[Survey of continuous renal replacement therapy application status]

Area of Science:

• Critical Care Medicine
• Nephrology
• Healthcare Quality Improvement

Background:

• Continuous renal replacement therapy (CRRT) is a vital treatment in critical care medicine.
• Assessing the current implementation status of CRRT is crucial for quality control and improvement.

Purpose of the Study:

• To investigate the implementation status of CRRT in quality control centers within critical care medicine in Jiangsu province.
• To identify variations in CRRT practices, common complications, and associated costs.

Main Methods:

• A questionnaire survey was distributed to quality control respondents in Jiangsu province in June 2015.
• Data collected included CRRT device availability, patient treatment rates, staff training levels, filter materials, anticoagulant use, and complication rates.

Main Results:

• CRRT was utilized in 58 out of 62 surveyed hospitals, with significant regional variations in trained medical staff.
• AN69 and acrylic were preferred filter materials; heparin was the most common anticoagulant.
• Bleeding (43%) was the most frequent complication, and average hospitalization costs were high, with CRRT contributing significantly.

Conclusions:

• CRRT application shows variability in materials, anticoagulants, and dilution methods.
• Bleeding remains the primary clinical complication, and the low proportion of provincially trained doctors and nurses requires attention.
• Intensified training and optimized implementation can improve filter lifespan and reduce patient costs.