1. The effectiveness of continuous renal replacement therapy in critical COVID-19 patients with cytokine release syndrome: a retrospective, multicenter, descriptive study from Wuhan, China
- Author
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Huiling Xiang, Yuanyuan Zhang, Jing Xiong, Jianduan Zhang, and Bin Song
- Subjects
Male ,China ,kidney ,Aging ,medicine.medical_specialty ,Continuous Renal Replacement Therapy ,Critical Illness ,medicine.medical_treatment ,C-reactive protein ,Fibrin Fibrinogen Degradation Products ,Internal medicine ,Case fatality rate ,medicine ,Humans ,Renal replacement therapy ,Dialysis ,Aged ,Inflammation ,biology ,SARS-CoV-2 ,business.industry ,Acute kidney injury ,COVID-19 ,cytokine release syndrome ,Cell Biology ,Middle Aged ,medicine.disease ,Cytokine release syndrome ,Treatment Outcome ,Respiratory failure ,Absolute neutrophil count ,biology.protein ,Female ,business ,Research Paper - Abstract
Background: Coronavirus disease (COVID-19) has spread rapidly since 2019. Approximately 15% of the patients will develop severe complications such as multiple organ disease syndrome related to cytokine release syndrome (CRS). Continuous renal replacement therapy (CRRT) can remove inflammatory cytokines through filtration or adsorption. We evaluated the effectiveness of CRRT in COVID-19 patients with CRS. Methods: This retrospective, multicenter, descriptive study included 83 patients with CRS from three hospitals in Wuhan. Results: In COVID-19 patients with CRS, the fatality rate was even higher in CRRT group (P=0.005). However, inflammatory markers such as C-reactive protein, neutrophil counts, and D-dimer decreased after CRRT (P
- Published
- 2021
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