The Effect of Specialized Continuous Renal Replacement Therapy Team in Acute Kidney Injury Patients Treatment
Yonsei Medical Journal
;
: 658-665, 2015.
Artículo
en Inglés
| WPRIM
| ID: wpr-93953
ABSTRACT
PURPOSE:
Continuous renal replacement therapy (CRRT) has been established for critically ill acute kidney injury (AKI) patients. In addition, some centers consist of a specialized CRRT team (SCT) with physicians and nurses. To our best knowledge, however, ona a few studies have yet been carried out on the superiority of SCT management. MATERIALS ANDMETHODS:
A total of 551 patients, who received CRRT between January 2008 and March 2009, were divided into two groups based on the controller of CRRT. The impact of the CRRT management on 28-day mortality was compared between two groups by Kaplan-Meier curve and Cox analysis.RESULTS:
During the study period, the number of filters used, down-time per day, and intensive care unit length of day were significantly higher in non-SCT group than in SCT group (6.2 hrs vs. 5.0 hrs, p=0.042; 5.0 hrs vs. 3.8 hrs, p<0.001; 27.5 days vs. 21.1 days, p=0.027, respectively), while net ultrafiltration rate was significantly lower in non-SCT group than SCT group (28.0 mL/kg/hr vs. 29.5 mL/kg/hr, p=0.043, respectively). In addition, 28-day mortality rate was significantly lower in SCT group than with non-SCT group (p=0.031). Moreover, Cox regression analysis showed that 28-day mortality rate was significantly lower in SCT control group, even after adjusting for age, gender, severity scores, biomarkers, risk, injury, failure, loss, and end-stage renal disease, and contributing factors (hazard ratio 0.91, p=0.046).CONCLUSION:
A well-trained CRRT team could be beneficial for mortality improvement of AKI patients requiring CRRT.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Grupo de Atención al Paciente
/
Factores de Tiempo
/
Biomarcadores
/
Modelos de Riesgos Proporcionales
/
Estudios Retrospectivos
/
Resultado del Tratamiento
/
Enfermedad Crítica
/
Terapia de Reemplazo Renal
/
Estimación de Kaplan-Meier
/
Lesión Renal Aguda
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
Límite:
Adulto
/
Anciano
/
Aged80
/
Femenino
/
Humanos
/
Masculino
Idioma:
Inglés
Revista:
Yonsei Medical Journal
Año:
2015
Tipo del documento:
Artículo
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