RESULTS OF TREATMENT OF ACUTE KIDNEY INJURY IN CRITICAL PATIENTS RECEIVING CONTINUOUS HEMOFILTRATION AT THE INTENSIVE CARE UNIT OF BACH MAI HOSPITAL

Hoàng Tuấn Phong1,, Bùi Thị Hương Giang2
1 Bach Mai Hospital
2 Hanoi Medical University

Main Article Content

Abstract

Objectives: To study and evaluate the results of acute kidney injury treatment in critical patients undergoing continuous hemofiltration through the criteria of progression of kidney injury grading, urine output and SOFA score. Research subjects: patients over 18 years old with acute kidney injury diagnosed according to RIFLE and receiving continuous hemofiltration treatment at the Intensive Care Unit of Bach Mai Hospital. Results: 81 patients were included in the study, the distribution of kidney injury was: no AKI 11.1%, AKI-R 19.8%, AKI-I 8.6% and AKI-F respectively 60.5%, urinary distribution: 25.9% anuria, 16.1% oliguria and 58% normal urine volume. The median SOFA score was 10 at the first day and decreased to 8 on the day of discharge. Conclusion: The distribution of kidney damage increased gradually in the course of treatment, including continuous hemofiltration. Monitoring of urine output and SOFA may be helpful in patient prognosis.

Article Details

References

1. Mandelbaum T., Scott D.J., Lee J. et al (2011). Outcome of critically ill patients with acute kidney injury using the Acute Kidney Injury Networkcriteria. Crit Care Med, 39(12), 2659–2664.
2. Alvarez G., Chrusch C., Hulme T. et al (2019). Renal replacement therapy: a practical update. Can J Anesth Can Anesth, 66(5), 593–604.
3. Rinaldo Bellomo, Claudio Ronco, John A Kellum, Ravindra L Mehta, Paul Palevsky, and the ADQI workgroup (2004). Acute renal failure – definition, outcome measures, animal models, fluid therapy and information technology needs: the Second International Consensus Conference of the Acute Dialysis Quality Initiative (ADQI) Group. Crit Care,8(4), 204–212.
4. Hill DM, et al. Continuous Venovenous Hemofiltration is Associated with Improved Survival in Burn Patients with Shock: A Subset Analysis of a Multicenter Observational Study. Blood Purif. 2021;50(4-5):473-480. doi: 10.1159/000512101. Epub 2020 Dec 2. PMID: 33264769; PMCID: PMC8315671.
5. Schefold JC, von Haehling S, et al. The effect of continuous versus intermittent renal replacement therapy on the outcome of critically ill patients with acute renal failure (CONVINT): a prospective randomized controlled trial. Crit Care. 2014 Jan 10;18(1):R11. doi: 10.1186/cc13188. PMID: 24405734; PMCID: PMC4056033.