지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2007.1
- 수록면
- 6 - 10 (5page)
이용수
초록· 키워드
오류제보하기
Purpose: Acute renal failure is not a rare event in severe burns and the prognosis of a burn patient becomes remarkably unfavorable with the onset of renal insufficiency. Several studies have reported that the incidence of ARF in severe burns is 0.5∼30% and the mortality rate is 73∼90%. This study analyzed the clinical features of severe burns requiring continuous renal replacement therapy (CRRT) to determine the adequate indication for CRRT.
Methods: Thirty-nine patients requiring CRRT out of 492 burned patients who were admitted to the burn intensive care unit in the Burn center, Hangang Sacred Heart Hospital from January 2003 to December 2004, were reviewed. CRRT was indicated when azotemia, fluid overload, acidosis, or hyperkalemia were observed. The APACHE Ⅱ score, BUN, creatinine, creatine kinase, bicarbonate and base excess were analyzed at admission and at the initiation of CRRT for the survival group and non-survival group.
Results: The incidence of ARF requiring CRRT in severely burned patients was 7.9%. The average of burn area was 51.1%. The mean delay in initiating CRRT was 16.6 days and the mean duration of CRRT was 7.0 days. There was no difference between the survival group and the nonsurvival group in the data obtained upon admission, but there was a significant difference in the BUN level at the initiation CRRT. Therefore, the BUN level at the initiation CRRT has corelation with the mortality.
Conclusion: CRRT is helpful for treating severely burned patients who have ARF, particularly those with accompanying with hemodynamic instability. This study showed that the BUN level at the initiation of CRRT associated with mortality. Therefore, the BUN level is an important criterion for initiating CRRT in these patients. However, a prospective randomized control study will be needed to accurately define BUN level.
Methods: Thirty-nine patients requiring CRRT out of 492 burned patients who were admitted to the burn intensive care unit in the Burn center, Hangang Sacred Heart Hospital from January 2003 to December 2004, were reviewed. CRRT was indicated when azotemia, fluid overload, acidosis, or hyperkalemia were observed. The APACHE Ⅱ score, BUN, creatinine, creatine kinase, bicarbonate and base excess were analyzed at admission and at the initiation of CRRT for the survival group and non-survival group.
Results: The incidence of ARF requiring CRRT in severely burned patients was 7.9%. The average of burn area was 51.1%. The mean delay in initiating CRRT was 16.6 days and the mean duration of CRRT was 7.0 days. There was no difference between the survival group and the nonsurvival group in the data obtained upon admission, but there was a significant difference in the BUN level at the initiation CRRT. Therefore, the BUN level at the initiation CRRT has corelation with the mortality.
Conclusion: CRRT is helpful for treating severely burned patients who have ARF, particularly those with accompanying with hemodynamic instability. This study showed that the BUN level at the initiation of CRRT associated with mortality. Therefore, the BUN level is an important criterion for initiating CRRT in these patients. However, a prospective randomized control study will be needed to accurately define BUN level.
목차
서론
방법
결과
고찰
결론
REFERENCES
참고문헌 (27)
참고문헌 신청
1. [학술지(정기간행물)] - Holm C / 1999 / Acute renal failure in severely burned patients / Burns 25 : 171 ~ 178
2. [학술지(정기간행물)] - Tremblay R / 2000 / Veno-venous continuous renal replacement therapy for burned patients with acute renal failure / Burns 26 : 638 ~ 643
3. [학술지(정기간행물)] - Cameron JS. / 1969 / Disturbances of renal function in burnt patients / Proc R Soc Med 62 : 491 ~
4. [학술지(정기간행물)] - Leblanc M / 1996 / Continuous renal replacement therapy for burned patients: renal and systemin considerations / Semin Dial 9 : 184 ~ 191
5. [학술지(정기간행물)] - Palevsky PM / 2004 / CRRT: selection of patients and starting criteria / Contrib Nephrol 144 : 214 ~ 221
2. [학술지(정기간행물)] - Tremblay R / 2000 / Veno-venous continuous renal replacement therapy for burned patients with acute renal failure / Burns 26 : 638 ~ 643
3. [학술지(정기간행물)] - Cameron JS. / 1969 / Disturbances of renal function in burnt patients / Proc R Soc Med 62 : 491 ~
4. [학술지(정기간행물)] - Leblanc M / 1996 / Continuous renal replacement therapy for burned patients: renal and systemin considerations / Semin Dial 9 : 184 ~ 191
5. [학술지(정기간행물)] - Palevsky PM / 2004 / CRRT: selection of patients and starting criteria / Contrib Nephrol 144 : 214 ~ 221
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UCI(KEPA) : I410-ECN-0101-2013-514-002674591