Summary of the Best Evidence for Perioperative Prevention of Deep Vein Thrombosis in Adult Patients With Hip Fracture

Abstract

Objective: The purpose of this study was to retrieve, evaluate, and summarize the evidence for the prevention of deep vein thrombosis (DVT) in adult hip fracture patients and to provide an evidence-based basis for clinical practice.

Methods: Based on the top-down principle of the “6S model” of evidence-based resources, we systematically searched the relevant databases and websites for the prevention and treatment of DVT in adult hip fracture patients at home and abroad. The types of literature included clinical decision-making, clinical guidelines, evidence summary, systematic review, and expert consensus. The search range is from January 2014 to January 2024. Two review authors graded the evidence according to the Joanna Briggs Institute Center for Evidence-Based Health Care Pre-Grading System (2014 Version) in Australia.

Results: A total of 12 articles were included, including 2 clinical decisions, 3 guidelines, 1 evidence summary, 1 systematic review, and 5 expert consensus. We summarized 4 categories with a total of 28 best pieces of evidence, covering DVT risk assessment, diagnosis and screening, nursing intervention, and health education.

Conclusion: This study comprehensively summarizes the best available evidence for the prevention of perioperative DVT in adult patients with hip fracture and provides evidence-based basis for clinical nurses. The application of the best evidence to scientifically manage and prevent perioperative DVT can improve patient satisfaction and perioperative nursing quality.