak siz sahada \u00e7al\u0131\u015fan hekimlerimizin yan\u0131tlanmas\u0131n\u0131 istedikleri klinik sorular\u0131n\u0131z\u0131 kan\u0131ta dayal\u0131 olarak yan\u0131tlamay\u0131 ve web sitemizin “Kan\u0131ta Dayal\u0131 Cevaplar” (KDC) b\u00f6l\u00fcm\u00fcnde yay\u0131nlamay\u0131 ama\u00e7lamaktay\u0131z.<\/div>
\u00d6zellikle k\u0131lavuzlarda ve\/veya literat\u00fcrde kar\u015f\u0131l\u0131\u011f\u0131 olmayan ya da o konuda \u00e7eli\u015fkili \u00f6neriler olan, veya k\u0131lavuz \u00f6nerisinin T\u00fcrkiye \u00f6zelinde uygulanamaz oldu\u011funu d\u00fc\u015f\u00fcnd\u00fc\u011f\u00fcn\u00fcz klinik sorular\u0131n\u0131z\u0131 l\u00fctfen bize iletin. Sizlerden gelen klinik sorular\u0131 de\u011ferlendirerek cevaplamaya uygun oldu\u011funa karar verilenleri kan\u0131ta dayal\u0131 olarak cevaplayaca\u011f\u0131z. Sizden ricam\u0131z klinik sorular\u0131 m\u00fcmk\u00fcnse PICO\u00a0<\/b>format\u0131na uygun olarak g\u00f6ndermeniz.\u00a0<\/div>
\u00a0<\/div>
A\u015fa\u011f\u0131da bir klinik soru ve bu sorunun PICO format\u0131na g\u00f6re nas\u0131l yap\u0131land\u0131r\u0131ld\u0131\u011f\u0131n\u0131n \u00f6rne\u011fini bulacaks\u0131n\u0131z:<\/b><\/i><\/div>
\u00a0<\/div>
\u00d6rnek klinik soru:<\/b><\/div>
-Acil t\u0131p doktoru olarak \u00e7oklu travmas\u0131 olan hastalarda tomografi isterken acaba son zamanlarda yayg\u0131nla\u015fan bir protokol olan\u00a0Pan-CT<\/b>\u00a0(T\u00fcm v\u00fccut BT<\/span>: ba\u015f, boyun, toraks, bat\u0131n ve pelvis BT) mi istemeli yoksa ATLS k\u0131lavuzunda \u00f6nerildi\u011fi \u015fekilde \u00f6nce fizik muayene, grafi, USG ve sonra se\u00e7ili b\u00f6lgenin (\u00f6rne\u011fin sadece bat\u0131n BT) tomografisi mi istenmeli (Se\u00e7ici\u00a0BT<\/span>) diye merak ediyorsunuz. Acaba Pan-CT yakla\u015f\u0131m\u0131, mortalite oranlar\u0131n\u0131 azalt\u0131yor mu? Literat\u00fcrdeki kan\u0131tlar bize ne diyor?<\/div><\/div>
\u00a0<\/div>
Bu soruyu PICO format\u0131na uygun hale getirip do\u011fru bir ara\u015ft\u0131rma sorusuna \u00e7evirecek olursak:<\/b><\/div>
\u00a0<\/div>
P<\/b>\u00a0(Patient, population, problem): Acil servise gelen \u00e7oklu travma hastalar\u0131nda<\/div>
I<\/b>\u00a0(Intervention-m\u00fcdahale): Pan-CT yakla\u015f\u0131m\u0131n\u0131n<\/div>
C<\/b> (Comparison-kar\u015f\u0131la\u015ft\u0131rma): Geleneksel ATLS \u00f6nerisi olan se\u00e7ici BT yakla\u015f\u0131m\u0131na k\u0131yasla<\/div>
O<\/b>\u00a0(Outcome-Sonlan\u0131m): Mortalite s\u0131kl\u0131klar\u0131 a\u00e7\u0131s\u0131ndan fark var m\u0131d\u0131r?<\/div>
\u00a0<\/div>
Ara\u015ft\u0131rma sorusunun bize g\u00f6ndermemizi istedi\u011fimiz son hali:\u00a0<\/b><\/div>
“Acil servise gelen \u00e7oklu travma hastalar\u0131nda Pan-CT yakla\u015f\u0131m\u0131 ile geleneksel ATLS \u00f6nerisi olan se\u00e7ici BT yakla\u015f\u0131m\u0131n\u0131n mortalite s\u0131kl\u0131klar\u0131 a\u00e7\u0131s\u0131ndan bir fark var m\u0131d\u0131r?”<\/div>
\u00a0<\/div><\/div>
NOT<\/strong>: PICO format\u0131na d\u00f6n\u00fc\u015ft\u00fcremedi\u011finiz ya da bu formata uygun olmayan sorular\u0131n\u0131z\u0131 serbest metin \u015feklinde de iletebilirsiniz.<\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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    Ad\u0131n\u0131z ve Soyad\u0131n\u0131z\n<\/p>\n

    <\/span>\n<\/p>\n

    E-posta adresiniz\n<\/p>\n

    Klinik Soru Konusu\n<\/p>\n