Evidence-Based Clinical Practice Guideline for Fluid Therapy to Prevent Contrast-induced Nephropathy
10.22650/JKCNR.2017.23.1.83
- Author:
Kyung Hae LEE
1
;
Kyung Min SHIN
;
Hyeon Jeong LEE
;
So Young KIM
;
JungWon CHAE
;
Mi Ra KIM
;
Min Young HAN
;
Mi Sook AHN
;
Jin Kyung PARK
;
Mi Ae CHUNG
;
Sang Hui CHU
;
Jung Hwa HWANG
Author Information
1. RN, Division of Nursing, Yonsei University Health System, Seoul, Korea.
- Publication Type:Practice Guideline
- Keywords:
Contrast Media;
Acute Kidney Injury;
Evidence-Based Practice;
Fluid Therapy
- MeSH:
Acute Kidney Injury;
Bias (Epidemiology);
Contrast Media;
Evidence-Based Practice;
Fluid Therapy;
Humans;
Percutaneous Coronary Intervention
- From:
Journal of Korean Clinical Nursing Research
2017;23(1):83-90
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: This study was to develop evidence-based clinical practice guideline in order to prevent contrast-induced nephropathy (CIN) for patients undergoing percutaneous coronary intervention (PCI). METHODS: The guideline was developed based on the “Scottish Intercollegiate Guidelines Network (SIGN)”. The first draft of guideline was developed through 5 stages and evaluated by 10 experts.(1) Clinical questions were ensured in PICO format.(2) Two researchers conducted a systematic search through electronic database, identifying 170 studies. We selected 27 full text articles including 16 randomized clinical trials, 7 systematic reviews, and 4 guidelines. Quality of each studies were evaluated by the Cochran's Risk of Bias, AMSTAR, K-AGREEII. Among the studies, 11 studies were excluded.(3) The strength of recommendations were classified and quality of recommendations were ranked.(4) Guideline draft was finalized.(5) Content-validation was conducted by an expert group. All contents were ranked above 0.8 in CVI. RESULTS: Evidence-based clinical practice guideline to prevent CIN was dveloped.(1) The guideline for preventing CIN recommends using 0.9% saline.(2) Standardized rate of fluid therapy is 1 to 1.5ml/kg/hr.(3) Execute hydration for 6~12hrs before PCI and after PCI. CONCLUSION: This study suggests evidence-based clinical practice guideline for preventing CIN which can be more efficiently used in clinical practice.
