Summary of the best evidence for frailty management of elderly spinal surgery patients
10.3760/cma.j.cn115682-20230217-00565
- VernacularTitle:老年脊柱手术患者衰弱管理的最佳证据总结
- Author:
Rongrong CHENG
1
;
Rui LI
Author Information
1. 江南大学无锡医学院，无锡 214122
- Keywords:
Elderly;
Perioperative period;
Frailty;
Evidence-based nursing;
Summary of evidence
- From:
Chinese Journal of Modern Nursing
2023;29(32):4437-4443
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To search, evaluate and summarize the best evidence of perioperative frailty management in elderly patients undergoing spinal surgery.Methods:The computer was used to search clinical decisions, best clinical practices, guidelines, systematic evaluations and expert consensus on perioperative frailty management for elderly spine surgery patients publicly collected by UpToDate, BMJ, the Joanna Briggs Institute Centre for Evidence-based Health Care database in Australia, Registered Nurses' Association of Ontario, Scottish Intercollegiate Guidelines Network, National Institute for Health and Clinical Excellence, Cochrane Library, Embase, PubMed, Medlive, CNKI and MedSci. The search period was from the establishment of the databases to May 31, 2022. Two researchers independently screened the literature, evaluated the quality of the included literature, and combined professional judgment to extract and summarize the best evidence.Results:A total of 12 articles were included, including 2 clinical decision-making articles, 4 guidelines, 2 systematic evaluations and 4 expert consensus articles. Finally, 52 pieces of evidence were summarized to form a total of 18 aspects of preoperative frailty management (frailty screening, muscle strength screening, pain assessment, cognitive screening, nutritional screening, preoperative frailty care, pre rehabilitation, nutritional care, exercise care, medication care, and psychological care) and postoperative frailty management (pain management, exercise intervention, nutritional care, medication management, psychological care, discharge management and health education) .Conclusions:This study summarizes the best evidence for perioperative frailty management in elderly spine surgery patients, providing a basis and support for medical staff to carry out comprehensive and systematic frailty management. In the future, it is necessary to translate the evidence into clinical practice in order to improve the quality of perioperative frailty management in elderly patients.
