在接受连续脏替代疗法的重症监护病房住院患者的过渡和长期临床结果
María Valdenebro1, Jose Portoles1,2, María Luisa Serrano Salazar1
1Nephrology Department, Hospital Universitario Puerta de Hierro Majadahonda, IDIPHISA, 28222 Majadahonda, Spain.
Journal of clinical medicine
|September 14, 2024
概括
患有急性损伤 (AKI) 的重症患者需要持续置换疗法 (CRRT),预后不佳. 优化CRRT协议和及时咨询对于改善这些复杂案件的结果至关重要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 关键护理医学 关键护理医学
- 重症监护病房 (ICU) 管理管理
背景情况:
- 急性损伤 (AKI) 是ICU中普遍存在的严重并发症,与死亡率增加和长时间住院相关.
- 持续置换疗法 (CRRT) 是管理AKI的基石,需要多学科的护理方法.
研究的目的:
- 研究ICU患者的临床特征,CRRT指示和AKI的进展.
- 分析接受CRRT的患者的治疗结果和治疗过渡.
主要方法:
- 一个单一中心的回顾性观察性研究ICU患者的AKI需要CRRT (2019年1月-12月).
- 纳入标准:根据RIFLE标准的AKI,CRRT持续时间>36小时.
- 数据收集包括人口统计,血液动力学,功能和长期随访 (1周至12个月).
主要成果:
- 80名患者符合纳入标准;平均年龄为65.3岁,平均查尔森指数为6.4.
- 观察到的最高死亡率在心力衰竭和多种小组.
- 持续静脉血过 (CVVHDF) 是最常见的CRRT方式;结果和治疗过渡的显著变化.
结论:
- 需要CRRT的AKI重症患者表现出相当大的实践变化和普遍不良的预后.
- 建议早期进行脏病咨询和个性化治疗策略,以提高患者的治疗结果和CRRT效率.
- 进一步的研究应该旨在完善CRRT协议并制定AKI预防策略.
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