Abstract:

Objective To retrieve，evaluate and synthesize the best evidence on monitoring and management for hypothermia in patients with continuous renal replacement therapy，and to provide reference for clinical evidence-based practice. Methods We searched UpToDate，BMJ Best Practice，National Institute for Health and Clinical Excellence，Guidelines International Network，Registered Nurses Association of Ontario，Scottish Intercollegiate Guidelines Network，Yimaitong guide network，Cochrane Library，PubMed，Embase，Web of Science，CINAHL，CNKI，Wanfang for guidelines，expert consensus，expert recommendations，systematic reviews，clinical decisions，best practices，and original studies on monitoring and management for hypothermia in patients with continuous renal replacement therapy. The search limit was from the time of database establishment to June 2，2024. Two researchers independently assessed methodological quality of included papers and extracted data. Results A total of 15 articles were included，including one clinical decision，two guidelines，two expert consensuses，one expert recommendation，three systematic reviews，three randomized controlled trials，two case-controlled studies，one cohort study. Finally，18 pieces of best evidence were summarized from 5 aspects，namely the team composition，risk factor identification，monitoring frequency，monitoring location，prevention and management. Conclusion The best evidence on monitoring and management for hypothermia in patients with continuous renal replacement therapy summarized in this study is scientific and comprehensive，and provides evidence-based basis for medical staff in standardized management for hypothermia in patients with continuous renal replacement therapy.

Key words: Continuous Renal Replacement Therapy, Hypothermia, Evidence Summary, Evidence-Based Nursing