The American Journal of Surgery
Volume 198, Issue 3 , Pages 325-332 , September 2009

The 90-day mortality and the subsequent renal recovery in critically ill surgical patients requiring acute renal replacement therapy

  • Yu-Feng Lin, M.D.

      Affiliations

    • Department of Nephrology, National Taiwan University Hospital Yun-Lin Branch, Yun-Lin, Taiwan, and National Taiwan University Hospital and National Taiwan University, College of Medicine, Taipei, Taiwan
    • ,
  • Wen-Je Ko, M.D., Ph.D.

      Affiliations

    • Department of Surgery, National Taiwan University Hospital Yun-Lin Branch, Yun-Lin, Taiwan, and National Taiwan University Hospital and National Taiwan University, College of Medicine, Taipei, Taiwan
    • ,
  • Tzong-Shinn Chu, M.D., Ph.D.

      Affiliations

    • Department of Nephrology, National Taiwan University Hospital Yun-Lin Branch, Yun-Lin, Taiwan, and National Taiwan University Hospital and National Taiwan University, College of Medicine, Taipei, Taiwan
    • ,
  • Yih-Sharng Chen, M.D., Ph.D.

      Affiliations

    • Department of Surgery, National Taiwan University Hospital Yun-Lin Branch, Yun-Lin, Taiwan, and National Taiwan University Hospital and National Taiwan University, College of Medicine, Taipei, Taiwan
    • ,
  • Vin-Cent Wu, M.D.

      Affiliations

    • Department of Nephrology, National Taiwan University Hospital Yun-Lin Branch, Yun-Lin, Taiwan, and National Taiwan University Hospital and National Taiwan University, College of Medicine, Taipei, Taiwan
    • ,
  • Yung-Ming Chen, M.D., Ph.D.

      Affiliations

    • Department of Nephrology, National Taiwan University Hospital Yun-Lin Branch, Yun-Lin, Taiwan, and National Taiwan University Hospital and National Taiwan University, College of Medicine, Taipei, Taiwan
    • ,
  • Ming-Shiou Wu, M.D., Ph.D.

      Affiliations

    • Department of Nephrology, National Taiwan University Hospital Yun-Lin Branch, Yun-Lin, Taiwan, and National Taiwan University Hospital and National Taiwan University, College of Medicine, Taipei, Taiwan
    • ,
  • Yung-Wei Chen, M.D.

      Affiliations

    • Department of Surgery, National Taiwan University Hospital Yun-Lin Branch, Yun-Lin, Taiwan, and National Taiwan University Hospital and National Taiwan University, College of Medicine, Taipei, Taiwan
    • ,
  • Ching-Wei Tsai, M.D.

      Affiliations

    • Department of Nephrology, National Taiwan University Hospital Yun-Lin Branch, Yun-Lin, Taiwan, and National Taiwan University Hospital and National Taiwan University, College of Medicine, Taipei, Taiwan
    • ,
  • Chih-Chung Shiao, M.D.

      Affiliations

    • Department of Nephrology, National Taiwan University Hospital Yun-Lin Branch, Yun-Lin, Taiwan, and National Taiwan University Hospital and National Taiwan University, College of Medicine, Taipei, Taiwan
    • ,
  • Wen-Yi Li, M.D.

      Affiliations

    • Department of Nephrology, National Taiwan University Hospital Yun-Lin Branch, Yun-Lin, Taiwan, and National Taiwan University Hospital and National Taiwan University, College of Medicine, Taipei, Taiwan
    • ,
  • Fu-Chang Hu, M.S., Sc.D.

      Affiliations

    • National Center of Excellence for General Clinical Trials and Research, National Taiwan University, College of Public Health, Taipei, Taiwan
    • ,
  • Pi-Ru Tsai, R.N.

      Affiliations

    • Department of Surgery, National Taiwan University Hospital Yun-Lin Branch, Yun-Lin, Taiwan, and National Taiwan University Hospital and National Taiwan University, College of Medicine, Taipei, Taiwan
    • ,
  • Tun-Jun Tsai, M.D., Ph.D.

      Affiliations

    • Department of Nephrology, National Taiwan University Hospital Yun-Lin Branch, Yun-Lin, Taiwan, and National Taiwan University Hospital and National Taiwan University, College of Medicine, Taipei, Taiwan
    • ,
  • Kwan-Dun Wu, M.D., Ph.D.

