Acute intermittent renal replacement therapy in a rural Scottish intensive care unit - a review of patient and renal outcomes

Elaine Rutherford; James F Leach; Ella Ja Bennett; John S Rutherford; Leo Urquhart; Euan Watt; Ruridh M Allen; D Wayne Wrathall; Dewi Williams; Thalakunte M Muniraju

doi:10.1177/17511437211018616

Acute intermittent renal replacement therapy in a rural Scottish intensive care unit - a review of patient and renal outcomes

J Intensive Care Soc. 2022 Nov;23(4):503-505. doi: 10.1177/17511437211018616. Epub 2021 May 19.

Authors

Affiliations

¹ Department of Nephrology, Mountainhall Treatment Centre and Dumfries and Galloway Royal Infirmary, Dumfries, UK.
² Institute of Cardiovascular and Medical Sciences, BHF Clinical Research Centre, University of Glasgow, Glasgow, UK.
³ Department of Anaesthetics and Critical Care, Dumfries and Galloway Royal Infirmary, Dumfries, UK.

Abstract

In this study we report 5-year outcomes for patients who received intermittent haemodiafiltration for Acute Kidney Injury (AKI) between 2010 and 2014 in a small Scottish Intensive Care Unit (ICU). Dialysis independence and mortality at ICU discharge, 30 and 90 days, one and five years were determined. There were 1496 admissions to ICU during the study period. 12% of patient admissions required Renal Replacement Therapy (RRT). 56.3% of patients survived to ICU discharge and all were RRT independent at ICU discharge. 30 day, 90 day, 1 year and 5 year survival was 52.3%, 50.6%, 46.6% and 30.7% respectively. By 5 years, 2 patients had developed end stage kidney disease.

Keywords: Acute kidney injury; acute dialysis; mortality; patient survival; renal recovery.