Worsening or improving hypoalbuminemia during continuous renal replacement therapy is predictive of patient outcome: a single-center retrospective study View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2022-06-07

AUTHORS

Harin Rhee, Gum Sook Jang, Sungmi Kim, Wanhee Lee, Hakeong Jeon, Da Woon Kim, Byung-min Ye, Hyo Jin Kim, Min Jeong Kim, Seo Rin Kim, Il Young Kim, Sang Heon Song, Eun Young Seong, Dong Won Lee, Soo Bong Lee

ABSTRACT

BackgroundHypoalbuminemia at the initiation of continuous renal replacement therapy (CRRT) is a risk factor for poor patient outcomes. However, it is unknown whether the patterns of changes in serum albumin levels during CRRT can be used to predict patient outcomes. MethodsThis retrospective study analyzed data that had been consecutively collected from January 2016 to December 2020 at the Third Affiliated Hospital. We included patients with acute kidney injury who received CRRT for ≥ 72 h. We divided the patients into four groups based on their serum albumin levels (albumin ≥ 3.0 g/dL or < 3.0 g/dL) at the initiation and termination of CRRT.ResultsThe 793 patients in this study were categorized into the following albumin groups: persistently low, 299 patients (37.7%); increasing, 85 patients (10.4%); decreasing, 195 patients (24.6%); and persistently high, 214 patients (27.1%). In-hospital mortality rates were highest in the persistently low and decreasing groups, followed by the increasing and persistently high groups. The hazard ratio for in-hospital mortality was 0.481 (0.340–0.680) in the increasing group compared to the persistently low group; it was 1.911 (1.394–2.620) in the decreasing group compared to the persistently high group. The length of ICU stay was 3.55 days longer in the persistently low group than in the persistently high group.ConclusionsSerum albumin levels changed during CRRT, and monitoring of patterns of change in serum albumin levels is useful for predicting in-hospital mortality and the length of ICU stay. More... »

PAGES

25

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s40560-022-00620-9

DOI

http://dx.doi.org/10.1186/s40560-022-00620-9

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https://app.dimensions.ai/details/publication/pub.1148483354

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/35672868


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15 schema:description BackgroundHypoalbuminemia at the initiation of continuous renal replacement therapy (CRRT) is a risk factor for poor patient outcomes. However, it is unknown whether the patterns of changes in serum albumin levels during CRRT can be used to predict patient outcomes. MethodsThis retrospective study analyzed data that had been consecutively collected from January 2016 to December 2020 at the Third Affiliated Hospital. We included patients with acute kidney injury who received CRRT for ≥ 72 h. We divided the patients into four groups based on their serum albumin levels (albumin ≥ 3.0 g/dL or < 3.0 g/dL) at the initiation and termination of CRRT.ResultsThe 793 patients in this study were categorized into the following albumin groups: persistently low, 299 patients (37.7%); increasing, 85 patients (10.4%); decreasing, 195 patients (24.6%); and persistently high, 214 patients (27.1%). In-hospital mortality rates were highest in the persistently low and decreasing groups, followed by the increasing and persistently high groups. The hazard ratio for in-hospital mortality was 0.481 (0.340–0.680) in the increasing group compared to the persistently low group; it was 1.911 (1.394–2.620) in the decreasing group compared to the persistently high group. The length of ICU stay was 3.55 days longer in the persistently low group than in the persistently high group.ConclusionsSerum albumin levels changed during CRRT, and monitoring of patterns of change in serum albumin levels is useful for predicting in-hospital mortality and the length of ICU stay.
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21 schema:keywords Affiliated Hospital
22 ICU stay
23 MethodsThis retrospective study
24 Third Affiliated Hospital
25 acute kidney injury
26 albumin group
27 albumin levels
28 changes
29 continuous renal replacement therapy
30 data
31 days
32 factors
33 group
34 hazard ratio
35 high group
36 hospital
37 hospital mortality
38 hospital mortality rate
39 hypoalbuminemia
40 initiation
41 injury
42 kidney injury
43 length
44 levels
45 low group
46 monitoring
47 monitoring of patterns
48 mortality
49 mortality rate
50 outcomes
51 patient outcomes
52 patients
53 patterns
54 patterns of change
55 poor patient outcomes
56 rate
57 ratio
58 renal replacement therapy
59 replacement therapy
60 retrospective study
61 risk factors
62 serum albumin level
63 single-center retrospective study
64 stay
65 study
66 termination
67 therapy
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