Mortality risk factors in critical post-surgical patients treated using continuous renal replacement techniques

被引:2
|
作者
Estupinan-Jimenez, J. C. [1 ]
Castro-Rincon, J. M. [1 ]
Gonzalez, O. [1 ]
Lora, D. [2 ]
Lopez, E. [1 ]
Perez-Cerda, F. [1 ]
机构
[1] Hosp Univ 12 Octubre, Serv Anestesiol & Reanimac, Madrid, Spain
[2] Hosp 12 Octubre, Inst Invest, Estadist I 12, Madrid, Spain
来源
REVISTA ESPANOLA DE ANESTESIOLOGIA Y REANIMACION | 2015年 / 62卷 / 04期
关键词
Post-operative care; Acute renal failure; Renal replacement therapy; Mortality; Post-operative complications; Critically ill;
D O I
10.1016/j.redar.2014.05.005
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Objective: To determine the influence of demographics, medical, and surgical variables on 30-day mortality in patients who need continuous renal replacement therapy (CRRT). Materials and methods: A retrospective-following study was conducted using the data of 112 patients admitted to the postoperative intensive care unit who required CRRT, between August 2006 and August 2011, and followed-up for 30 days. The following information was collected: age, gender, history of HBP, DM, cardiovascular disease, and CKD, urgent surgery, surgical speciality, organic dysfunction according to the SOFA scale, the number of organs with dysfunction, use of mechanical ventilation, diagnostic and origin of sepsis, type of CRRT, and 30-day mortality. General linear models were used for estimating the strength of association (relative risk [RR], and 95% confidence interval [CI] between variables and 30-day. mortality. Results: In the univariant analysis, the following variables were identified as risk factors for 30 day mortality: age (RR 1.04; 95% CI 1.01-1.06; P=.0005), and history of cardiovascular disease (RR 1.57; 95% CI 1.02-2.41; P=.039). Among the variables included in the multivariable analysis (age, history of cardiovascular disease, sepsis, and number of organs with dysfunction), only age was identified as an independent risk factor for 30-day mortality (RR 1.03; 95% CI 1.00-1.05; P=.007). Conclusion: Thirty-day mortality in postoperative, critically ill patients who require CRRT is high (41.07%). Age has been identified as an independent risk factor, with renal failure as the most common indication for the use of these therapies. (C) 2013 Sociedad Espanola de Anestesiologia, Reanimacion y Terapeutica del Dolor. Published by Elsevier Espana, S.L.U. All rights reserved.
引用
收藏
页码:184 / 190
页数:7
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