Continuous venovenous high-flux dialysis in multiorgan failure: A 5- year single-center experience

作者: CH Jones , D Richardson , E Goutcher , CG Newstead , EJ Will

DOI: 10.1053/AJKD.1998.V31.PM9469492

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摘要: Abstract The objective of this study was to determine the outcome acute renal failure (ARF) treated by continuous venovenous high-flux dialysis in patients with ventilator-dependent respiratory a single center and examine importance primary diagnosis determining survival. We retrospectively reviewed 408 consecutively multidisciplinary intensive care unit (ICU) large teaching hospital. All ventilated requiring support over 5-year period (January 1, 1991 December 31, 1995) were included study. Patient age, APACHE II score, diagnosis, inotrope requirement, survival discharge from ICU, hospital, at 6 months recorded for patients. mean age 54 years, median score 29, ICUs, 6-month rates 48%, 38%, 36%, respectively. Inotropic required 75%. Liver disease 35%. Logistic regression analysis indicated that increasing II, use inotropes, presence liver all associated increased mortality. Eight percent survivors (3% total population) long-term replacement therapy. In conclusion, our experience, can be universally adopted ICU management ARF multiorgan failure. is related knowledge case mix essential considering any reported series. (Am J Kidney Dis 1998 Feb;31(2):227-33)

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