Perioperative management of hyperglycemia in adult non-diabetic kidney transplant recipients:a summary of the best evidence
10.3969/j.issn.1671-8283.2024.12.009
- VernacularTitle:成人非糖尿病肾移植患者围手术期高血糖管理的最佳证据总结
- Author:
Zhengzheng MA
1
;
Lili WANG
;
Xiaoqing SHI
;
Lifen WU
;
Yan XIAO
;
Chunya QIAN
Author Information
1. 苏州大学附属第一医院泌尿外科,江苏 苏州,215031
- Publication Type:Journal Article
- Keywords:
kidney transplant;
perioperative period;
hyperglycemia;
hyperglycemia management;
evidence summary
- From:
Modern Clinical Nursing
2024;23(12):57-65
- CountryChina
- Language:Chinese
-
Abstract:
Objective To retrieve,evaluate and summarise the best evidence in management of perioperative hyperglycemia in adult non-diabetic kidney transplant recipients so as to provide a reference for clinical nursing practice.Methods According to the evidence resource pyramid"6S"model,the best clinical practices for perioperative glycemic management in adult non-diabetic kidney transplant patients were retrieved from sources including BMJ Best Practice,UpToDate,Joanna Briggs Institute Evidence-Based Practice Database,World Health Organization,the International Guideline Collaboration Network,the National Institute for Health and Clinical Excellence,the National Guidelines Clearinghouse,Yimaitong,MedSci,Canadian Registered Nurses Association,American Diabetes Association,Canadian Diabetes Association,International Diabetes Federation,Australian Diabetes Society,Chinese Diabetes Society,Chinese Urological Society,Chinese Organ Transplantation Society,Cochrane Library,CINAHL,Web of Science,PubMed,Embase,China National Knowledge Infrastructure(CNKI),VIP,Wanfang Data,and SinoMed.The literature was independently screened and evaluated by two researchers trained in evidence-based methodology,and the evidence was extracted and summarised with expert advices.Results A total of 14 articles were included,comprising 2 clinical decisions,5 guidelines,2 evidence summaries,4 expert consensus and 1 systematic review.A total of 27 pieces of the best evidence were summarised and integrated into 6 topics:evaluation and management,goals for control of blood glucose,blood glucose monitoring,prevention and intervention of hyperglycemia,discharge guidance,diagnosis and intervention of new-onset diabetes after kidney transplant.Conclusion This study summarises the best evidence for perioperative hyperglycemia management in adult non-diabetic kidney transplant recipients.Medical staff may apply the evidence individually in conjunction with the actual clinical situations to standardise the practice criteria.
