Dialysis therapy for children with acute renal failure: survey results

Warady, Bradley A.; Bunchman, Timothy E.

doi:10.1007/s004670000420

Cited by 175 publications

(91 citation statements)

References 11 publications

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“…Warady et al described a trend of shifting from acute PD in favor of hemodialysis in AKI (22). However, Kendirli et al reported that most of their patients underwent peritoneal dialysis (23).…”

Section: Discussionmentioning

confidence: 99%

Acute kidney injury: A pediatric experience over 10 years at a tertiary care center

Gheissari¹,

Mehrasa²,

Merrikhi³

et al. 2012

J Nephropathol

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Implication for health policy/practice/research/medical education:The etiology of acute kidney injury (AKI) varies in different countries. In a retrospective analysis data of 180 children less than 18 years treated for AKI was studied. We concluded that the mortality is still high in AKI. The poor outcome (defined as low GFR) are higher among patients with low levels of first GFR and higher RIFLE score.Please cite this paper as: Gheissari A, Mehrasa P, Merrikhi A, Madihi Y. Acute kidney injury: A pediatric experience over 10 years at a tertiary care center. J Nephropathology. 2012; 1 (2) Results: The male to female ratio was 1.57 to 1. Mean age was 5.28 ± 6.3 (SD) years and the median was 1.8 years. The more frequent age group was children less than 2 years. The mortality rate was 22.2% (40 patients). The mortality was not correlated with age (p= 0.74). Renal replacement therapy was recommended for 62 patients (34.4%). Mean of the first and last glomerular filtration rate (GFR) were 18.33± 1.12 ml/min/1.73 m² and 52.53 ± 2.98 ml/min/1.73 m², respectively. The most common urinary sediment finding in approximately 70% of the patients was either renal epithelial cell or renal cell cast. Increased kidney echogenicity was the most common ultrasound finding (48%). Using ANOVA regression analysis, the etiology of disease was the only predictor of mortality (p=0.0001). Conclusions:We concluded that the mortality is still high in AKI. Furthermore, the poor outcome (defined as low GFR) are higher among patients with low levels of first GFR and higher RIFLE score.

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Section: Discussionmentioning

confidence: 99%

Acute kidney injury: A pediatric experience over 10 years at a tertiary care center

Gheissari¹,

Mehrasa²,

Merrikhi³

et al. 2012

J Nephropathol

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“…59 Yet, among other pediatric patients with kidney failure, PD is employed less frequently in favor of hemo-based CRRT. 60 In some instances, the modality of choice is driven by practice guidelines based on patient and disease characteristics such as hemodynamic stability and other organ failures. 61 Furthermore, cost of therapy may be a significant driving force in the choice of modality.…”

Section: O N O T D I S T R I B U T Ementioning

confidence: 99%

Renal replacement therapy review

Fleming

2011

Organogenesis

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“…This is in contrast to a survey from North America and Europe in which PD usage decreased dramatically in favor of CRRT, except as a treatment modality for young infants. In many centers, CRRT has become the modality of choice (73,75). Despite the technological advancement, refinement, and development of safety procedures for the CRRT machines, the application of this therapy in children remains expensive, complex, technologydependent and needs experienced specialized nursing personnel, rendering it rather difficult to introduce in areas with limited resources.…”

Section: Pediatric Guidelinesmentioning

confidence: 99%