tailieunhanh - Báo cáo khoa học: " Haemodialysis and peritoneal dialysis patients admitted to intensive care units"

Available online Commentary 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: Haemodialysis and peritoneal dialysis patients admitted to intensive care units. | Available online http content 11 3 133 Commentary Haemodialysis and peritoneal dialysis patients admitted to intensive care units Nishkantha Arulkumaran John B Eastwood and Debasish Banerjee Renal and Transplantation Unit St George s Hospital Blackshaw Road Tooting London SW17 0QT UK Corresponding author Debasish Banerjee Published 31 May 2007 Critical Care 2007 11 133 doi cc5914 This article is online at http content 11 3 133 2007 BioMed Central Ltd Abstract Hutchison and colleagues report a 10-year experience of dialysis patients admitted to intensive care units ICUs in the UK excluding Scotland. Their study is the largest published so far and raises issues of interest to both ICU physicians and nephrologists. Overall the dialysis patients although sicker on admission and having pre-existing co-morbidities do as well as other ICU patients. Their clinical progress after leaving the ICU however is less good than for other ICU patients raising the possibility that the patients might be leaving too early or perhaps that dialysis patients should be discharged to a high-dependency unit rather than go direct to a renal ward. All in all the paper by Hutchison and colleagues provides a useful foundation for planning the critical care management of dialysis patients in the UK and elsewhere. Improvements in the provision of facilities for dialysis and rising patients expectations are likely to lead to a rise in the number of critically ill dialysis patients presenting to intensive care units ICUs . The study of Hutchison and colleagues 1 in the previous issue of Critical Care reports data from 170 ICUs in England Wales and Northern Ireland over the period 1995 to 2004. It makes interesting reading and is far larger than any of the earlier studies as shown in Table 1 2-5 . About 20 of patients maintained by haemodialysis or peritoneal dialysis die each year 6 . The causes are predominantly cardiovascular more