Special Topics：Evidence Summary and Knowledge Translation
Evidence summary for DVT prophylaxis in critically ill hospitalized patients in internal medicine department
Zhang Yu, Zhang Chunyan, Wang Shuqin, Dong Liang, Wan Na, Jia Yanrui, Gao Fengli
Published 2019-12-26
Cite as Chin J Mod Nurs, 2019, 25(36): 4698-4703. DOI: 10.3760/cma.j.issn.1674-2907.2019.36.004
Abstract
ObjectiveTo summarize the best evidence for the prevention of deep venous thrombosis (DVT) in critically ill patients, and to provide a reference for medical institutions and medical staff, so as to reduce the incidence of DVT in critically ill patients.
MethodsThe PICO problem was raised for the prevention of DVT in critically ill patients during hospitalization. All evidence concerning the prevention of deep venous thrombosis in critically ill patients were retrieved from PubMed, Cochran Library, BMJ Best Practice, UpToDate, Ovid, Web of Science, Joanna Briggs Institute Evidence-based Health Care Center Database, National Guideline Clearinghouse (NGC) , National Institute for Health and Care Excellence (NICE) , Scottish Intercollegiate Guidelines Network (SIGN) , Guidelines International Network (GIN) , Registered Nurses' Association of Ontario (RNAO) and China Biology Medicine disc (CBMdisc) by computer, which included guidelines, systematic evaluation, evidence summary and original data intimately related to evidence. The literature quality was evaluated and the recommendation level of evidence was determined according to the JBI evidence recommendation level system (2014 edition) .
ResultsA total of 15 references were included through electronic database retrieval, including 6 guidelines, 5 evidence summaries and 4 systematic evaluations. According to the judgment of comprehensive professionals, totally 21 evidence selected, including the risk assessment of deep venous thrombosis, drug prevention, mechanical prevention, combined prevention and educational management.
ConclusionsThis study summarizes the best evidence for the prevention of DVT in critically ill patients, and helps nurses with ICU decision-making, through the application of best evidence, to promote the prevention of deep venous thrombosis in critical internal medicine patients, improve the outcome of patients and elevate the quality of nursing care.
Key words:
Intensive care; Deep venous thrombosis; Critical ill patients; Evidence-based nursing; Evidence summary
Contributor Information
Zhang Yu
Department of Respiratory and Critical Care Medicine, Beijing Chaoyang Hospital, Capital Medical University, Beijing 524000, China
Zhang Chunyan
Department of Respiratory and Critical Care Medicine, Beijing Chaoyang Hospital, Capital Medical University, Beijing 524000, China
Wang Shuqin
Department of Respiratory and Critical Care Medicine, Beijing Chaoyang Hospital, Capital Medical University, Beijing 524000, China
Dong Liang
Department of Respiratory and Critical Care Medicine, Beijing Chaoyang Hospital, Capital Medical University, Beijing 524000, China
Wan Na
Department of Respiratory and Critical Care Medicine, Beijing Chaoyang Hospital, Capital Medical University, Beijing 524000, China
Jia Yanrui
Department of Respiratory and Critical Care Medicine, Beijing Chaoyang Hospital, Capital Medical University, Beijing 524000, China
Gao Fengli
Nursing Department, Beijing Chaoyang Hospital, Capital Medical University, Beijing 524000, China
