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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
- 2015.1
- 수록면
- 658 - 665 (8page)
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초록· 키워드
오류제보하기
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 and Methods: 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 mortalitywas 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 significantlylower 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 analysisshowed 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.
목차
등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
Ahlstrom A / 2005 / Survival and quality of life of patients requiring acute renal replacement therapy / Intensive Care Med 31 : 1222 ~ 1228
Allegretti AS / 2013 / Continuous renal replacement therapy outcomes in acute kidney injury and end-stage renal disease: a cohort study / Crit Care 17 : R109 ~
Bagshaw SM / 2005 / Prognosis for long-term survival and renal recovery in critically ill patients with severe acute renal failure: a population-based study / Crit Care 9 : R
Baldwin IC / 1995 / Continuous hemofiltration: nursing perspectives in critical care / New Horiz 3 : 738 ~ 747
Gilbert RW / 2002 / Development of a continuous renal replacement program in critically ill patients / Am J Surg 184 : 526 ~ 532
Allegretti AS / 2013 / Continuous renal replacement therapy outcomes in acute kidney injury and end-stage renal disease: a cohort study / Crit Care 17 : R109 ~
Bagshaw SM / 2005 / Prognosis for long-term survival and renal recovery in critically ill patients with severe acute renal failure: a population-based study / Crit Care 9 : R
Baldwin IC / 1995 / Continuous hemofiltration: nursing perspectives in critical care / New Horiz 3 : 738 ~ 747
Gilbert RW / 2002 / Development of a continuous renal replacement program in critically ill patients / Am J Surg 184 : 526 ~ 532
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