1. Evaluation of the registry DIALYREG for the assessment of continuous renal replacement techniques in the critically ill patient
- Author
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M. González-Fernández, N. Quílez-Trasobares, J. A. Barea-Mendoza, Z. Molina-Collado, D. Arias-Verdú, J. Barrueco-Francioni, G. Seller-Pérez, M. E. Herrera-Gutiérrez, and J. A. Sánchez-Izquierdo Riera
- Subjects
Medicine ,Science - Abstract
Abstract Continuous renal replacement techniques (CRRT) can induce complications and monitoring is crucial to ensure patient safety. We designed a prospective multicenter observational and descriptive study using the DIALYREG registry, an online database located on a REDCap web-based platform that allows real-time data analysis. Our main objective was to identify CRRT-related complications in our intensive care units (ICUs) and implement security measures accordingly. From January 2019 to December 2020, we included 323 patients with admission diagnoses of medical illness (54%), sepsis (24%), postoperative care (20%), and trauma (2%). CRRT indications were homeostasis (42%), oliguria (26%), fluid overload (15%), and hemodynamic optimization (13%). The median initial therapy dose was 30 ml/kg/h (IQR 25–40), and dynamic adjustment was performed in 61% of the treatments. Sets were anticoagulated with heparin (40%), citrate (38%) or no anticoagulation (22%). Citrate anticoagulation had several advantages: more frequent dynamic CRRT dose adjustment (77% vs. 58% with heparin and 56% without anticoagulation, p
- Published
- 2023
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