Summary of evidences perioperative in fluid management of elderly patients with hip fracture
10.3969/j.issn.1671-8283.2024.05.009
- VernacularTitle:老年髋部骨折患者围术期容量管理的最佳证据总结
- Author:
Shuhan LI
1
;
Zhiqian WANG
;
Weining LI
;
Caizhen CHEN
;
Chunxia ZHOU
;
Li ZHENG
;
Xiuting LIU
;
Xiuguo ZHANG
Author Information
1. 河北医科大学,河北石家庄,050030
- Keywords:
hip fracture;
fluid management;
elderly patient;
perioperative;
summary of evidence
- From:
Modern Clinical Nursing
2024;23(5):57-64
- CountryChina
- Language:Chinese
-
Abstract:
Objective To retrieve,analyse and integrate the best evidences in perioperative fluid management for elderly patients with hip fracture,therefore to provide references for patient care.Methods Following the 6S evidence model,databases and websites were searched to collect the evidences on perioperative fluid management of elderly patients with hip fracture.The searched databases including BMJ Best Practice,UpToDate,AAOS Clinical Practice Guidelines,ASBMR,ANZHFR,ESTES,NICE,SIGN,JBI,Cochrane Library,CINAHL,Embase,PubMed,Web of Science,CNKI,Wanfang Data,VIP database,CEBM Database,Medive,China Science and Technology Journal Database,SinoMed,and other websites about orthopaedics.The searched literatures included guidelines,clinical decision-making,best practices,expert consensus and systematic reviews.The time span for the published literatures was from the inception of the databases and websites to August 2022.Two researchers independently completed quality evaluations of the retrieved literatures,as well as extraction,assessment and integration of the abstracted evidences.Results A total of 15 articles were included,they were 2 guidelines,3 clinical decision-makings,1 best practice,7 expert consensus,and 2 systematic reviews.Thirty pieces of evidence were summarised from 7 aspects,covering multidisciplinary team collaboration,dynamic assessment and monitoring of fluid status,fluid resuscitation,fluid management before and after the surgery and health education.Conclusions This study summarised the best evidences in perioperative fluid management for elderly patients with hip fracture.The evidences provide an evidence-based solution which will enable the healthcare workers to fully combine the clinical scenarios,evaluate changes in fluid volume status dynamically,develope personalised fluid management strategies and improve patient outcomes.
