Clinical characteristics of sepsis-induced acute kidney injury in patients undergoing continuous renal replacement therapy
Objective: 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). Methods: From 2011 to 2015, we enrolled 340 patients who were treated with CRRT for sepsis at the Presbyter...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2018-10-01
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| Series: | Renal Failure |
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| Online Access: | http://dx.doi.org/10.1080/0886022X.2018.1489288 |
| _version_ | 1818295431090667520 |
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| author | A. Young Cho Hyun Ju Yoon Kwang Young Lee In O. Sun |
| author_facet | A. Young Cho Hyun Ju Yoon Kwang Young Lee In O. Sun |
| author_sort | A. Young Cho |
| collection | DOAJ |
| description | Objective: 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). Methods: 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. Results: 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 urine output of <0.05 mL/kg/h the first day were prognostic factors for the 28-day all-cause mortality. Conclusion: Age, platelet count, APACHE II score, RDW score, serum creatinine level, and urine output the first day are useful predictors for the 28-day all-cause mortality in sepsis patients requiring CRRT. |
| first_indexed | 2024-12-13T03:47:32Z |
| format | Article |
| id | doaj.art-87c4652edb3c440c905eda9bcd30ca28 |
| institution | Directory Open Access Journal |
| issn | 0886-022X 1525-6049 |
| language | English |
| last_indexed | 2024-12-13T03:47:32Z |
| publishDate | 2018-10-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Renal Failure |
| spelling | doaj.art-87c4652edb3c440c905eda9bcd30ca282022-12-22T00:00:48ZengTaylor & Francis GroupRenal Failure0886-022X1525-60492018-10-0140140340910.1080/0886022X.2018.14892881489288Clinical characteristics of sepsis-induced acute kidney injury in patients undergoing continuous renal replacement therapyA. Young Cho0Hyun Ju Yoon1Kwang Young Lee2In O. Sun3Presbyterian Medical CenterPresbyterian Medical CenterPresbyterian Medical CenterPresbyterian Medical CenterObjective: 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). Methods: 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. Results: 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 urine output of <0.05 mL/kg/h the first day were prognostic factors for the 28-day all-cause mortality. Conclusion: Age, platelet count, APACHE II score, RDW score, serum creatinine level, and urine output the first day are useful predictors for the 28-day all-cause mortality in sepsis patients requiring CRRT.http://dx.doi.org/10.1080/0886022X.2018.1489288Acute kidney injurycontinuous renal replacement therapysepsisplateleturine output |
| spellingShingle | A. Young Cho Hyun Ju Yoon Kwang Young Lee In O. Sun Clinical characteristics of sepsis-induced acute kidney injury in patients undergoing continuous renal replacement therapy Renal Failure Acute kidney injury continuous renal replacement therapy sepsis platelet urine output |
| title | Clinical characteristics of sepsis-induced acute kidney injury in patients undergoing continuous renal replacement therapy |
| title_full | Clinical characteristics of sepsis-induced acute kidney injury in patients undergoing continuous renal replacement therapy |
| title_fullStr | Clinical characteristics of sepsis-induced acute kidney injury in patients undergoing continuous renal replacement therapy |
| title_full_unstemmed | Clinical characteristics of sepsis-induced acute kidney injury in patients undergoing continuous renal replacement therapy |
| title_short | Clinical characteristics of sepsis-induced acute kidney injury in patients undergoing continuous renal replacement therapy |
| title_sort | clinical characteristics of sepsis induced acute kidney injury in patients undergoing continuous renal replacement therapy |
| topic | Acute kidney injury continuous renal replacement therapy sepsis platelet urine output |
| url | http://dx.doi.org/10.1080/0886022X.2018.1489288 |
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