Evidence Summary of the nursing of spinal fixation in emergency adult patients with traumatic spinal cord injury
10.3760/cma.j.cn211501-20220523-01606
- VernacularTitle:急诊成人创伤性脊柱脊髓损伤患者脊柱固定护理的最佳证据总结
- Author:
Sa WANG
1
;
Danping YAN
;
Yukun ZHANG
;
Lina CHEN
;
Haotian CHEN
;
Jiaping YU
;
Yuwei WANG
Author Information
1. 浙江大学医学院附属第二医院急诊医学科，杭州 310009
- Keywords:
Trauma;
Spinal cord injuries;
Spinal fixation;
Evidence-based nrsing
- From:
Chinese Journal of Practical Nursing
2023;39(3):208-214
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the relevant evidence for the management of fixation in traumatic spinal cord injury patients, which provides a reference for the clinical care and care of patients.Methods:A systematic search was conducted for evidence related to spinal injuries from domestic and foreign databases, relevant guideline websites, etc. The types of literature were best practice, expert consensus, systematic review, evidence summary, clinical decision-making, etc. The search time was from the establishment of databases to January 31, 2022. Three researchers used the Multidimensional Systematic Review Tool to evaluate systematic review literature. Five researchers used the guideline research and evaluation tool AGREE Ⅱ to evaluate clinical practice guidelines, and used the Australian JBI Evidence-Based Health Care Center (2016) to evaluate expert consensus and expert opinion with the authenticity evaluation tool for expert opinions and professional consensus articles. And extracted and summarized evidence according to the subject.Results:Finally, 10 articles were included, including 4 clinical decision-making, 4 guidelines and 2 systematic evaluations. The 30 pieces of evidence include the assessment, prevention, cervical spinal fixation, and management after traumatic spinal cord injury.Conclusions:The evidence emphasizes the importance of standardized assessment of cervical risk factors in all emergency adult patients with traumatic spinal cord injury. In the emergency department, we need to improve the ability of spinal evaluation and fixation in patients with penetrating neck injury, optimize the timeliness process of emergency trauma, reduce the occurrence of potential complications, and improve patient outcomes.
