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2001, Number 1

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Med Crit 2001; 15 (1)

Comparative study between hemodiafiltration a peritoneal dialysis in critically ill children with acute oliguric renal failure

Cueva LAR, Risco CRE, Caballero de Akaki C
Full text How to cite this article

Language: Spanish
References: 18
Page: 11-17
PDF size: 70.01 Kb.


Key words:

Acute renal failure, oliguria, pediatric patients, hemodiafiltration, peritoneal dialysis.

ABSTRACT

Objective: To establish a comparison between hemodia-filtration and peritoneal dialysis in ICU pediatric patients with acute oliguric renal failure (AORF). Design: Case series report. Setting: Pediatric ICU of a tertiary care hospital, Mexico City. Patients: Ten pediatric patients with AORF. Interventions: Ten children (mean age 24.2 ± 26.9 months, range three months to seven yrs). Five patients (group A) were treated with hemodiafiltration and other five patients (group B) were managed with peritoneal dialysis. Measurements and main results: Pediatric risk of mortality score was at admission 34 ± 8.43 vs 35.2 ± 8.07 points (p ‹ 0.05), and at the end of procedure BUN was 48.5 ± 26.8 vs 33.4 ± 15 mg/dL, respectively for groups A and B. Four patients of group A and three of group B died. Conclusion: The mortality rate due to AORF remain high in pediatric patients treated with hemodiafiltration or peritoneal dialysis.


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Med Crit. 2001;15