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지속적 신대치요법 (Continuous Renal Replacement Therapy)으로 치료받은 급성 신부전증 환자들의 예후 인자
김의식 ( Eui Sik Kim ),함영록 ( Young Rok Ham ),장원익 ( Won Ik Jang ),정지윤 ( Ji Yoon Jung ),권오경 ( O Kyoung Kwon ),정사라 ( Sarah Chung ),최대은 ( Dae Eun Choi ),나기량 ( Ki Ryang Na ),이강욱 ( Kang Wook Lee ),신영태 ( Young 대한신장학회 2010 Kidney Research and Clinical Practice Vol.29 No.1
Purpose: Continuous renal replacement therapy (CRRT) has been used widely for treating critically ill patients with acute renal failure (ARF). We performed this study to identify predictors of mortality in critically ill ARF patients treated with CRRT. Methods: We analyzed the data of 128 patients who were treated with continuous veno-venous he-mofiltration (CVVH) or continuous veno-venous hemodiafiltration (CVVHDF) from May, 2002 to March, 2008. We compared the clinical data of survivors with non-survivors. Results: On univariate analyses of prognostic factors of patients treated with CVVHDF, APACHE II scores (p=0.004), prothrombin time (INR) (p=0.033) and the number of inotropics used (p=0.005) were significantly lower in survivors than those of non-survivors. MAP (p=0.027), diastolic BP (p=0.015) and fibrinogen level (p=0.007) were significantly higher in survivors than those of non-survivors. Multivariate analysis revealed that APACHE II scores and fibrinogen level were the independent factors for the prediction of mortality. And on univariate analyses of prognostic factors of patients treated with CVVH, APACHE II scores (p=0.002) and the number of inotropics used (p=0.006) were significantly lower in survivors than in non-survivors. MAP (p=0.03), systolic BP (p=0.02) and diastolic BP (p=0.03) were significantly higher in survivors than in non-survivors. Multivariate analysis also revealed that APACHE II scores was the only independent factor for the prediction of mortality. Conclusion: This study showed that the independent prognostic factor for mortality in ARF patients treated with CRRT was the APACHE II score.