Clinical characteristics of sepsis-induced acute kidney injury in patients undergoing continuous renal replacement therapy

Renal Failure
A Young ChoIn O Sun

Abstract

The aim of this study was to investigate the clinical characteristics of sepsis-induced acute kidney injury (AKI) in patients undergoing continuous renal replacement therapy (CRRT). From 2011 to 2015, we enrolled 340 patients who were treated with CRRT for sepsis at the Presbyterian Medical Center. In all patients, CRRT was performed using the PRISMA platform. We divided these patients into two groups (survivors and non-survivors) according to the 28-day all-cause mortality. We compared clinical characteristics and analyzed the predictors of mortality. The 28-day all-cause mortality was 62%. Survivors were younger than non-survivors and had higher platelet counts (178 ± 101 × 103/mL vs. 134 ± 84 × 103/mL, p < .01) and serum creatinine levels (4.2 ± 2.8 vs. 3.3 ± 2.7, p < .01). However, survivors had lower red blood cell distribution width (RDW) scores (14.9 ± 2.1 vs. 16.1 ± 3.3, p < .01) and APACHE II scores (24.5 ± 5.8 vs. 26.9 ± 5.7, p < .01) than non-survivors. Furthermore, survivors were more likely than non-survivors to have a urine output of >0.05 mL/kg/h (66% vs. 86%, p = .001) in the first day. In a multivariate logistic regression analysis, age, platelet count, RDW score, APACHE II score, serum creatinine level, and a ...Continue Reading

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Citations

Jan 11, 2019·BMJ : British Medical Journal·Jason T Poston, Jay L Koyner
Dec 28, 2019·Renal Failure·Tibor Fülöp
Apr 1, 2020·Renal Failure·Tibor Fülöp
Mar 13, 2020·BMC Nephrology·Hebing GuoAng Li
Dec 2, 2020·International Journal of Environmental Research and Public Health·Hyeon-Ju Lee, Youn-Jung Son
Feb 14, 2020·Renal Failure·Tibor Fülöp

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