Journal of Korean Critical Care Nursing (중환자간호학회지)

Korean Society of Critical Care Nursing (한국중환자간호학회)
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Continuous Renal Replacement Therapy: A Survey of Practice in a Critical Care Unit

일 종합병원에서의 지속적 신대체요법 적용에 관한 실태

  • Seo, Min-Jeong (Intensive care unit, Samsung Medical Center) ;
  • Choi, Ang-Ja (Intensive care unit, Samsung Medical Center) ;
  • Suh, Ji-Young (critical care unit, Samsung Medical Center and professor of Sungkyunkwan University School of Medicine) ;
  • Cho, Yong-Ae (Development, Samsung Medical Center and Professor Sungkyunkwan University School of Medicine) ;
  • Sung, Young-Hee (Department of Clinical Nursing Science, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 서민정 (삼성 서울 병원.중환자 CRRT) ;
  • 최앵자 (삼성 서울 병원.중환자 CRRT) ;
  • 서지영 (삼성 서울 병원.중환자실, 성균관 대학) ;
  • 조용애 (삼성 서울 병원.간호교육팀, 성균관 대학) ;
  • 성영희 (삼성 서울 병원.임상간호학 연구소, 성균관대학)
  • Published : 2009.04.20
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Abstract

Purpose: The treatment effects and operation status of continuous renal replacement therapy (CRRT) for acute renal failure patients have been investigated. Method: Two expert nurses reviewed the records of 731 patients undergoing CRRT in an intensive care unit of a general hospital from Jan. 2002 to Dec. 2006 with the CRRT assessment sheet and situation sheet developed for this study. Results: The number of patients received CRRT increased from 90 in 2002 to 194 in 2006. The most common indication for CRRT was azotemia (40.0%). Before CRRT treatment, patients were 78.6 ($\pm55.5$) of BUN value and 5.0 ($\pm3.2$) of Cr. value. The standard values of BUN and Cr. were lowered. Compared the survival group with the death group, there were significant differences among the medical departments and the main diagnosis group. Their BUN and creatinine value, APACHE II score, mean blood pressure, and oliguria were significantly different (p<0.05). Conclusion: This survey demonstrates a trend that patients receiving CRRT has been increased. We suggest further studies are needed in some hospitals in order to generalize the results and to find how CRRT treatment affects patient’s survival and death rate.

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