Summary of best evidence for frailty management strategies in elderly patients with hip fractures
10.3760/cma.j.cn115682-20240307-01172
- VernacularTitle:老年髋部骨折患者衰弱管理策略的最佳证据总结
- Author:
Yuting HUANG
1
;
Fei LIU
;
Ling XU
;
Sining ZENG
;
Keyu LING
;
Zining GUO
;
Xiaoping ZHU
Author Information
1. 同济大学医学院，上海 200092
- Publication Type:Journal Article
- Keywords:
Aged;
Hip fractures;
Frailty management;
Evidence summary;
Evidence-based nursing
- From:
Chinese Journal of Modern Nursing
2024;30(36):4922-4930
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To extract and summarize the best available evidence on frailty management for elderly patients with hip fractures, providing a reference for developing clinically applicable management protocols.Methods:Following the "6S" evidence model, a systematic search was conducted across national and international databases and guideline websites for evidence on frailty management in elderly hip fracture patients, including guidelines, evidence summaries, systematic reviews, best practices, and expert consensus, with a search period from June 2018 to December 2023. Two researchers independently evaluated the quality of the literature, selecting studies that met inclusion criteria and extracting relevant evidence.Results:A total of 2 589 articles were identified, with 20 articles included: seven guidelines, two best practice standards, one evidence summary, seven expert consensus documents, and three systematic reviews. The best evidence was summarized across six domains: frailty screening, multidisciplinary collaboration, pain management, nutritional management, functional exercise, and discharge guidance, yielding 45 recommendations.Conclusions:The best evidence for frailty management in elderly patients with hip fractures summarized in this study offers valuable insights and scientific guidance for clinical healthcare providers. When applying this evidence, it is recommended to first adapt it to local contexts, considering factors such as institutional environment, healthcare policies, and patient preferences, before conducting implementation research on evidence translation.
