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조영제 유발 신장병증 예방을 위한 수액요법에 관한 근거기반 임상실무지침 개발

Other Titles
 Evidence-Based Clinical Practice Guideline for Fluid Therapy to Prevent Contrast-induced Nephropathy 
Authors
 이경해  ;  신경민  ;  이현정  ;  김소영  ;  채정원  ;  김미라  ;  한민영  ;  안미숙  ;  박진경  ;  정미애  ;  추상희 
Citation
 Journal of Korean Clinical Nursing Research (임상간호연구), Vol.23(1) : 83-90, 2017 
Journal Title
 Journal of Korean Clinical Nursing Research (임상간호연구) 
ISSN
 1598-9186 
Issue Date
2017
Keywords
Contrast Media ; Acute Kidney Injury ; Evidence-Based Practice ; Fluid Therapy
Abstract
Purpose: This study was to develop evidence-based clinical practice guideline in order to prevent contrastinduced 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.
Files in This Item:
T201702293.pdf Download
DOI
10.22650/JKCNR.2017.23.1.83
Appears in Collections:
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Kim, Mi Ra(김미라)
Lee, Kyung Hae(이경해)
Lee, Hyeon Jeong(이현정)
Chung, Mi Ae(정미애)
Chae, Jung Won(채정원)
Chu, Sang Hui(추상희) ORCID logo https://orcid.org/0000-0001-6877-5599
Han, Min Young(한민영)
Hwang, Jung Hwa(황정화)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/160399
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