>Year 2012, Issue 2
Rizo TLM, Arellano TEM, Hernández PJA
Experience with the use continuos renal replacement therapy in patients with acute renal failure (ARF) in intensive care at a private hospital
Rev Asoc Mex Med Crit y Ter Int 2012; 26 (2)
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Background: Acute Kidney Injury is a common complication in hospitalized patients, is an independent risk factor of mortality in critical patients. Those who develop acute renal failure and have substitutive treatment could have a 50 to 60 percent of mortality even thought they have substitutive treatment. Continuous renal replacement is an option in patient with acute renal failure in shock state.
Objective: Describe the experience of the use of continuous renal replacement in patient with acute renal failure in the ICU from our hospital.
Methods: It is a retrospective, observational and descriptive study. Includes 15 patients from marsh 2009 to October 2010.
Results: Average age is 66.33 years (ED 16.37). The Kind of shock was 60% (9) septic, 27% (4) Mix y 13% (2) cardiogenic. Admission APACHE II was 20.33 (ED 5.85), SOFA 10 (ED 4). The average days in continuous replacement therapy was 5.33 (± 3.75). It was possible to discharge from the therapy in 46.6% (7) of the patient who have an improvement in kidney function. Even though, 66.6% (10) of the patients died while they were in ICU.
Conclusions: Concurs with the literature, our sample, which is a small one, is compatible about the high mortality rate involved directly with the seriousness of the base etiology.
||Acute kidney injury, continuous renal replacement.
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>Year 2012, Issue 2