Variability in Uremic Control during Continuous Venovenous Hemodiafiltration in Trauma Patients
Introduction. Acute kidney injury (AKI) necessitating continuous renal replacement therapy (CRRT) is a severe complication in trauma patients (TP). We wanted to assess daily duration of CRRT and its impact on uremic control in TP. Material and Methods. We retrospectively reviewed adult TP, with or w...
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Wiley
2012-01-01
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| Series: | Critical Care Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2012/869237 |
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| author | Sigrid Beitland Kjetil Sunde Harald Moen Ingrid Os |
| author_facet | Sigrid Beitland Kjetil Sunde Harald Moen Ingrid Os |
| author_sort | Sigrid Beitland |
| collection | DOAJ |
| description | Introduction. Acute kidney injury (AKI) necessitating continuous renal replacement therapy (CRRT) is a severe complication in trauma patients (TP). We wanted to assess daily duration of CRRT and its impact on uremic control in TP. Material and Methods. We retrospectively reviewed adult TP, with or without rhabdomyolysis, with AKI undergoing CRRT. Data on daily CRRT duration and causes for temporary stops were collected from the first five CRRT days. Uremic control was assessed by daily changes in serum urea (Δurea) and creatinine (Δcreatinine) concentrations. Results. Thirty-six TP were included with a total of 150 CRRT days, 17 (43%) with rhabdomyolysis. The median (interquartile range (IQR)) time per day with CRRT was 19 (15–21) hours. There was a significant correlation between daily CRRT duration and Δurea (r=0.60, P≤0.001) and Δcreatinine (r=0.43; P=0.012). CRRT pauses were caused by filter clotting (54%), therapeutic interventions (25%), catheter related problems (10%), filter timeout (6%), and diagnostic procedures (6%). Rhabdomyolysis did not affect the CRRT data. Conclusions. TP undergoing CRRT had short daily CRRT duration causing reduced uremic control. Clinicians should modify their daily clinical practice to improve technical skills and achieve sufficient dialysis dose. |
| format | Article |
| id | doaj-art-d621aece74184c3cb0841f4e3cb60ba3 |
| institution | DOAJ |
| issn | 2090-1305 2090-1313 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Critical Care Research and Practice |
| spelling | doaj-art-d621aece74184c3cb0841f4e3cb60ba32025-08-20T03:23:39ZengWileyCritical Care Research and Practice2090-13052090-13132012-01-01201210.1155/2012/869237869237Variability in Uremic Control during Continuous Venovenous Hemodiafiltration in Trauma PatientsSigrid Beitland0Kjetil Sunde1Harald Moen2Ingrid Os3Division of Emergencies and Critical Care, Department of Anesthesiology, Oslo University Hospital, P.O. Box 4956 Nydalen, 0424 Oslo, NorwayDivision of Emergencies and Critical Care, Department of Anesthesiology, Oslo University Hospital, P.O. Box 4956 Nydalen, 0424 Oslo, NorwayDepartment of Informatics, Oslo Hospital Services, Oslo University Hospital, P.O. Box 4956 Nydalen, 0424 Oslo, NorwayInstitute of Clinical Medicine, Faculty of Medicine, University of Oslo, P.O. Box 1072 Blindern, 0316 Oslo, NorwayIntroduction. Acute kidney injury (AKI) necessitating continuous renal replacement therapy (CRRT) is a severe complication in trauma patients (TP). We wanted to assess daily duration of CRRT and its impact on uremic control in TP. Material and Methods. We retrospectively reviewed adult TP, with or without rhabdomyolysis, with AKI undergoing CRRT. Data on daily CRRT duration and causes for temporary stops were collected from the first five CRRT days. Uremic control was assessed by daily changes in serum urea (Δurea) and creatinine (Δcreatinine) concentrations. Results. Thirty-six TP were included with a total of 150 CRRT days, 17 (43%) with rhabdomyolysis. The median (interquartile range (IQR)) time per day with CRRT was 19 (15–21) hours. There was a significant correlation between daily CRRT duration and Δurea (r=0.60, P≤0.001) and Δcreatinine (r=0.43; P=0.012). CRRT pauses were caused by filter clotting (54%), therapeutic interventions (25%), catheter related problems (10%), filter timeout (6%), and diagnostic procedures (6%). Rhabdomyolysis did not affect the CRRT data. Conclusions. TP undergoing CRRT had short daily CRRT duration causing reduced uremic control. Clinicians should modify their daily clinical practice to improve technical skills and achieve sufficient dialysis dose.http://dx.doi.org/10.1155/2012/869237 |
| spellingShingle | Sigrid Beitland Kjetil Sunde Harald Moen Ingrid Os Variability in Uremic Control during Continuous Venovenous Hemodiafiltration in Trauma Patients Critical Care Research and Practice |
| title | Variability in Uremic Control during Continuous Venovenous Hemodiafiltration in Trauma Patients |
| title_full | Variability in Uremic Control during Continuous Venovenous Hemodiafiltration in Trauma Patients |
| title_fullStr | Variability in Uremic Control during Continuous Venovenous Hemodiafiltration in Trauma Patients |
| title_full_unstemmed | Variability in Uremic Control during Continuous Venovenous Hemodiafiltration in Trauma Patients |
| title_short | Variability in Uremic Control during Continuous Venovenous Hemodiafiltration in Trauma Patients |
| title_sort | variability in uremic control during continuous venovenous hemodiafiltration in trauma patients |
| url | http://dx.doi.org/10.1155/2012/869237 |
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