Prognostic Factors of Acute Renal Failure Patients Treated with Continuous Renal Replacement Therapy / 대한신장학회지
Korean Journal of Nephrology
; : 54-63, 2010.
Article
Dans Ko
| WPRIM
| ID: wpr-177190
Responsable en Bibliothèque :
WPRO
ABSTRACT
PURPOSE:
Continuous renal replacement therapy (CRRT) has been used widely for treating critically ill patients with acute renal failure (ARF). We performed this study to identify predictors of mortality in critically ill ARF patients treated with CRRT.METHODS:
We analyzed the data of 128 patients who were treated with continuous veno-venous hemofiltration (CVVH) or continuous veno-venous hemodiafiltration (CVVHDF) from May, 2002 to March, 2008. We compared the clinical data of survivors with non-survivors.RESULTS:
On univariate analyses of prognostic factors of patients treated with CVVHDF, APACHE II scores (p=0.004), prothrombin time (INR) (p=0.033) and the number of inotropics used (p=0.005) were significantly lower in survivors than those of non-survivors. MAP (p=0.027), diastolic BP (p=0.015) and fibrinogen level (p=0.007) were significantly higher in survivors than those of non-survivors. Multivariate analysis revealed that APACHE II scores and fibrinogen level were the independent factors for the prediction of mortality. And on univariate analyses of prognostic factors of patients treated with CVVH, APACHE II scores (p=0.002) and the number of inotropics used (p=0.006) were significantly lower in survivors than in non-survivors. MAP (p=0.03), systolic BP (p=0.02) and diastolic BP (p=0.03) were significantly higher in survivors than in non-survivors. Multivariate analysis also revealed that APACHE II scores was the only independent factor for the prediction of mortality.CONCLUSION:
This study showed that the independent prognostic factor for mortality in ARF patients treated with CRRT was the APACHE II score.
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Pronostic
/
Temps de prothrombine
/
Fibrinogène
/
Analyse multifactorielle
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Hémofiltration
/
Maladie grave
/
Survivants
/
Traitement substitutif de l'insuffisance rénale
/
Hémodiafiltration
/
Indice APACHE
Type d'étude:
Prognostic_studies
Limites du sujet:
Humans
langue:
Ko
Texte intégral:
Korean Journal of Nephrology
Année:
2010
Type:
Article