Dialysis complications in AKI patients treated with extended daily dialysis: is the duration of therapy important?

Detalhes bibliográficos
Autor(a) principal: Albino, Bianca Ballarin [UNESP]
Data de Publicação: 2014
Outros Autores: Balbi, Andre Luis [UNESP], Ponce, Daniela [UNESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.1155/2014/153626
http://hdl.handle.net/11449/117227
Resumo: This trial aimed to compare the dialysis complications occurring during different durations of extended daily dialysis (EDD) sessions in critically ill AKI patients. We included patients older than 18 years with AKI associated with sepsis admitted to the intensive care unit and using noradrenaline dose ranging from 0.3 to 0.7 mu g/kg/min. Patients were divided into two groups randomly: in G1, 6 h sessions were performed and, in G2, 10 h sessions were performed. Seventy-five patients were treated with 195 EDD sessions for 18 consecutive months. The prevalence of hypotension, filter clotting, hypokalaemia, and hypophosphataemia was 82.6, 25.3, 20, and 10.6%, respectively. G1 and G2 were similar in male predominance and SOFA. There was no significant difference between the two groups in hypotension, filter clotting, hypokalaemia, and hypophosphataemia. However, the group treated with sessions of 10 hours showed higher refractory to clinical measures for hypotension and dialysis sessions were interrupted more often. Metabolic control and fluid balance were similar between G1 and G2. In conclusion, intradialysis hypotension was common in AKI patients treated with EDD. There was no difference in the prevalence of dialysis complications in patients undergoing different durations of EDD.
id UNSP_a33d4fca506390e98475204208eb50db
oai_identifier_str oai:repositorio.unesp.br:11449/117227
network_acronym_str UNSP
network_name_str Repositório Institucional da UNESP
repository_id_str 2946
spelling Dialysis complications in AKI patients treated with extended daily dialysis: is the duration of therapy important?This trial aimed to compare the dialysis complications occurring during different durations of extended daily dialysis (EDD) sessions in critically ill AKI patients. We included patients older than 18 years with AKI associated with sepsis admitted to the intensive care unit and using noradrenaline dose ranging from 0.3 to 0.7 mu g/kg/min. Patients were divided into two groups randomly: in G1, 6 h sessions were performed and, in G2, 10 h sessions were performed. Seventy-five patients were treated with 195 EDD sessions for 18 consecutive months. The prevalence of hypotension, filter clotting, hypokalaemia, and hypophosphataemia was 82.6, 25.3, 20, and 10.6%, respectively. G1 and G2 were similar in male predominance and SOFA. There was no significant difference between the two groups in hypotension, filter clotting, hypokalaemia, and hypophosphataemia. However, the group treated with sessions of 10 hours showed higher refractory to clinical measures for hypotension and dialysis sessions were interrupted more often. Metabolic control and fluid balance were similar between G1 and G2. In conclusion, intradialysis hypotension was common in AKI patients treated with EDD. There was no difference in the prevalence of dialysis complications in patients undergoing different durations of EDD.Sao Paulo State Univ UNESP, BR-18618970 Botucatu, SP, BrazilSao Paulo State Univ UNESP, BR-18618970 Botucatu, SP, BrazilHindawi Publishing CorporationUniversidade Estadual Paulista (Unesp)Albino, Bianca Ballarin [UNESP]Balbi, Andre Luis [UNESP]Ponce, Daniela [UNESP]2015-03-18T15:55:35Z2015-03-18T15:55:35Z2014-01-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article9application/epub+zipapplication/pdfhttp://dx.doi.org/10.1155/2014/153626Biomed Research International. New York: Hindawi Publishing Corporation, 9 p., 2014.2314-6133http://hdl.handle.net/11449/11722710.1155/2014/153626WOS:000340752400001WOS000340752400001.pdfWOS000340752400001.epub5697804493071661Web of Sciencereponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengBiomed Research International2.5830,935info:eu-repo/semantics/openAccess2024-08-14T17:36:07Zoai:repositorio.unesp.br:11449/117227Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-14T17:36:07Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Dialysis complications in AKI patients treated with extended daily dialysis: is the duration of therapy important?
title Dialysis complications in AKI patients treated with extended daily dialysis: is the duration of therapy important?
spellingShingle Dialysis complications in AKI patients treated with extended daily dialysis: is the duration of therapy important?
