Best evidence summary on preventing postoperative lung infections in geratic patients with hip fractures
10.3760/cma.j.cn115682-20201201-06482
- VernacularTitle:预防老年髋部骨折患者术后肺部感染的最佳证据总结
- Author:
Xiaofeng LI
1
;
Xiaoping ZHU
;
Xiaoli YU
;
Jinning WANG
;
Na XU
Author Information
1. 同济大学附属第十人民医院骨科，上海 200072
- Keywords:
Aged;
Hip fractures;
Lung infection;
Evidence-based;
Evidence summary
- From:
Chinese Journal of Modern Nursing
2021;27(25):3382-3389
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrieve the evidence for the prevention and control of lung infection risk factors after hip fracture surgery in geratic patients at home and abroad, so as to summarize the best evidence.Methods:Clinical decision-making, guidelines and evidence summary were systematically retrieved in UpToDate, British Medical Journal (BMJ) Best Practice, Guidelines International Network, National Guideline Clearinghouse, National Institute for Health and Care Excellence, British Orthopaedic Association, Australian and New Zealand Society for Geriatric Medicine, European Society of Trauma and Emergency Surgery, European Respiratory Society and Chinese Medical Association, and the search time limit was from the establishment of the database to September 30, 2020. The thematic evidence summary literature was supplementally searched in PubMed, Cochrane Library, China National Knowledge Infrastructure (CNKI) and other databases, and the search time limit was from January 1, 2018 to September 30, 2020.Results:Totals of 2 clinical decisions, 15 evidence-based guidelines, and 1 evidence summary were included. A total of 64 pieces of evidence were summarized from the aspects of perioperative multidisciplinary team construction, personnel training, risk factor screening and evaluation, and risk factor control.Conclusions:Prevention of lung infections after hip fractures in geratic patients requires multidisciplinary collaboration. It is of positive significance to transform the evidence included in this study into a clustered, multidisciplinary clinical implementation plan for the purpose of prevention and control.
