bachelorThesis
Desenlaces en terapia de reemplazo renal continúa en pacientes en uci con insuficiencia renal aguda clínica del country: 2004-2007
Fecha
2007Autor
Cárdenas, Melinda
Olivera, María del Rosario
Ariza, Luz Alieth
Pinzón H., Luz Adriana
Institución
Resumen
Introduction Acute Renal Failure (ARF) in critically ill patients is a condition that is associated with high mortality rates. The standard of treatment for this condition has been intermittent hemodialysis (HI). Hemofiltration (HF) and haemodiafiltration (HDF) Continuous Renal Replacement Therapies (CRRT) have recently emerged as alternative therapies for this type of patient. Currently, the advantages of CRRT are not fully documented and to a much lesser extent in our setting. This study aims to establish whether there are differences in the outcomes associated with treatment: mortality, length of hospital stay associated with CRRT and complications among patients who received HF or HDF at the Clínica del Country, Bogotá, Colombia. Methodology Retrospective cohort study involving patients with ARF hospitalized in the ICU of the Clínica del Country between January 1, 2004 and March 30, 2007. Data related to: patient characteristics, associated clinical conditions and CRRT received were collected. Results Twenty-three patients were included. The two treatment groups were similar in terms of age, sex, etiology of the ARI, and APACHE II score. Mortality was higher among HF patients (RR = 2.44, p = NS), as well as the length of hospital stay associated with CRRT (12.6 vs. 5.1 days. P = NS). The RR of hypothermia was 4.58 (p = NS) in the HF group compared to HDF. Conclusions HDF could be associated with better outcomes for patients. Prospective studies that generate a better level of evidence in this regard are required.