Lessons Learned from a Small Pediatric Continuous Renal Replacement Therapy Program

Continuous renal replacement therapy (CRRT) has become a pillar of care in pediatric intensive care units (PICUs) over the past few decades. Quality indicators (QIs) have been evaluated that reflect safe and accountable CRRT. However, there is a paucity of data on outcomes and QIs in smaller-volume...

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Autores principales:	Tanya Holt, Olivia Griffin, Amelie Cyr, Rebecca Brockman, Laura Wihak, Gregory Hansen
Formato:	article
Lenguaje:	EN
Publicado:	Hindawi Limited 2021
Materias:	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/ed7d753c00984fc293714ade8e09a0c3
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spelling	oai:doaj.org-article:ed7d753c00984fc293714ade8e09a0c32021-11-29T00:57:06ZLessons Learned from a Small Pediatric Continuous Renal Replacement Therapy Program2090-131310.1155/2021/6481559https://doaj.org/article/ed7d753c00984fc293714ade8e09a0c32021-01-01T00:00:00Zhttp://dx.doi.org/10.1155/2021/6481559https://doaj.org/toc/2090-1313Continuous renal replacement therapy (CRRT) has become a pillar of care in pediatric intensive care units (PICUs) over the past few decades. Quality indicators (QIs) have been evaluated that reflect safe and accountable CRRT. However, there is a paucity of data on outcomes and QIs in smaller-volume CRRT programming. The purpose of this retrospective study was to evaluate the efficiencies, effectiveness, and outcomes of a small-volume CRRT program. Eighty-two patients received CRRT over a 13-year period, and 79% survived to discharge. Sepsis or nonseptic shock (n = 11 (22%) versus n = 6 (50%); p value = 0.004) and time to CRRT initiation after PICU admission (1.1 versus 5.0 days; p value = 0.005) were independent predictors for mortality. The program also had positive outcomes for QIs related to CRRT efficiency and time of initiation, dosing delivery, and rate of adverse events. This study is important as it illustrates the opportunity that smaller centers have to initiate CRRT programming and provide safe and effective care.Tanya HoltOlivia GriffinAmelie CyrRebecca BrockmanLaura WihakGregory HansenHindawi LimitedarticleMedical emergencies. Critical care. Intensive care. First aidRC86-88.9ENCritical Care Research and Practice, Vol 2021 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Tanya Holt Olivia Griffin Amelie Cyr Rebecca Brockman Laura Wihak Gregory Hansen Lessons Learned from a Small Pediatric Continuous Renal Replacement Therapy Program
description	Continuous renal replacement therapy (CRRT) has become a pillar of care in pediatric intensive care units (PICUs) over the past few decades. Quality indicators (QIs) have been evaluated that reflect safe and accountable CRRT. However, there is a paucity of data on outcomes and QIs in smaller-volume CRRT programming. The purpose of this retrospective study was to evaluate the efficiencies, effectiveness, and outcomes of a small-volume CRRT program. Eighty-two patients received CRRT over a 13-year period, and 79% survived to discharge. Sepsis or nonseptic shock (n = 11 (22%) versus n = 6 (50%); p value = 0.004) and time to CRRT initiation after PICU admission (1.1 versus 5.0 days; p value = 0.005) were independent predictors for mortality. The program also had positive outcomes for QIs related to CRRT efficiency and time of initiation, dosing delivery, and rate of adverse events. This study is important as it illustrates the opportunity that smaller centers have to initiate CRRT programming and provide safe and effective care.
format	article
author	Tanya Holt Olivia Griffin Amelie Cyr Rebecca Brockman Laura Wihak Gregory Hansen
author_facet	Tanya Holt Olivia Griffin Amelie Cyr Rebecca Brockman Laura Wihak Gregory Hansen
author_sort	Tanya Holt
title	Lessons Learned from a Small Pediatric Continuous Renal Replacement Therapy Program
title_short	Lessons Learned from a Small Pediatric Continuous Renal Replacement Therapy Program
title_full	Lessons Learned from a Small Pediatric Continuous Renal Replacement Therapy Program
title_fullStr	Lessons Learned from a Small Pediatric Continuous Renal Replacement Therapy Program
title_full_unstemmed	Lessons Learned from a Small Pediatric Continuous Renal Replacement Therapy Program
title_sort	lessons learned from a small pediatric continuous renal replacement therapy program
publisher	Hindawi Limited
publishDate	2021
url	https://doaj.org/article/ed7d753c00984fc293714ade8e09a0c3
work_keys_str_mv	AT tanyaholt lessonslearnedfromasmallpediatriccontinuousrenalreplacementtherapyprogram AT oliviagriffin lessonslearnedfromasmallpediatriccontinuousrenalreplacementtherapyprogram AT ameliecyr lessonslearnedfromasmallpediatriccontinuousrenalreplacementtherapyprogram AT rebeccabrockman lessonslearnedfromasmallpediatriccontinuousrenalreplacementtherapyprogram AT laurawihak lessonslearnedfromasmallpediatriccontinuousrenalreplacementtherapyprogram AT gregoryhansen lessonslearnedfromasmallpediatriccontinuousrenalreplacementtherapyprogram
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Lessons Learned from a Small Pediatric Continuous Renal Replacement Therapy Program

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