      Affiliations

    • Department of Nephrology, National Taiwan University Hospital Yun-Lin Branch, Yun-Lin, Taiwan, and National Taiwan University Hospital and National Taiwan University, College of Medicine, Taipei, Taiwan
    • Corresponding Author InformationCorresponding author. Tel.: +886-2-2312-3456; fax: +886-2-2393-4176
    • ,
  • The NSARF Study Group

Received 6 September 2008 ,Revised 26 October 2008

References 

  1. Brivet FG, Kleinknecht DJ, Loirat P, et al. Acute renal failure in intensive care units—causes, outcome, and prognostic factors of hospital mortality; a prospective, multicenter study (French Study Group on Acute Renal Failure). Crit Care Med. 1996;24:192–198
  2. Uchino S, Kellum JA, Bellomo R, et al. Acute renal failure in critically ill patients: a multinational, multicenter study. JAMA. 2005;294:813–818
  3. Bellomo R, Ronco C, Kellum JA, et al. Acute renal failure—definition, outcome measures, animal models, fluid therapy and information technology needs: the Second International Consensus Conference of the Acute Dialysis Quality Initiative (ADQI) Group. Crit Care. 2004;8:R204–R212
  4. Korkeila M, Ruokonen E, Takala J. Costs of care, long-term prognosis and quality of life in patients requiring renal replacement therapy during intensive care. Intens Care Med. 2000;26:1824–1831
  5. Bagshaw SM, Laupland KB, Doig CJ, et al. Prognosis for long-term survival and renal recovery in critically ill patients with severe acute renal failure: a population-based study. Crit Care. 2005;9:R700–R709
  6. Manns B, Doig CJ, Lee H, et al. Cost of acute renal failure requiring dialysis in the intensive care unit: clinical and resource implications of renal recovery. Crit Care Med. 2003;31:449–455
  7. Mehta RL, Pascual MT, Soroko S, et al. Spectrum of acute renal failure in the intensive care unit: the Picard experience. Kidney Int. 2004;66:1613–1621
  8. Knaus WA, Draper EA, Wagner DP, et al. Apache II: a severity of disease classification system. Crit Care Med. 1985;13:818–829
  9. Vincent JL, Moreno R, Takala J, et al. The SOFA (Sepsis-related Organ Failure Assessment) score to describe organ dysfunction/failure (On behalf of the Working Group on Sepsis-Related Problems of the European Society of Intensive Care Medicine). Intens Care Med. 1996;22:707–710
  10. Marshall JC, Cook DJ, Christou NV, et al. Multiple organ dysfunction score: a reliable descriptor of a complex clinical outcome. Crit Care Med. 1995;23:1638–1652
  11. Le Gall JR, Lemeshow S, Saulnier F. A new Simplified Acute Physiology Score (SAPS II) based on a European/North American multicenter study. JAMA. 1993;270:2957–2963
  12. Knaus WA, Draper EA, Wagner DP, et al. Prognosis in acute organ-system failure. Ann Surg. 1985;202:685–693
  13. Tran DD, Groeneveld AB, van der Meulen J, et al. Age, chronic disease, sepsis, organ system failure, and mortality in a medical intensive care unit. Crit Care Med. 1990;18:474–479
  14. Bone RC, Balk RA, Cerra FB, et al. American College of Chest Physicians/Society of Critical Care Medicine Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis (The ACCP/SCCM Consensus Conference Committee). Chest. 1992;101:1644–1655
  15. Ko WJ, Lin CY, Chen RJ, et al. Extracorporeal membrane oxygenation support for adult postcardiotomy cardiogenic shock. Ann Thorac Surg. 2002;73:538–545
  16. Chen YS, Ko WJ, Lin FY, et al. Preliminary result of an algorithm to select proper ventricular assist devices for high-risk patients with extracorporeal membrane oxygenation support. J Heart Lung Transplant. 2001;20:850–857
  17. Lemeshow S, Hosmer DW. A review of goodness of fit statistics for use in the development of logistic regression models. Am J Epidemiol. 1982;115:92–106
  18. Erdreich LS, Lee ET. Use of relative operating characteristic analysis in epidemiology (A method for dealing with subjective judgement). Am J Epidemiol. 1981;114:649–662
