Summary of best evidence for prevention of hemodialysis catheter thrombosis
10.3760/cma.j.cn115682-20230906-00927
- VernacularTitle:血液透析导管血栓预防的最佳证据总结
- Author:
Yi ZHENG
1
;
Min XU
;
Rong HU
;
Xinrui HUANG
;
Chunmei ZHENG
;
Lanfang WANG
;
Longjuan RUAN
;
Yinya LOU
Author Information
1. 浙江中医药大学附属第一医院（浙江省中医院）ICU，杭州 310006
- Keywords:
Renal dialysis;
Catheter thrombosis;
Evidence summary;
Evidence-based nursing
- From:
Chinese Journal of Modern Nursing
2024;30(14):1891-1897
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrieve, evaluate, and integrate the best evidence for prevention of hemodialysis catheter thrombosis, so as to provide evidence-based basis for catheter thrombosis prevention in hemodialysis patients.Methods:Guidelines, clinical decisions, evidence summaries, systematic reviews, and expert consensus on the prevention of hemodialysis catheter thrombosis were systematically searched on Guidelines International Network, Scottish Intercollegiate Guidelines Network, Agency for Healthcare Research and Quality, Registered Nurses' Association of Ontario, National Institute for Health and Clinical Excellence, UpToDate, British Medical Journal (BMJ) Best Practice, Joanna Briggs Institute Evidence-Based Health Care Center Database, European Renal Association, National Kidney Foundation, UK Kidney Association, Canadian Society of Nephrology, Japanese Society for Dialysis Therapy, Medlive, Cochrane Library, PubMed, Embase, China National Knowledge Infrastructure, VIP, and Wanfang Data and Chinese Biomedical Database. The search period was from database establishment to March 31, 2023. Investigators conducted quality evaluations separately and extracted and summarized evidence based on the theme.Results:A total of 16 articles were included, including five clinical decisions, four guidelines, two evidence summaries, and five expert consensuses. Finally, 15 best pieces of evidence were formed, including four themes of indwelling dialysis catheters, anticoagulation strategies, flushing and sealing techniques, and daily management.Conclusions:Nursing staff should choose the best evidence for preventing thrombosis in hemodialysis catheters based on clinical situations, reduce the occurrence of catheter thrombosis, extend the usage time of catheters, and improve patient outcomes.
