mortality length of stay and renal replacement therapy

... 0.001) Mortality, length of stay and renal replacement therapy Less than 1% of patients with maximum RIFLE class I and 14.2% of patients with maximum RIFLE class F received renal replacement therapy ... severity of acute kidney injury was associated with an increasing length of ICU stay and hospital stay, and higher mortality (Table and Figure 2) Patients with maximum RIFLE class R, class I and class ... progression between stages of the classification, and to relate this classification to the length of stay and mortality in a large cohort of critically ill patients Patients and methods Study population...

Ngày tải lên: 12/08/2014, 23:23

... hospital mortality and quality of life at months J Intern Med 2006, 260(6):586-591 Svenson J, Besinger B, Stapczynski JS: Critical care of medical and surgical patients in the ED: length of stay and ... Acuity Score * In-hospital mortality; # Emergency Department length of stay $ Hospital length of stay % Rehabilitation hospital or similar facility The management of critical illness in the emergency ... prolonged length of stay of critically ill patients in the ED and an apparent disparity in invasive procedures employed in the ED Current evidence suggests that aggressive resuscitation and interpretation...

Ngày tải lên: 13/08/2014, 23:20

... continuous renal replacement therapy; ICU = intensive care unit; IRRT = intermittent renal replacement therapy; RIFLE = Risk-InjuryFailure-Loss-Endstage renal disease; RRT = renal replacement therapy; ... (days) ICU length of stay (days) ICU = intensive care unit; IRRT = intermittent renal replacement therapy; RIFLE = Risk-Injury-Failure-Loss-Endstage renal disease; RRT = renal replacement therapy; ... Introduction Materials and methods Acute kidney injury (AKI) requiring renal replacement therapy (RRT) occurs in to 6% of critically ill patients and is associated with high mortality and significant...

Ngày tải lên: 13/08/2014, 16:20

... versus 48.1%; p < 0.05) and hospital mortality (23.5% versus 55.5%; p < 0.05) and decreased duration of both mechanical ventilation and ICU length of stay Similarly, Elahi and colleagues [33] identified ... Dose of continuous renal replacement therapy Three randomized controlled trials have assessed the relationship between dose of CRRT and outcomes of AKI (Table 2) [9,10,12] Since the clearance of ... No Palevsky Table Summary of studies evaluating the timing of initiation of renal replacement therapy BUN at initiation of RRT (mg/dl) Survival (%) Study Year Mode of RRT Study design N Early...

Ngày tải lên: 13/08/2014, 08:20

... requiring renal replacement therapy (RRT) to prolong the duration of the filter and to prevent damage and loss of platelets and erythrocytes in the clotted circuit However, the risk of bleeding and ... of mortality at different end-points The Hosmer and Lemenshow goodness -of- fit test was used to test the validity of the model Analyses were performed using SigmaStat software v 3.0 (Systat Software ... coagulopathy and the effects of DrotAA on the APTT make the monitoring of anticoagulation unreliable and can increase the risk of inappropriate anticoagulation Knowledge of the effect of DrotAA...

Ngày tải lên: 13/08/2014, 11:23

... oligo-anuria and acidosis at time of initiation of RRT and pre-existing chronic illnesses were independent risk factors for ICU and hospital mortality • Failure to correct acidosis and development of more ... initiation of renal replacement therapy (RRT) and hospital outcome (Table S1 in Additional data file 1), a table that lists the correlation between different combinations of parameters at time of RRT and ... Intensity of renal support in critically ill patients with acute kidney injury N Engl J Med 2008, 359:7-20 26 The RENAL Replacement Therapy Study Investigators: Intensity of continuous renal replacement...