Albino, Bianca Ballarin [UNESP]
title_short Dialysis complications in AKI patients treated with extended daily dialysis: is the duration of therapy important?
title_full Dialysis complications in AKI patients treated with extended daily dialysis: is the duration of therapy important?
title_fullStr Dialysis complications in AKI patients treated with extended daily dialysis: is the duration of therapy important?
title_full_unstemmed Dialysis complications in AKI patients treated with extended daily dialysis: is the duration of therapy important?
title_sort Dialysis complications in AKI patients treated with extended daily dialysis: is the duration of therapy important?
author Albino, Bianca Ballarin [UNESP]
author_facet Albino, Bianca Ballarin [UNESP]
Balbi, Andre Luis [UNESP]
Ponce, Daniela [UNESP]
author_role author
author2 Balbi, Andre Luis [UNESP]
Ponce, Daniela [UNESP]
author2_role author
author
dc.contributor.none.fl_str_mv Universidade Estadual Paulista (Unesp)
dc.contributor.author.fl_str_mv Albino, Bianca Ballarin [UNESP]
Balbi, Andre Luis [UNESP]
Ponce, Daniela [UNESP]
description This trial aimed to compare the dialysis complications occurring during different durations of extended daily dialysis (EDD) sessions in critically ill AKI patients. We included patients older than 18 years with AKI associated with sepsis admitted to the intensive care unit and using noradrenaline dose ranging from 0.3 to 0.7 mu g/kg/min. Patients were divided into two groups randomly: in G1, 6 h sessions were performed and, in G2, 10 h sessions were performed. Seventy-five patients were treated with 195 EDD sessions for 18 consecutive months. The prevalence of hypotension, filter clotting, hypokalaemia, and hypophosphataemia was 82.6, 25.3, 20, and 10.6%, respectively. G1 and G2 were similar in male predominance and SOFA. There was no significant difference between the two groups in hypotension, filter clotting, hypokalaemia, and hypophosphataemia. However, the group treated with sessions of 10 hours showed higher refractory to clinical measures for hypotension and dialysis sessions were interrupted more often. Metabolic control and fluid balance were similar between G1 and G2. In conclusion, intradialysis hypotension was common in AKI patients treated with EDD. There was no difference in the prevalence of dialysis complications in patients undergoing different durations of EDD.
publishDate 2014
dc.date.none.fl_str_mv 2014-01-01
2015-03-18T15:55:35Z
2015-03-18T15:55:35Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1155/2014/153626
Biomed Research International. New York: Hindawi Publishing Corporation, 9 p., 2014.
2314-6133
http://hdl.handle.net/11449/117227
10.1155/2014/153626
WOS:000340752400001
WOS000340752400001.pdf
WOS000340752400001.epub
5697804493071661
url http://dx.doi.org/10.1155/2014/153626
http://hdl.handle.net/11449/117227
identifier_str_mv Biomed Research International. New York: Hindawi Publishing Corporation, 9 p., 2014.
2314-6133
10.1155/2014/153626
WOS:000340752400001
WOS000340752400001.pdf
WOS000340752400001.epub
5697804493071661
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Biomed Research International
2.583
0,935
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 9
application/epub+zip
application/pdf
dc.publisher.none.fl_str_mv Hindawi Publishing Corporation
publisher.none.fl_str_mv Hindawi Publishing Corporation
dc.source.none.fl_str_mv Web of Science
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
repository.mail.fl_str_mv
_version_ 1808128181860827136