An evaluation study on the randomized controlled trial of preoperative skin preparation for emergency percutaneous coronary intervention based on GRADE system
10.3760/cma.j.issn.1674-2907.2018.33.002
- VernacularTitle:基于GRADE系统的急诊PCI患者术前皮肤准备随机对照试验的评价研究
- Author:
Peipei QIN
1
;
Xufei LUO
;
Yunxia HAO
;
Jie WU
;
Zhouzhou LIU
;
Yan ZHANG
;
Yanjuan ZHANG
;
Ran PANG
;
Rui ZHAO
;
Yan LIU
;
Dongyun ZHAO
;
Yu SUN
;
Qingyin LI
Author Information
1. 中国医学科学院阜外医院护理部
- Keywords:
Preoperative care;
Emergency percutaneous coronary intervention;
Skin preparation;
GRADE system;
Evidence evaluation
- From:
Chinese Journal of Modern Nursing
2018;24(33):3975-3979
- CountryChina
- Language:Chinese
-
Abstract:
Objective To systematically evaluate and analyze the evidence level of randomized controlled trials (RCT) of preoperative skin preparation for emergency percutaneous coronary intervention (PCI), and to understand the current research status and evidence level of preoperative skin preparation randomized controlled trials for emergency PCI, and provide reference for skin preparation for emergency PCI. Methods PubMed, EMbase, The Cochrane Library, CINAHL, JBI, CBM, CNKI, Wanfang DATA were searched by computer from inception to March, 2018 for emergency PCI preoperative skin preparation randomized controlled trials. Two evidence panel members searched and selected articles independently and the quality was assessed in accordance with Cochrane Manual. The articles were analyzed with Review Manager 5.3, and the evidence quality was assessed with GRADE profiler 3.6.1 software. Results A total of 5 RCTs were included, of which the number of RCTs with grade A quality was 1 and the number of RCTs with grade B was 4. The results of the Meta analysis showed that there was no significant difference in the incidence of skin infections at the postoperative puncture site by conventional methods for routine removal of surgical wild hair and no removal of hair prior to emergency PCI (P＜0.05). In addition, regular removal of hair before surgery may result in prolonged preoperative preparation and may cause psychological discomfort to the patient. After the GRADE system rating, the quality of the evidence body was of a lower level. Conclusions It is more beneficial to shorten the treatment time without routine removal of all the hair at the puncture site and the surrounding patients. The evidence included is not yet certain whether the incomplete removal of hair can reduce the infection rate. In the future, more large-scale, multi-center, high-quality research should be carried out to provide more credible evidence for this study.
