Acute renal replacement therapy in critically ill octogenarian or older patients: prognostic factors and renal outcomes.
The number of octogenarians or older patients admitted to the intensive care unit (ICU) has been growing over the past several years. The aim of this study is to assess factors associated with acute renal replacement therapy (ARRT) requirement in these patients and the impact of this therapy on 90-day mortality. We also aimed to identify prognostic factors associated with mortality risk in the group of patients that required ARRT.Retrospective study of octogenarian or older patients admitted to the ICU at Hospital Clínic de Barcelona from June 2007 to April 2019. Patients on chronic dialysis treatment or with a kidney transplant, and patients with limitation of therapeutic support or admitted for less than 48 h were excluded.217 patients were included in the study, of whom 36.4% required ARRT. Use of vasoactive drugs (VAD) and Sequential Organ Failure Assessment (SOFA) score on admission were higher in ARRT patients (P = 0.009 and
Authors: Alícia Molina-Andújar, Joaquim Casals, Jimena Del Risco-Zevallos, Evelyn Hermida, Luis F Quintana, Miquel Blasco, Gaston Piñeiro, Esteban Poch, Hospital Clínic Intensive Care Working Group (GTMC).