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The benefit of specialized team approaches in patients with acute kidney injury undergoing continuous renal replacement therapy: propensity score matched analysis

DC FieldValueLanguage
dc.contributor.author이혜선-
dc.contributor.author한승혁-
dc.contributor.author강신욱-
dc.contributor.author고신옥-
dc.contributor.author김찬호-
dc.contributor.author나성원-
dc.contributor.author박정탁-
dc.contributor.author오형중-
dc.contributor.author유태현-
dc.contributor.author이미정-
dc.date.accessioned2015-01-06T17:12:46Z-
dc.date.available2015-01-06T17:12:46Z-
dc.date.issued2014-
dc.identifier.issn1466-609X-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/99546-
dc.description.abstractINTRODUCTION: Continuous renal replacement therapy (CRRT) has been widely used in critically ill acute kidney injury (AKI) patients. Moreover, some centers operate a specialized CRRT team (SCT) composed of physicians and nurses, but few studies have yet determined the superiority of SCT control. METHODS: A total of 334 among 534 patients in the original cohort, who started CRRT for severe AKI between August 2007 and September 2009 in Yonsei University Health System and were matched with a propensity score (PS), were divided into two groups based on SCT application. Moreover, we compared CRRT-related outcomes including down-time per day and lost time per filter-exchange between the two groups. The primary outcomes were 28- and 90-day all-cause mortality, and the secondary outcomes were the rates of renal function recovery at 28- and 90-day. RESULTS: The down-time per day, lost time per filter-exchange, and red blood cell-transfused numbers during CRRT treatment were significantly lower after SCT approach compared with the group before SCT, while net ultrafiltration rate in the after SCT group was significantly higher compared to the before SCT group. During the study period, the 28- and 90-day all-cause mortality rates were significantly decreased after SCT application. Cox regression analysis revealed that 28- and 90-day all-cause mortality rates were significantly lower under SCT control, after adjusting for primary diagnosis, emergent surgical cases, Charlson Comorbidity Index and biochemical parameters. However, there were no significant differences in the rate of renal function recovery before and after SCT approach in CRRT. CONCLUSIONS: A well-organized CRRT team could be beneficial for clinical outcomes through improving quality of care in AKI patients requiring CRRT treatment in the ICU.-
dc.description.statementOfResponsibilityopen-
dc.format.extent1~9-
dc.relation.isPartOfCritical Care-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAcute Kidney Injury/mortality-
dc.subject.MESHAcute Kidney Injury/therapy*-
dc.subject.MESHCritical Illness/mortality-
dc.subject.MESHCritical Illness/therapy-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHIntensive Care Units/manpower-
dc.subject.MESHIntensive Care Units/organization & administration-
dc.subject.MESHIntensive Care Units/statistics & numerical data-
dc.subject.MESHKaplan-Meier Estimate-
dc.subject.MESHMale-
dc.subject.MESHMedical Records/statistics & numerical data-
dc.subject.MESHMiddle Aged-
dc.subject.MESHOutcome and Process Assessment (Health Care)/statistics & numerical data-
dc.subject.MESHPatient Care Team/organization & administration*-
dc.subject.MESHPatient Care Team/standards-
dc.subject.MESHPatient Care Team/statistics & numerical data-
dc.subject.MESHPrognosis-
dc.subject.MESHPropensity Score-
dc.subject.MESHProportional Hazards Models-
dc.subject.MESHRenal Replacement Therapy/methods-
dc.subject.MESHRenal Replacement Therapy/standards*-
dc.subject.MESHRenal Replacement Therapy/statistics & numerical data-
dc.subject.MESHRepublic of Korea/epidemiology-
dc.subject.MESHRetrospective Studies-
dc.titleThe benefit of specialized team approaches in patients with acute kidney injury undergoing continuous renal replacement therapy: propensity score matched analysis-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentYonsei Biomedical Research Center (연세의생명연구원)-
dc.contributor.googleauthorHyung Jung Oh-
dc.contributor.googleauthorMi Jung Lee-
dc.contributor.googleauthorChan Ho Kim-
dc.contributor.googleauthorDae Young Kim-
dc.contributor.googleauthorHye Sun Lee-
dc.contributor.googleauthorJung Tak Park-
dc.contributor.googleauthorSungwon Na-
dc.contributor.googleauthorSeung Hyeok Han-
dc.contributor.googleauthorShin-Wook Kang-
dc.contributor.googleauthorShin Ok Koh-
dc.contributor.googleauthorTae-Hyun Yoo-
dc.identifier.doi10.1186/s13054-014-0454-8-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA04304-
dc.contributor.localIdA00053-
dc.contributor.localIdA00126-
dc.contributor.localIdA01037-
dc.contributor.localIdA01232-
dc.contributor.localIdA01654-
dc.contributor.localIdA02417-
dc.contributor.localIdA02526-
dc.contributor.localIdA03312-
dc.contributor.localIdA02773-
dc.relation.journalcodeJ00652-
dc.identifier.pmid25116900-
dc.subject.keywordPropensity Score-
dc.subject.keywordAcute Kidney Injury-
dc.subject.keywordSequential Organ Failure Assessment-
dc.subject.keywordContinuous Renal Replacement Therapy-
dc.subject.keywordPropensity Score Match-
dc.contributor.alternativeNameLee, Hye Sun-
dc.contributor.alternativeNameHan, Seung Hyeok-
dc.contributor.alternativeNameKang, Shin Wook-
dc.contributor.alternativeNameKoh, Shin Ok-
dc.contributor.alternativeNameKim, Chan Ho-
dc.contributor.alternativeNameNa, Sung Won-
dc.contributor.alternativeNamePark, Jung Tak-
dc.contributor.alternativeNameOh, Hyung Jung-
dc.contributor.alternativeNameYoo, Tae Hyun-
dc.contributor.alternativeNameLee, Mi Jung-
dc.contributor.affiliatedAuthorHan, Seung Hyeok-
dc.contributor.affiliatedAuthorKang, Shin Wook-
dc.contributor.affiliatedAuthorKoh, Shin Ok-
dc.contributor.affiliatedAuthorKim, Chan Ho-
dc.contributor.affiliatedAuthorNa, Sung Won-
dc.contributor.affiliatedAuthorPark, Jung Tak-
dc.contributor.affiliatedAuthorOh, Hyung Jung-
dc.contributor.affiliatedAuthorYoo, Tae Hyun-
dc.contributor.affiliatedAuthorLee, Hye Sun-
dc.contributor.affiliatedAuthorLee, Mi Jung-
dc.citation.volume18-
dc.citation.number4-
dc.citation.startPage1-
dc.citation.endPage9-
dc.identifier.bibliographicCitationCritical Care, Vol.18(4) : 1-9, 2014-
Appears in Collections:
1. College of Medicine (의과대학) > Yonsei Biomedical Research Center (연세의생명연구원) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers

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