Presentation is loading. Please wait.

Presentation is loading. Please wait.

Aquiring the Evidence TEACH 2013 TRACK 1.  Therapy  Utility  Performance  Likelihood  Diagnosis  Utility  Performance  Likelihood  Prognosis.

Similar presentations


Presentation on theme: "Aquiring the Evidence TEACH 2013 TRACK 1.  Therapy  Utility  Performance  Likelihood  Diagnosis  Utility  Performance  Likelihood  Prognosis."— Presentation transcript:

1 Aquiring the Evidence TEACH 2013 TRACK 1

2  Therapy  Utility  Performance  Likelihood  Diagnosis  Utility  Performance  Likelihood  Prognosis  Utility  Performance  Likelihood  Harm  Utility  Performance  Likelihood LINKING QUESTIONS TO STUDY DESIGNS  RCT  COHORT  CROSS-SECTIONAL  CASE CONTROL

3  THERAPY  Utility  Performance  Likelihood  DIAGNOSIS  Utility  Performance  Likelihood  PROGNOSIS  Utility  Performance  Likelihood  HARM  Utility  Performance  Likelihood LINKING QUESTIONS TO STUDY DESIGNS  THERAPY  RCT  Cohort  DIAGNOSIS  RCT  Cross-Sectional  Observational  PROGNOSIS  RCT  Cohort  Cohort/Single Arm  HARM  Cohort, Case-Control  Cohort  Cohort/Single Arm

4 LINKING STUDY DESIGNS TO SOURCES

5 EBM SEARCH ENGINES

6  QUESTION 1  Therapy/Utility  P: Elderly patients with acute, stable AF, but no structural heart disease presenting to the ED < 48 hours of onset  I: Rapid acting pharmacological agents safely titrated to effect  C: Alternative regimens safely titrated to effect  O: Likelihood of rate control or cardioversion, hospital admission, complications of uncontrolled AF, adverse reactions to drugs BACK TO THE CASE Practice Guidelines, Systematic Review, RCT, Non-randomized studies

7  QUESTION 2  Prognosis/Likelihood  P: Elderly patients with acute, stable AF, but no structural heart disease presenting to the ED < 48 hours of onset  I: Observation over a 30-day period  C: N/A  O: Stroke, decompensated heart failure, MI, death BACK TO THE CASE Practice Guidelines, Systematic Review, Cohort, Control Arm of an RCT

8  QUESTION 3  Harm/Likelihood  P: Elderly patients with acute, stable AF, but no structural heart disease presenting to the ED < 48 hours of onset  I: Cardioversion in ED with discharge and early follow-up  C: N/A  O: Short-term complications of cardioversion, embolic events, admission, other complications of AF BACK TO THE CASE Practice Guidelines, Systematic Review, Cohort, Single-Arm Study

9  SUMMARY: NGC, GIN Dynamed  SYNTHESIS: DARE QUESTION 1

10  SYNTHESIS: Pubmed  SINGLE STUDY: Pubmed QUESTION 2

11 QUESTION 3  SUMMARY: NGC  SINGLE STUDY: Pubmed


Download ppt "Aquiring the Evidence TEACH 2013 TRACK 1.  Therapy  Utility  Performance  Likelihood  Diagnosis  Utility  Performance  Likelihood  Prognosis."

Similar presentations


Ads by Google