Daily Hemodialysis and the Outcome of Acute Renal Failure

作者: Helmut Schiffl , Susanne M. Lang , Rainald Fischer

DOI: 10.1056/NEJMOA010877

关键词: OliguriaSepsisAcute kidney injuryHemodialysisProspective cohort studyKidney diseaseInternal medicineMedicineComplicationUremiaSurgery

摘要: Background Intermittent hemodialysis is widely used as renal-replacement therapy in patients with acute renal failure, but an adequate dose has not been defined. We performed a prospective study to determine the effect of daily intermittent hemodialysis, compared conventional (alternate-day) on survival among failure. Methods A total 160 failure were assigned receive or hemodialysis. Survival was primary end point study. The duration and frequency therapy-related complications secondary points. Results two groups similar respect age, sex, cause severity medical surgical intensive care setting, score Acute Physiology, Age, Chronic Health Evaluation. Daily resulted better control uremia, fewer hypotensive episodes during more r...

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