髋关节置换术后成人患者血栓预防和管理的证据总结

目的 总结髋关节置换术后成人患者血栓预防和管理的最佳证据,为临床护理提供依据.方法 计算机检索国外BMJ最佳临床实践、国际指南协作网(GIN)、美国国立指南文库(NGC)、加拿大安大略注册护士协会(RNAO)等和国内中国生物医学文献服务系统、中国知网、万方数据和维普网等共计21个数据库和相关网站自建库至2020年4月关...

Evidence summary on venous thromboembolism prevention and management for adult patients after hip replacement

Objective To summarize the best evidence on venous thromboembolism prevention and management for adult patients after hip replacement,and provide a basis for clinical care.Methods We searched a total of 21 databases and related websites,either from oversea sources including BMJ Best Practice,Guidelines International Network(GIN),National Guideline Clearinghouse(NGC),Registered Nurses′Association of Ontario(RNAO),etc.,or from domestic sources including Chinese Biomedical Literature Database(CBM),CNKI,Wanfang Data,,VIP etc.,to collect relevant guidelines,clinical decision reports,practice recommendation reports,evidence summary reports,systematic reviews and expert consensus reports on venous thromboembolism prevention and management for adult patients after hip replacement.All above electronic databases were searched from inception to April 2020.Then we collected publications that met the inclusion criteria,and conducted literature quality evaluation and evidence extraction.Results A total of 11 publications(3 guidelines,1 clinical decision report,1 evidence summary report,and 6 systematic reviews)were included.Finally 30 pieces of evidence were extracted and integrated into 6 dimensions,including risk assessment,choice of prevention methods,mechanical prevention,pharmacological prevention,postoperative management,health education.Conclusion The evidence summary on venous thromboembolism prevention and management for adult patients after hip replacement covers the entire process from assessment to postoperative management,which is highly targeted and can be used as a reference and guide for clinical care.