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Filter lifespan, treatment effect, and influencing factors of continuous renal replacement therapy for severe burn patients

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机构: [1]Medical College of Wuhan University of Science and Technology, Wuhan, China. [2]Wuhan Institute of Burns, Tongren Hospital of Wuhan University (Wuhan Third Hospital), Wuhan, China.
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关键词: severe burn continuous renal replacement therapy filter lifespan anticoagulation

摘要:
Continuous renal replacement therapy (CRRT) is often disrupted due to various factors, such as patient-related issues, vascular access complications, treatment plans, and medical staff factors. This unexpected interruption is referred to as non-selective filter stoppage and can result in additional treatment expenses. This study retrospectively analyzed 501 CRRT filters used in 62 patients with severe burns, lifespan and therapeutic effect of all filters were mainly analyzed, used logistic regression analysis was performed to identify risk factors associated with non-selective cessation filter. Out of 493 filters, 279 cases received heparin (56.60%), the median lifespan of the filter was 14.08 hours (25th,75th quantile:7.30,21.50); 128 cases were treated with nafamostat mesylate (26.00%), and the median lifespan of the filter was 16.42 hours (10.49,22.76); 86 cases were treated with sodium citrate (17.40%), and the median lifespan of the filter was 31.06 hours (19.25,48.75). In addition, significant differences were observed in the electrolyte index, renal function index, and procalcitonin levels before and after treatment with a single filter (P<0.001). Multivariate logistic regression showed that the risk of non-selective cessation of sodium citrate anticoagulants was lower than that of heparin anticoagulation. Overall, CRRT is progressively becoming more prevalent in the treatment of severe burn patients. The lifespan of individual filters and total patient treatment duration showed a consistent upward trend. The filter's lifespan was notably greater during sodium citrate anticoagulation when compared to nafamostat mesylate and heparin, meanwhile notably reducing the risk of non-selective cessation. Therefore, we recommend sodium citrate for anticoagulation on patients without any contraindications.© The Author(s) 2023. Published by Oxford University Press on behalf of the American Burn Association.

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出版当年[2023]版:
大类 | 4 区 医学
小类 | 4 区 危重病医学 4 区 皮肤病学 4 区 外科
最新[2023]版:
大类 | 4 区 医学
小类 | 4 区 危重病医学 4 区 皮肤病学 4 区 外科
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出版当年[2022]版:
Q3 SURGERY Q4 CRITICAL CARE MEDICINE Q4 DERMATOLOGY
最新[2023]版:
Q3 CRITICAL CARE MEDICINE Q3 DERMATOLOGY Q3 SURGERY

影响因子: 最新[2023版] 最新五年平均 出版当年[2022版] 出版当年五年平均 出版前一年[2021版] 出版后一年[2023版]

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第一作者机构: [1]Medical College of Wuhan University of Science and Technology, Wuhan, China.
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通讯机构: [2]Wuhan Institute of Burns, Tongren Hospital of Wuhan University (Wuhan Third Hospital), Wuhan, China. [*1]Wuhan Institute of Burns, Tongren Hospital of Wuhan University (Wuhan Third Hospital), 241# Peng Liuyang Road, Wuchang District, Wuhan, China.
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