Systematic review of risk prediction models for intradialytic hypotension in patients with maintenance hemodialysis
10.3761/j.issn.0254-1769.2024.02.007
- VernacularTitle:维持性血液透析患者透析中低血压风险预测模型的系统评价
- Author:
Dongge ZHU
1
;
Juzi WANG
;
Qian ZHAO
;
Yapeng HE
;
Zhuanzhuan ZHANG
;
Yutong YANG
Author Information
1. 030001 太原市 山西医科大学护理学院
- Keywords:
Hypotension;
Hemodialysis;
Forecasting Model;
Systematic Review;
Evidence-Based Nursing
- From:
Chinese Journal of Nursing
2024;59(2):174-183
- CountryChina
- Language:Chinese
-
Abstract:
Objective To systematically review the risk prediction models for intradialytic hypotension in maintenance hemodialysis patients,with a view to provide references for clinical practice.Methods PubMed,Embase,Web of Science,Cochrane Library,CINAHL,CNKI,VIP,Wanfang and CBM were searched from inception to May 29,2023.2 reviewers independently screened the literature,extracted information and assessed methodological quality using the Prediction Model Risk of Bias Assessment Tool.Results A total of 20 studies and 25 models were included with the sample size of 68～9 292 cases and the incidence of outcome events of 2.1～51％.Baseline systolic blood pressure,age,ultrafiltration rate,diabetes and dialysis duration were the top 5 predictors of repeated reporting of the models.20 models reported the area under the curve of ranging from 0.649 to 0.969,and 5 models reported calibration metrics.There were 9 internal validations and 4 combined internal and external validation models.The overall applicability of the 20 studies was good,but all had a high risk of bias,mainly in data analysis.Conclusion Research on risk prediction models for intradialytic hypotension in maintenance hemodialysis patients is still in the developmental stage.Future studies should improve the research design and reporting process,and validation studies of existing models should be carried out to further evaluate the effectiveness and feasibility in clinical practice.