Ngày tải lên: 13/08/2014, 19:20

... cost of CRRT and the minimum anticoagulant cost of IRRT, and between the maximum anticoagulant cost of IRRT and minimum anticoagulant cost of CRRT The box represents the 1st and 3rd quartiles of ... difference and range of dialysate and replacement- fluid costs by region The error bars represent the absolute range between the maximum fluid cost of CRRT and the minimum fluid cost of IRRT, and between ... by ~43.3% Given the results of the Acute Renal Failure Trials Network (ATN) study and the Randomized Evaluation of Normal versus Augmented Level (RENAL) Replacement Therapy Study [6,7], which...

Ngày tải lên: 13/08/2014, 20:21

... RRT; and 5) description of mortality and/ or clinically relevant secondary outcomes (that is, kidney recovery and/ or dialysis independence, duration of RRT, and ICU length of stay) Disagreements between ... cohort and/ or randomised/quasi-randomised clinical trial (RCT) design; 2) adult critically ill population; 3) diagnosis of AKI; 4) description of factors related to timing of initiation of RRT; and ... (CVVHDF), and intermittent hemodialysis (IHD)) The primary outcome measure was mortality Secondary outcomes included: kidney recovery and/ or dialysis independence, duration of RRT and ICU length of stay...

Ngày tải lên: 14/08/2014, 07:21

... insights into the nature of such disorders and the mechanisms of action of RRT are important In the present review we explore the acid–base disorders seen in ARF, the effect of RRT and its modalities ... effect of replacement fluid on acid–base balance, and the effect of HVHF on acid–base balance A strong focus is given to the clinical implications of these interventions, with the aim of helping ... Hypoalbuminemia lowered the anion gap and masked the presence of acidifying anions to those clinicians using conventional acid–base analysis Effect of renal replacement therapy on acid–base balance There...

Ngày tải lên: 12/08/2014, 20:20

... critical care unit and from hospital are also recorded Activity The length of stay in the CMP unit is calculated (in fractions of days) from the dates and times of admission to and discharge from ... of patient gender [40] and socioeconomic status (Hutchings A, personal communication, 2002), of day and time of admission to critical care [41], of time of discharge from critical care [42] and ... R102 all data (of the hospital, of the unit, of the staff and of the patient) shall remain confidential Demographics Individual admissions are identified by an admission number and an alphanumeric...

Ngày tải lên: 12/08/2014, 20:20

... effect of different modalities of CRRT on length of stay and recovery of renal function in patients with sepsis This research is needed Adequate technical support becomes mandatory, therefore, to fulfil ... expectations The evolution of understanding of the above mentioned concepts has led to the improvement of technology and the generation of new machines and devices compatible with the demand for increased ... cut-off hemofilters, which are characterized by an increased effective pore size Most commercially available hemofilters not permit a substantial elimination of cytokines because of the low cut-off...

Ngày tải lên: 12/08/2014, 23:22

... contributions AM-S and PM were in charge of the intensive care unit the day that the patient was admitted They discovered the erroneous measurement with the help of EC-A, who was in charge of the patient ... participated in the draft of the manuscript, and read and approved the final version Acknowledgement Verbal consent was obtained from the patient for the publication of this case report References ... of cardiac preload and extravascular lung water by single transpulmonary thermodilution Intensive Care Med 2000, 26:180-187 Sakka SG, Klein M, Reinhart K, Meier-Hellmann A: Prognostic value of...

Ngày tải lên: 12/08/2014, 23:23

... followed by chemistry profile, complete blood count, and coagulation profile (Figure 5) Although the proportion of chemistry profiles, complete blood count, and coagulation profiles remained fairly ... conception and design of the study, data acquisition, analysis, and interpretation, and wrote the first draft of the manuscript GW was involved in the conception of the study, data acquisition and interpretation, ... variables: the continuous variables of admission APACHE II score, mean daily SOFA score and phlebotomy volumes (both after day 21), and ICU LOS; and the binary variables of sex, surgical admission, coronary...

