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논문분류 춘계학술대회 초록집
제목 Variables Associated with Circuit Life Span in Acute Kidney Injury Patients Undergoing Continuous Renal Replacement Therapy
저자 Ye Na Kim, Sangeon Gwoo, Ho Sik Shin, Yeon Soon Jung, Hark Rim
출판정보 2013; 2013(1):
키워드 지속적신대체요법, 변수, 회로/Continuous renal replacement therapy, Variables, Circuit
초록 Background: Continuous renal replacement therapy (CRRT) is the preferred renal replacement therapy option for acute kidney injury (AKI) patients. However, frequent circuit clotting may compromise treatment efficacy and result in blood loss, thus increasing the need for blood transfusion. This study assesses the variables associated with circuit life span in AKI patients undergoing continuous renal replacement therapy. Methods: We observed patients with AKI who were treated at the intensive care unit of Kosin University Gospel Hospital between June 1, 2006 and October 31, 2012. A total of 421 consecutive patients were included in this study. The patients were divided into 2 groups: circuit life span of >48 h and circuit life span of <48 h. Variables associated with circuit clotting were examined using logistic regression analyses. Results: Logistic regression analysis indicated that arterial pH, serum calcium, and serum albumin were the variables significantly associated with circuit life span in AKI patients undergoing CRRT. Conclusion: Our retrospective study showed that lower pH, higher serum calcium levels, and higher serum albumin levels were associated with longer circuit life spans and longer survival. Factors such as hematocrit, platelet count, and type of anticoagulants were not associated with circuit life span.
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