[Weaning from dialysis after acute kidney injury in chronically critically ill]. / Renale Rekompensation nach akuter Nierenschädigung bei chronisch kritisch kranken Patienten.
Med Klin Intensivmed Notfmed
; 114(5): 459-462, 2019 Jun.
Article
em De
| MEDLINE
| ID: mdl-30302526
ABSTRACT
This study describes the course of renal recovery after dialysis in a specific population of chronically critically ill patients with a history of prolonged and complicated treatment in an intensive care unit. This study shows that, in a specialized center, patients can be successfully weaned from dialysis even months after acute kidney injury (AKI). Of the patients who could be recompensated (33%), approximately 20% achieved renal recovery more than 3 months after the start of dialysis. The duration of renal recovery after AKI did not differ between those patients with pre-existing chronic kidney disease (CKD) and those without. The reason for dialysis treatment such as sepsis, surgery, resuscitation, as well as the risk factors (e.â¯g., diabetes mellitus, arterial hypertension, arteriosclerosis) did not reveal a difference in weaning in a hazard analysis. As a potential risk factor, only age significantly influenced weaning from dialysis in the multivariate hazard model.
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MEDLINE
Assunto principal:
Diálise Renal
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Insuficiência Renal Crônica
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Injúria Renal Aguda
Idioma:
De
Ano de publicação:
2019
Tipo de documento:
Article