Present practise patterns of renal replacement therapy in German intensive care medicine
© 2021. The Author(s)..
About 50% of all critically ill patients develop acute kidney injury (AKI) and approximately 15% receive renal replacement therapy (RRT). Although RRT is frequently used in intensive care units in Germany, it is currently unknown which RRT procedures are available, which qualification the involved staff has, which anticoagulation strategies are used and how RRT doses are prescribed. To investigate quality and structural characteristics of the performance of RRT in intensive care units throughout Germany, the German Interdisciplinary Society of Intensivists (Deutsche Interdisziplinäre Vereinigung für Intensiv- und Notfallmedizin [DIVI]) performed an inquiry among their members. A total of 897 members participated in the survey in which practical aspects were queried. In 69.1% of the cases, RRT was performed in hospitals with more than 400 beds and in 74.5% in university hospitals or other primary care hospitals. Furthermore, 93.3% of clinics are equipped with continuous and 75.8% with intermittent renal replacement devices. In 91.9%, indication for initiation of RRT was performed by trained physicians specialized in intensive care medicine or nephrologists. Intermittent as well as continuous modalities are both present in three-quarters of cases, which allows for individualized therapy. However, the documentation of dialysis dose needs to be improved.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:117 |
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| Enthalten in: |
Medizinische Klinik, Intensivmedizin und Notfallmedizin - 117(2022), 5 vom: 01. Juni, Seite 367-373 |
| Sprache: |
Deutsch |
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| Weiterer Titel: |
Aktueller Stand der Durchführung von Nierenersatztherapien auf deutschen Intensivstationen |
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| Beteiligte Personen: |
Willam, Carsten [VerfasserIn] |
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| Links: |
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| Themen: |
Acute kidney injury |
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| Anmerkungen: |
Date Completed 02.06.2022 Date Revised 16.09.2023 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1007/s00063-021-00835-y |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| 520 | |a About 50% of all critically ill patients develop acute kidney injury (AKI) and approximately 15% receive renal replacement therapy (RRT). Although RRT is frequently used in intensive care units in Germany, it is currently unknown which RRT procedures are available, which qualification the involved staff has, which anticoagulation strategies are used and how RRT doses are prescribed. To investigate quality and structural characteristics of the performance of RRT in intensive care units throughout Germany, the German Interdisciplinary Society of Intensivists (Deutsche Interdisziplinäre Vereinigung für Intensiv- und Notfallmedizin [DIVI]) performed an inquiry among their members. A total of 897 members participated in the survey in which practical aspects were queried. In 69.1% of the cases, RRT was performed in hospitals with more than 400 beds and in 74.5% in university hospitals or other primary care hospitals. Furthermore, 93.3% of clinics are equipped with continuous and 75.8% with intermittent renal replacement devices. In 91.9%, indication for initiation of RRT was performed by trained physicians specialized in intensive care medicine or nephrologists. Intermittent as well as continuous modalities are both present in three-quarters of cases, which allows for individualized therapy. However, the documentation of dialysis dose needs to be improved | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Acute kidney injury | |
| 650 | 4 | |a Hemodialysis | |
| 650 | 4 | |a Hemofiltration | |
| 650 | 4 | |a Intensive care medicine | |
| 650 | 4 | |a Renal replacement therapy | |
| 700 | 1 | |a Meersch, Melanie |e verfasserin |4 aut | |
| 700 | 1 | |a Herbst, Larissa |e verfasserin |4 aut | |
| 700 | 1 | |a Heering, Peter |e verfasserin |4 aut | |
| 700 | 1 | |a Schmitz, Michael |e verfasserin |4 aut | |
| 700 | 1 | |a Oppert, Michael |e verfasserin |4 aut | |
| 700 | 1 | |a John, Stefan |e verfasserin |4 aut | |
| 700 | 1 | |a Jörres, Achim |e verfasserin |4 aut | |
| 700 | 1 | |a Zarbock, Alexander |e verfasserin |4 aut | |
| 700 | 1 | |a Janssens, Uwe |e verfasserin |4 aut | |
| 700 | 1 | |a Kindgen-Milles, Detlef |e verfasserin |4 aut | |
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