Summary of the Best Evidence for Mechanical Prophylaxis of Venous Thromboembolism In Adult Hospitalized Patients
Boya Li#1, Xiaogui Tang1#, Feng Fu1, Lingyun Tian3, Hongying Tang4, Yue Zhao1*, Yinglan Li1,2*
1School of Nursing, Xinjiang Medical University, Urumqi, Xinjiang, China
2Department of Nursing,Xiangya Hospital, Central South University, Changsha, Hunan,China
3Department of Nursing,The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China
4Head nurse, Reproductive Medicine Center, Xiangya Hospital, Central South University
Objectives: To obtain domestic and international evidence on mechanical prophylaxis of venous thromboembolism in adult inpatients and to summarize the best evidence.
Methods: By the "6S" pyramid model, domestic and international guidelines and databases were systematically searched, with a time frame from the establishment of the database to January 31, 2023, and evidence with a more recent time frame was preferred. Two researchers (Master) with evidence-based training independently searched, screened, and evaluated the evidence, and a third (Doctor) reviewed, extracted, and graded the evidence for the included literature.
Results: A total of 3590 documents were obtained from the Chinese and English databases retrieved, and after screening and evaluation, 22 documents were finally included, which were summarized to form 7 key elements and 28 pieces of best evidence.
Conclusions: This study summarizes the evidence related to mechanical prophylaxis of venous thromboembolism in hospitalized patients to provide an evidence-based basis for standardizing clinical mechanical prophylaxis, and healthcare professionals need to select the best evidence in a targeted manner by taking into account the characteristics of the hospital and the clinical environment.
venous thromboembolism; mechanical prophylaxis; hospitalized patients; evidence