Summary of best evidence for perioperative nutrition management in cardiac surgery patients
10.3760/cma.j.cn115682-20240806-04389
- VernacularTitle:心脏外科患者围手术期营养管理的最佳证据总结
- Author:
Ting PAN
1
;
Shan LU
1
;
Yunyan SU
1
;
Xiaoli XIE
1
;
Xiyu ZHU
1
Author Information
1. 南京大学医学院附属鼓楼医院心脏外科，南京 210008
- Publication Type:Journal Article
- Keywords:
Surgery;
Cardiac surgery;
Perioperative;
Nutrition management;
Evidence-based nursing;
Evidence summary
- From:
Chinese Journal of Modern Nursing
2025;31(13):1721-1730
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To search for and screen evidence related to perioperative nutrition management in cardiac surgery patients and summarize the best available evidence.Methods:Computerized searches were conducted in BMJ Best Practice, UpToDate, Guidelines International Network, National Institute for Health and Care Excellence website, National Guideline Clearinghouse, Scottish Intercollegiate Guideline Network, Registered Nurses' Association of Ontario, Canadian Medical Association Clinical Practice Guidelines Library, Medlive, Joanna Briggs Institute (JBI) Evidence-Based Health Care Centre Database, Cochrane Library, American College of Physicians Journal Club, PubMed, Web of Science, Embase, China National Knowledge Infrastructure, China Biology Medicine disc, Wanfang Data, VIP and other database and professional association websites for literature related to perioperative nutrition management in cardiac surgery patients. The search time limit is from the establishment of the database to April 30, 2024. Two researchers independently screened the literature based on quality standards, performed quality assessments, and extracted and synthesized the evidence.Results:A total of 17 articles were included, including four clinical decisions, five guidelines, five expert consensuses, two systematic reviews, and one randomized controlled trial. The final best evidence was summarized into 35 key recommendations across eight areas: multidisciplinary team formation, nutritional assessment and monitoring, dietary management, caloric requirements, nutrient intake, preoperative nutritional support therapy, postoperative nutritional support therapy, and health education.Conclusions:The best evidence summarized in this study for perioperative nutrition management in cardiac surgery patients is scientifically rigorous and comprehensive. It provides evidence-based support and decision-making guidance for clinical healthcare providers in managing perioperative nutrition for cardiac surgery patients.
