ABSTRACTS from 16th International COnference on ... - CRRT Online

<strong>ABSTRACTS</strong> FROM 17 TH INTERNATIONAL CONFERENCE ON CRRT,
SAN DIEGO, FEB 14-17, 2012
and 75 %s were Malays followed by 16
%s Chinese and 9 %s Indians. Twelve
%s had concurrent coronary heart
disease, more than half had hypertension
and 48 %s had diabetes. 53.3 % were
referred <strong>from</strong> intensive wards with preand
intra-renal AKI noted in 21.3 and
73.3 %s respectively. Sepsis was
diagnosed in 78.7 % and the pathogens
were identified in 42.3 % of them. At the
start of dialysis, the urea and creatinine
were 3.4 (IQR 2.3) mmol/L and 474
(IQR 398) mcmol/L respectively.
Metabolic acidosis was noted in 76 %
and oliguria in 38.7 %. At least 85.3 %
required dialysis and conventional HD
was the most commonly prescribed
while 22.7 % of the patients were started
on CRRT. The 3-days mortality rate was
28 % and duration of ward stay was 11.5
(IQR 7) days. Patients referred <strong>from</strong> the
intensive wards had higher mortality rate
(37.5 versus 17.1 %s). They were also
frequently started on dialysis (39 versus
25 cases, p=.1). Of those treated with
dialysis, 68.8 %s survived and complete
renal recovery was noted in 31.3 %s of
them. Seventeen patients had partial
recovery and seven were dialysisdependent.
CRRT had associated with
shorter hospital stay (1 versus 3 days, p=
.4) but not with better clinical outcomes.
Conclusion: The overall 3-days
mortality rate was 28 %s and higher in
the intensive wards. Referral <strong>from</strong>
intensive wards was the only factor
associated with poor clinical outcomes
and CRRT was not associated with an
improved prognosis in our AKI patients.
Intensive
Wards
General
Wards
n (%) 4 (53.3) 35 (46.7) -
Age
57.5 (IQR
25)
54 (IQR
21)
Gender (M:F) 26:14 21:14
Ethnicity (M:C :I) 31:7:2 25:5:5
Co-morbid
p
value
NS
Diabetes 19 17 NS
Hypertension 22 18 NS
CAD 5 4 NS
Etiology
Pre-renal (n, %) 6(15) 1 (28.6) NS
Intra-renal (n, %) 34(85) 21 (6) .2
Post-renal (n, %) () 4 (11.4) .3
Sepsis 35 (87.5) 24 (68.) .5
Urea
Creatinine
Potassium
Hemoglobin
White Cell
Platelet
Albumin
3.8 (IQR
19)
46 (IQR
168.5)
5 (IQR
1.6)
1.5 (IQR
3.5)
15.3 (IQR
1.8)
22 (IQR
159)
27 (IQR
8.4)
29 (IQR
22)
56.5 (IQR
49)
4.2 (IQR
1.4)
9.5 (IQR
3.1)
12.3 (IQR
9.8)
223.5
(IQR
143.5)
26.6 (IQR
1.8)
NS
NS
NS
NS
NS
NS
NS
Acidosis 33 24 NS
Coagulopathy 18 11 NS
AKI 1 1 7 NS
AKI 2 2 NS
AKI 3 39 26 .3
Dialysis; Yes 39 25 .1
CRRT 16 < .1
LOS
13 (IQR 1) 1 (IQR 8) NS
Mortality 15 (37.5) 6 (17.1) .5
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