Outcomes of Chronic Hemodialysis Patients in the Intensive Care Unit
Patients with end-stage renal disease (ESRD) experience higher rates of hospitalisation, cardiovascular events, and all-cause mortality and are more likely to require admission to the intensive care unit (ICU) than patients with normal renal function. Sepsis and cardiovascular diseases are the most...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Critical Care Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2013/715807 |
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| author | Melanie Chan Marlies Ostermann |
| author_facet | Melanie Chan Marlies Ostermann |
| author_sort | Melanie Chan |
| collection | DOAJ |
| description | Patients with end-stage renal disease (ESRD) experience higher rates of hospitalisation, cardiovascular events, and all-cause mortality and are more likely to require admission to the intensive care unit (ICU) than patients with normal renal function. Sepsis and cardiovascular diseases are the most common reasons for ICU admission. ICU mortality rates in patients requiring chronic hemodialysis are significantly higher than for patients without ESRD; however, dialysis patients have a better ICU outcome than those with acute kidney injury (AKI) requiring renal replacement therapy suggesting that factors other than loss of renal function contribute to their prognosis. Current evidence suggests, the longer-term outcomes after discharge from ICU may be favourable and that long-term dependence on dialysis should not prejudice against prompt referral or admission to ICU. |
| format | Article |
| id | doaj-art-51a6c1ca419b465e982c20cd1655e969 |
| institution | Kabale University |
| issn | 2090-1305 2090-1313 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Critical Care Research and Practice |
| spelling | doaj-art-51a6c1ca419b465e982c20cd1655e9692025-02-03T06:48:16ZengWileyCritical Care Research and Practice2090-13052090-13132013-01-01201310.1155/2013/715807715807Outcomes of Chronic Hemodialysis Patients in the Intensive Care UnitMelanie Chan0Marlies Ostermann1Department of Critical Care, King's College London, King's Health Partners, Guy's & St Thomas' Foundation Hospital, London SE1 7EH, UKDepartment of Critical Care, King's College London, King's Health Partners, Guy's & St Thomas' Foundation Hospital, London SE1 7EH, UKPatients with end-stage renal disease (ESRD) experience higher rates of hospitalisation, cardiovascular events, and all-cause mortality and are more likely to require admission to the intensive care unit (ICU) than patients with normal renal function. Sepsis and cardiovascular diseases are the most common reasons for ICU admission. ICU mortality rates in patients requiring chronic hemodialysis are significantly higher than for patients without ESRD; however, dialysis patients have a better ICU outcome than those with acute kidney injury (AKI) requiring renal replacement therapy suggesting that factors other than loss of renal function contribute to their prognosis. Current evidence suggests, the longer-term outcomes after discharge from ICU may be favourable and that long-term dependence on dialysis should not prejudice against prompt referral or admission to ICU.http://dx.doi.org/10.1155/2013/715807 |
| spellingShingle | Melanie Chan Marlies Ostermann Outcomes of Chronic Hemodialysis Patients in the Intensive Care Unit Critical Care Research and Practice |
| title | Outcomes of Chronic Hemodialysis Patients in the Intensive Care Unit |
| title_full | Outcomes of Chronic Hemodialysis Patients in the Intensive Care Unit |
| title_fullStr | Outcomes of Chronic Hemodialysis Patients in the Intensive Care Unit |
| title_full_unstemmed | Outcomes of Chronic Hemodialysis Patients in the Intensive Care Unit |
| title_short | Outcomes of Chronic Hemodialysis Patients in the Intensive Care Unit |
| title_sort | outcomes of chronic hemodialysis patients in the intensive care unit |
| url | http://dx.doi.org/10.1155/2013/715807 |
| work_keys_str_mv | AT melaniechan outcomesofchronichemodialysispatientsintheintensivecareunit AT marliesostermann outcomesofchronichemodialysispatientsintheintensivecareunit |