成人急性肾损伤患者连续性肾脏替代治疗管理的最佳证据总结

doi:10.3761/j.issn.2096-7446.2024.02.016

Abstract

Abstract: Objective To evaluate and summarize the best evidence for the management of continuous renal replacement therapy in patients with acute kidney injury and to provide evidence for clinical practice. Methods We searched the National Institute for Health and Clinical Excellence website,National Guidelines Network,American Society of Nephrology,Chinese Society of Nephrology,Cochrane Library,Joanna Briggs Institute Evidence-Based Health Care Database,Up To Date,BMJ Best Practice,PubMed,Wanfang,VIP,CNKI,and other professional societies websites and databases for relevant literature on continuous renal replacement therapy in adults with acute kidney injury. The retrieval period was from the establishment of the database to February 2023. Results A total of 15 articles were included,including 2 guidelines,5 expert consensus articles,3 systematic reviews and Meta-analyses,1 evidence summary,and 4 clinical decisions,forming 29 best evidence articles in 5 aspects：patient assessment,indications and timing,continuous renal replacement therapy program,process monitoring and complication prevention,and nutritional support. Conclusion The best evidence for continuous renal replacement therapy in adults with acute kidney injury was summarized in this study,which can provide a reference for clinical practice. The evidence should be combined with patient status and our current medical resources to develop individualized treatment plans to improve clinical outcomes for patients.

Key words: Acute Kidney Injury, Continuous Renal Replacement Therapy, Evidence Summaries, Evidence-Based Nursing

LIU Jialong, GUO Wenchao, TENG Jiao, QIN Hanzhi, JIN Kui, ZHANG Zhenwei, JIANG Yan. Summary of best evidence for the management of continuous renal replacement therapy in adults with acute kidney injury[J]. Chinese Journal of Emergency and Critical Care Nursing, 2024, 5(2): 172-180.

References

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Summary of best evidence for the management of continuous renal replacement therapy in adults with acute kidney injury

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