目的 基于循证证据构建老年髋部骨折术后肺部感染的风险预控方案，为临床实践提供参考。 方法 2021年3月—2022年3月，基于团队前期纳入的证据及临床现况形成老年髋部骨折术后肺部感染风险预控方案草案。采用专家会议法，对初步形成的方案草案进行修订、完善，最终确定老年髋部骨折术后肺部感染风险预控方案实践方案。 结果 将前期研究总结的105条证据形成31条审查指标，构建老年髋部骨折术后肺部感染风险预控方案，方案包括围手术期风险因素评估项目11条和围手术期风险预控措施35条。 结论 老年髋部骨折术后肺部感染风险预控方案具有科学性和可行性，可为优化临床实践、降低术后肺部感染发生率、促进患者康复提供一定的依据。 Objective To build a risk pre-control scheme for postoperative pulmonary infection in elderly patients with hip fracture based on the evidence-based evidence, so as to provide reference for clinical practice. Methods From March 2021 to March 2022, a draft pre-control plan for postoperative pulmonary infection risk in elderly patients with hip fracture was developed based on previously included evidence and clinical conditions. Using the expert meeting method, the preliminary draft plan was revised and improved, and the practical plan for pre-controlling the risk of postoperative pulmonary infection in elderly patients with hip fractures was ultimately determined. Results The 105 pieces of evidence summarized in the previous study formed 31 review indicators, and the risk pre-control plan of pulmonary infection after hip fracture in the elderly was constructed, which included 11 perioperative risk factor assessment items and 35 perioperative risk pre-control measures. Conclusions The risk pre-control scheme of postoperative pulmonary infection in elderly patients with hip fracture is scientific and feasible, which can provide a certain basis for optimizing clinical practice, reducing the incidence of postoperative pulmonary infection and promoting patient recovery.
Abstract
Objective To build a risk pre-control scheme for postoperative pulmonary infection in elderly patients with hip fracture based on the evidence-based evidence, so as to provide reference for clinical practice. Methods From March 2021 to March 2022, a draft pre-control plan for postoperative pulmonary infection risk in elderly patients with hip fracture was developed based on previously included evidence and clinical conditions. Using the expert meeting method, the preliminary draft plan was revised and improved, and the practical plan for pre-controlling the risk of postoperative pulmonary infection in elderly patients with hip fractures was ultimately determined. Results The 105 pieces of evidence summarized in the previous study formed 31 review indicators, and the risk pre-control plan of pulmonary infection after hip fracture in the elderly was constructed, which included 11 perioperative risk factor assessment items and 35 perioperative risk pre-control measures. Conclusions The risk pre-control scheme of postoperative pulmonary infection in elderly patients with hip fracture is scientific and feasible, which can provide a certain basis for optimizing clinical practice, reducing the incidence of postoperative pulmonary infection and promoting patient recovery.
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