Summary of the best evidence for the prevention of perioperative delirium in elderly patients with fractures
10.3760/cma.j.cn115682-20200401-02372
- VernacularTitle:老年骨折患者围手术期谵妄预防的最佳证据总结
- Author:
Qingqing WU
1
;
Hongping YANG
;
Li NING
;
Li WANG
;
Mixia ZHANG
;
Mei WEI
;
Chengjuan ZHANG
;
Mengying YU
;
Aihua XU
;
Xiaodong CAI
Author Information
1. 浙江大学医学院附属杭州市第一人民医院骨科 310006
- Keywords:
Aged;
Fracture;
Delirium;
Nursing care;
Summary of evidence
- From:
Chinese Journal of Modern Nursing
2020;26(27):3712-3717
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrieve, evaluate and summarize the evidence of perioperative delirium prevention and care in elderly patients with fractures, and provide a basis for standardized prevention, care and management in clinical practice.Methods:The evidence was systematically retrieved from the Guidelines International Network, National Guidelines Library, Institute for Healthcare Optimization, UpToDate, BMJ Best Practice, Joanna Briggs Institute Center for Evidence Based Health Care, Cochrane Library, Yimaitong, CINAHL, Embase, BMJ, PubMed, CNKI , Wanfang, and China Biology Medicine disc (CBMdisc) , including guidelines, evidence summary, systematic reviews, best practice information, and randomized controlled trials (RCT) published up to December 1, 2019.Results:Finally, 15 articles were included, including 2 clinical decision-making, 5 guidelines, 5 systematic reviews, 2 summaries of evidence, and 1 RCT. The best evidence included 11 aspects such as delirium risk factor assessment, assessment tools, assessment timing, and qualifications of assessors, with a total of 25 pieces of evidence.Conclusions:Perioperative delirium in elderly patients with fractures has not yet gained the full attention from healthcare professionals. Medical institutions should establish standardized procedures for the evaluation, prevention, and care of elderly patients with fractures based on evidence-based evidence transformation, improve the health education system for medical staff and patients, formulate corresponding norms, improve the level of delirium care, and improve patients' outcomes.