  19. Bagshaw SM, Mortis G, Godinez-Luna T, et al. Renal recovery after severe acute renal failure. Int J Artif Organs. 2006;29:1023–1030
  20. Cole L, Bellomo R, Silvester W, et al. A prospective, multicenter study of the epidemiology, management, and outcome of severe acute renal failure in a “closed” ICU system. Am J Respir Crit Care Med. 2000;162:191–196
  21. Schiffl H. Renal recovery from acute tubular necrosis requiring renal replacement therapy: a prospective study in critically ill patients. Nephrol Dial Transplant. 2006;21:1248–1252
  22. Williams TA, Dobb GJ, Finn JC, et al. Long-term survival from intensive care: a review. Intens Care Med. 2005;31:1306–1315
  23. Galanos AN, Pieper CF, Kussin PS, et al. SUPPORT Investigators Relationship of body mass index to subsequent mortality among seriously ill hospitalized patients (The study to Understand Prognoses and Preferences for Outcome and Risks of Treatments). Crit Care Med. 1997;25:1962–1968
  24. Potter JF, Schafer DF, Bohi RL. In-hospital mortality as a function of body mass index: an age-dependent variable. J Gerontol. 1988;43:M59–M63
  25. Myrianthefs P, Kalafati M, Lemonidou C, et al. Efficacy of CPR in a general, adult ICU. Resuscitation. 2003;57:43–48
  26. Smith I, Kumar P, Molloy S, et al. Base excess and lactate as prognostic indicators for patients admitted to intensive care. Intens Care Med. 2001;27:74–83
  27. Heyland DK, MacDonald S, Keefe L, et al. Total parenteral nutrition in the critically ill patient: a metal-analysis. JAMA. 1998;280:2013–2019
  28. Hoste EA, Lameire NH, Vanholder RC, et al. Acute renal failure in patients with sepsis in a surgical ICU: predictive factors, incidence, comorbidity, and outcome. J Am Soc Nephrol. 2003;14:1022–1030
  29. Jacka MJ, Ivancinova X, Gibney RT. Continuous renal replacement therapy improves renal recovery from acute renal failure. Can J Anesth. 2005;52:327–332
  30. Bell M, Granath F, Schon S, et al. Continuous renal replacement therapy is associated with less chronic renal failure than intermittent haemodialysis after acute renal failure. Intens Care Med. 2007;33:773–780
  31. Mehta RL, McDonald B, Gabbai FB, et al. A randomized clinical trial of continuous versus intermittent dialysis for acute renal failure. Kidney Int. 2001;60:1154–1163
  32. Kellum JA, Mehta RL, Angus DC, et al. The first international consensus conference on continuous renal replacement therapy. Kidney Int. 2002;62:1855–1863
  33. van Bommel E, Bouvy ND, So KL, et al. Acute dialytic support for the critically ill: intermittent hemodialysis versus continuous arteriovenous hemodiafiltration. Am J Nephrol. 1995;15:192–200
  34. Manns M, Sigler MH, Teehan BP. Intradialytic renal haemodynamics—potential consequences for the management of the patient with acute renal failure. Nephrol Dial Transplant. 1997;12:870–872
  35. Van der Schueren G, Diltoer M, Laureys M, et al. Intermittent hemodialysis in critically ill patients with multiple organ dysfunction syndrome is associated with intestinal intramucosal acidosis. Intens Care Med. 1996;22:747–751
  36. Davenport A, Will EJ, Davidson AM. Improved cardiovascular stability during continuous modes of renal replacement therapy in critically ill patients with acute hepatic and renal failure. Crit Care Med. 1993;21:328–338
  37. Abdeen O, Mehta RL. Dialysis modalities in the intensive care unit. Crit Care Clin. 2002;18:223–247

 Supported by the Improving Dialysis Quality Research Funds, Ta-Tung Kidney Foundation National Taiwan University Hospital Yun-Lin branch (grant no. 98.X006), and Taiwan National Science Council (grant no. NSC 98-2314-B-002-108).

PII: S0002-9610(09)00005-1

doi: 10.1016/j.amjsurg.2008.10.021

The American Journal of Surgery
Volume 198, Issue 3 , Pages 325-332 , September 2009

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