Best evidence summary of mechanical prevention of venous thrombosis in adult patients undergoing abdominal and pelvic surgery
10.3760/cma.j.cn115682-20200620-03989
- VernacularTitle:成年人腹盆腔手术患者机械预防静脉血栓的最佳证据总结
- Author:
Meng ZHANG
1
;
Longmei SI
;
Fei LIU
;
Peiying ZHANG
;
Yingxin WANG
;
Yanbo HUANG
;
Yanming DING
Author Information
1. 北京大学第一医院泌尿外科 100034
- Keywords:
Adult;
Venous thromboembolism;
Evidence-based nursing;
Surgery;
Mechanical prevention
- From:
Chinese Journal of Modern Nursing
2021;27(4):425-431
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrieve, evaluate and summarize the relevant evidence of mechanical prevention of venous thromboembolism (VTE) in adult patients undergoing abdominal and pelvic surgery, so as to provide a scientific basis for clinical practice.Methods:We systematically retrieved and screened the guide network and database for evidence on mechanical prevention of VTE in adult patients undergoing abdominal and pelvic surgery, including guidelines, evidence summary, clinical decision-making, systematic review, and expert consensus. The search time limit was to build the database until January 19, 2020. Two researchers who had undergone evidence-based training selected appropriate evaluation tools according to different types of literature to evaluate the quality of the literature, and to extract, translate and integrate recommendations.Results:A total of 24 articles were included, including 7 guidelines, 2 evidence summaries, 1 recommended practice, 12 systematic reviews, and 2 expert consensus. The evidence was summarized from 6 aspects, namely admission assessment, contraindications, applicable population, starting time, duration and patient education, and a total of 10 recommendations were formed.Conclusions:This study summarizes the best evidence for mechanical prevention of VTE in adult patients undergoing abdominal and pelvic surgery, and provides evidence-based evidence for standardizing clinical mechanical prevention.
