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KMID : 1221920090020010058
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Journal of Korean Critical Care Nursing
2009 Volume.2 No. 1 p.58 ~ p.68
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Continuous Renal Replacement Therapy: A Survey of Practice in a Critical Care Unit
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Seo Min-Jeong
Cho Yong-Ae
Sung Young-Hee
Choi Ang-Ja
Suh Ji-Young
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Abstract
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Purpose:The treatment effects and operation status of continuous renal replacement therapy (CRRT) for acute renal failure patients have been investigated.
Method: Two expert nurses reviewed the records of 731 patients undergoing CRRT in an intensive care unit of a general hospital from Jan. 2002 to Dec. 2006 with the CRRT assessment sheet and situation sheet developed for this study.
Results: The number of patients received CRRT increased from 90 in 2002 to 194 in 2006. The most common indication for CRRT was azotemia (40.0%). Before CRRT treatment, patients were 78.6 () of BUN value and 5.0 () of Cr. value. The standard values of BUN and Cr. were lowered. Compared the survival group with the death group, there were significant differences among the medical departments and the main diagnosis group. Their BUN and creatinine value, APACHE II score, mean blood pressure, and oliguria were significantly different (p<0.05).
Conclusion: This survey demonstrates a trend that patients receiving CRRT has been increased. We suggest further studies are needed in some hospitals in order to generalize the results and to find how CRRT treatment affects patient’s survival and death rate.
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KEYWORD
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CRRT, Renal replacement therapy, ICU
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