Evidence-based clinical practice guidelines for the management of perioperative hypothermia: Systematic review, critical appraisal, and quality assessment with the AGREE II instrument

Theodor Bilharz Research Institute

Bibliographic Information

Authors: Babiker Mohamed M.A.; Abdelwahab Abdelkarim W.A.; Salih Aabdeen M.A.; Elobid Ahmed T.H.; Sarsour H.H.H.; El-Malky A.M.; Amer Y.S.; alsaleh N.; Nazer R.I.

Journal: Annals of Medicine and Surgery

Publisher: Elsevier Ltd

Publication Date: July 2022

Volume / Issue: Volume 79

Article No.: 103887

ISSN: 20490801

DOI: 10.1016/j.amsu.2022.103887

Scopus: View on Scopus

Document Type: Review

Access: All Open Access; Gold Open Access; Green Open Access

Authors and Affiliations

Babiker Mohamed M.A., Leeds University Teaching Hospital, Plastic and Reconstructive Surgery, Leeds, United Kingdom; Abdelwahab Abdelkarim W.A., Department of Obstetrics and Gynaecology, King Saud University Medical City, Riyadh, Saudi Arabia; Salih Aabdeen M.A., Paediatric Surgery Department, Paediatric Urology Division, Leeds University Teaching Hospital, Leeds, United Kingdom; Elobid Ahmed T.H., Trauma and Orthopaedic Department, Manchester Royal Infirmary Hospital, Manchester, United Kingdom; Sarsour H.H.H., Nutrition Officer at Mercy Corps Europe, Kadugli, Sudan; El-Malky A.M., Public Health and Community Medicine Department, Theodor Bilharz Research Institute, Academy of Scientific Research, Ministry of Higher Education, Cairo, Egypt, Morbidity and Mortality Review Unit, King Saud University Medical City, Riyadh, Saudi Arabia; Amer Y.S., Pediatrics Department, King Khalid University Hospital, Riyadh, Saudi Arabia, Research Chair for Evidence-Based Health Care and Knowledge Translation, King Saud University, Riyadh, Saudi Arabia, Clinical Practice Guidelines and Quality Research Unit, Quality Management Department, King Saud University Medical City, Riyadh, Saudi Arabia, Alexandria Center for Evidence-Based Clinical Practice Guidelines, Alexandria University, Alexandria, Egypt, Adaptation Working Group, Guidelines International Network, Scotland, Perth, United Kingdom; alsaleh N., Department of Surgery, King Saud University Medical City, King Saud University, Saudi Arabia; Nazer R.I., Cardiac Science Department, King Fahad Cardiac Science Center, College of Medicine, King Saud University, King Saud University Medical City, Riyadh, Saudi Arabia

Abstract

Inadvertent perioperative hypothermia is considered an emergency life-threatening situation. Clinical practice guidelines (CPGs) on how to manage hypothermia, based on evidence and expert opinions, could save lives. This systematic review assessed and compared the most recently approved international CPGs with the AGREE II instrument. We searched international bibliographic databases to identify relevant guidelines for managing perioperative hypothermia. Four independent reviewers (consultant anesthesiologists) critically appraised the selected guidelines with the AGREE II instrument. We analyzed inter-rater agreement and calculated an intra-class correlation coefficient (Kappa). We identified five CPGs for perioperative hypothermia that were eligible for critical appraisal. These CPGs were issued by the National Institute for Health and Care Excellence (NICE-2016); the American Society of Peri-Anesthesia Nurses/Agency for Health Care Research and Quality (ASPAN/AHRQ-2006); the University of Southern Mississippi (USM/CPG-2017); The University Assistance Complex of Salamanca (UACS/CPG-2018); and the Justus-Liebig University of Giessen (UKGM/CPG-2015). The overall assessments of NICE-2016 and ASPAN/AHRQ-2006 scored >80%. These results were consistent with high scores achieved in the six domains of AGREE II: (1) scope and purpose, (2) stakeholder involvement, (3) rigor of development, (4) clarity of presentation, (5) applicability, and (6) editorial independence domains. The NICE-2016, ASPAN/AHRQ-2006, and USM/CPG-2017) scored, respectively, 94%, 81%, and 70% for domain 3, 91%, 87%, and 66% for domain 5, and 90%, 82%, and 77% for domain 6. Generally, the NICE CPGs received significantly better clinical recommendations. However, all five evidence-based CPGs were of high methodological quality and were recommended for use in practice. Saudi Arabia should formulate its own national CPGs for diagnosis and management of perioperative hypothermia and to be published on NICE. © 2022 The Authors

Keywords

AGREE II instrument; Critical appraisal; Perioperative hypothermia; Practice guidelines; Quality assessment; American society of peri anesthesia nurses agency for health care research and quality 2006 clinical guideline; anesthesiologist; applicability; appraisal of guidelines for research and evaluation 2 instrument; clarity of presentation; clinical practice; editorial independence; health care concepts; human; hypothermia; inadvertent perioperative hypothermia; justus liebig university of Giessen clinical practice guideline 2015; Likert scale; national institute for health and care excellence 2016; practice guideline; psoriasis; quality assessment tool; Review; rigor of development; scope and purpose; stakeholder engagement; systematic review; university assistance complex of Salamanca clinical practice guideline 2018; university of southern Mississippi temperature guideline

Citation Information

Scopus Citations: 17

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