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Báo cáo y học: "Continuous venovenous hemofiltration in severely burned patients with acute kidney injury: a cohort study"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Continuous venovenous hemofiltration in severely burned patients with acute kidney injury: a cohort study. | Available online http ccforum.eom content 13 3 R62 Research Continuous venovenous hemofiltration in severely burned patients with acute kidney injury a cohort study Kevin K Chung1 Jonathan B Lundy1 James R Matson2 Evan M Renz1 Christopher E White1 Booker T King1 David J Barillo1 John A Jones1 Leopoldo C Cancio1 Lorne H Blackbourne1 and Steven E Wolf1 3 Open Access 1Burn Center United States Army Institute of Surgical Research 3400 Rawley E. Chambers Drive Fort Sam Houston TX 78234 USA 2Pediatric Acute Care Associates of North Texas PA 7777 Forest Lane D569 Dallas TX 75230 USA 3Department of Surgery UT Health Science Center at San Antonio 7703 Floyd Curl Drive San Antonio TX 78229 USA Corresponding author Kevin K Chung kevin.chung@us.army.mil Received 20 Feb 2009 Revisions requested 12 Mar 2009 Revisions received 8 Apr 2009 Accepted 1 May 2009 Published 1 May 2009 Critical Care 2009 13 R62 doi 10.1186 cc7801 This article is online at http ccforum.com content 13 3 R62 2009 Chung et al. licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Acute kidney injury AKI is a common and devastating complication in critically ill burn patients with mortality reported to be between 80 and 100 . We aimed to determine the effect on mortality of early application of continuous venovenous hemofiltration CVVH in severely burned patients with AKI admitted to our burn intensive care unit BICU . Methods We performed a retrospective cohort study comparing a population of patients managed with early and aggressive CVVH compared with historical controls managed conservatively before the availability of CVVH. Patients with total body surface area TBSA burns of more than 40 and AKI were treated with early CVVH and their outcomes .