An umbrella review of clinical practice guidelines for the management of patients with hip fractures and a synthesis of recommendations for the pre-operative period

Journal of Advanced Nursing
Sarah FiliatreaultRichelle Witherspoon

Abstract

The aim of this review was to locate, retrieve and critically appraise practice guidelines for the management of hip fractures. Given increasing evidence that the early recognition and management of these fractures is integral to achieving optimal outcomes, recommendations for the pre-operative period were synthesized and compared. Hip fractures are associated with high rates of adverse outcomes and high healthcare costs which has resulted in the development of multiple practice guidelines to inform clinical decision-making. An umbrella review of practice guidelines was conducted which included a critical appraisal using the Appraisal of Guidelines, Research and Evaluation-II instrument and a synthesis of pre-operative management recommendations. Multi-phased search for practice guidelines published in English using three bibliographic databases; three guideline network websites and three healthcare safety and quality organization websites with no date limit applied. Search was supplemented by contacting front-line knowledge users and content experts. Steps for evidence-informed practice were followed: form question then search for, appraise and synthesize the evidence. Five practice guidelines were appraised revealing signific...Continue Reading

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Nov 21, 2020·American Journal of Physical Medicine & Rehabilitation·Marcel P DijkersScott R Millis
May 22, 2020·Archives of Physical Medicine and Rehabilitation·Marcel P DijkersLilian Hoffecker

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