Ngày tải lên: 13/08/2014, 03:20

... monitoring of heparin therapy Scientific and Standardization Committee Communications: on behalf of the Control of Anticoagulation Subcommittee of the Scientific and Standardization Committee of the ... kinking of the catheter may impair catheter flow Subclavian access has an enhanced risk of kinking and of Page of 10 (page number not for citation purposes) Optimizing continuous renal replacement therapy ... optimization of vascular access (inner diameter, pattern of flow, and position), CRRT settings (partial predilution and individualized control of filtration fraction), and the training of nurses...

Ngày tải lên: 13/08/2014, 03:21

... Secondary outcome measures of interest were hospital length of stay, length of stay after ICU discharge, and Available online http://ccforum.com/content/12/2/R48 length of stay of less than 43 days ... (54) 16 (49) 20 (42) 42 (53) 53 (66) Hospital length of staya Length of stay after ICUa ICU length of stay Discharge less than 43 daysa Decannulated and less than 43 daysa Data are presented as ... to demonstrate a significant trend in the reduction of hospital length of stay and length of stay after ICU discharge and in the proportion of patients being discharged below the DRG high trim...

Ngày tải lên: 13/08/2014, 10:20

... Charbonneau P; Members of the Cathedia Study Group: Femoral vs jugular venous catheterization and risk of nosocomial events in adults requiring acute renal replacement therapy: a randomized controlled ... distress syndrome The study by Mongelluzzo and co-workers [11] aimed to evaluate the relationship of adjuvant corticosteroid treatment with mortality and length of hospitalisation in children with bacterial ... revascularization procedures, and new cases of atrial fibrillation However, that would be at the cost of excess deaths, strokes, 53 cases of clinically important hypotension, and 42 cases of bradycardia The...

Ngày tải lên: 13/08/2014, 11:22

... conclusion, increased awareness of the importance of CRRT session length, downtime and dose are progressively leading to more detailed research in the field of anticoagulaPage of (page number not for ... JD, Chand D, Flores FX, Alexander SR, Mahan JD, McBryde KD, Benfield MR, Goldstein SL: The effect of vascular access location and size on circuit survival in pediatric continuous renal replacement ... haemofiltration, Ronco and colleagues [5] reported that 425 enrolled patients received at least 85% of the prescribed dose of haemofiltration (estimated average downtime of to hours) In another...

Ngày tải lên: 13/08/2014, 11:22

... occurrence of gastrointestinal symptoms and the rates of long-term stays Randomized control studies are needed to confirm these results and to generalize them to a broader population of high risk ... contributions GB and CD conceived the idea of the study GP, GB, VC, CR and FCE participated in the design of the study and its coordination GP, PT, MD, FCE and PF coordinated and performed the ... entire period of NICU hospitalization as follows: I High frequency of gut symptoms, defined as the upper quartile of the average number of episodes of vomit, regurgitation, GR and enema per measurement...

Ngày tải lên: 13/08/2014, 15:21

... the Cooperative Studies Program of the Department of Veterans Affairs Office of Research and Development and by the National Institute of Diabetes and Digestive and Kidney Diseases (interagency ... specified initial modality of renal replacement therapy (RRT) and the number of switches in treatment modality It has been suggested that the application of continuous and intermittent therapies ... consensus conference on continuous renal replacement therapy Kidney Int 2002, 62:1855-1863 Palevsky PM: Clinical review: timing and dose of continuous renal replacement therapy in acute kidney injury...

Ngày tải lên: 13/08/2014, 16:21

... course of the ICU stay blood and other biologic specimens were collected on a clinical basis and sent to the microbiologic laboratory of the institution for microorganism detection Length of stay and ... kind of surgical interventions less likely to be characterized by endotoxemia Figure Subjects with high EA levels had a longer ICU length of stay and a trend towards longer hospital length of stay ... means of two-way analysis of variance This was also used to assess the interaction between EA levels and the type of surgery in determining ICU and hospital length of stay For statistical purposes,...

Ngày tải lên: 13/08/2014, 16:21