Clinical characteristics of sepsis-induced acute kidney injury in patients undergoing continuous renal replacement therapy

Ren Fail. 2018 Nov;40(1):403-409. doi: 10.1080/0886022X.2018.1489288.

Abstract

Objective: The aim of this study was to investigate the clinical characteristics of sepsis-induced acute kidney injury (AKI) in patients undergoing continuous renal replacement therapy (CRRT).

Methods: From 2011 to 2015, we enrolled 340 patients who were treated with CRRT for sepsis at the Presbyterian Medical Center. In all patients, CRRT was performed using the PRISMA platform. We divided these patients into two groups (survivors and non-survivors) according to the 28-day all-cause mortality. We compared clinical characteristics and analyzed the predictors of mortality.

Results: The 28-day all-cause mortality was 62%. Survivors were younger than non-survivors and had higher platelet counts (178 ± 101 × 103/mL vs. 134 ± 84 × 103/mL, p < .01) and serum creatinine levels (4.2 ± 2.8 vs. 3.3 ± 2.7, p < .01). However, survivors had lower red blood cell distribution width (RDW) scores (14.9 ± 2.1 vs. 16.1 ± 3.3, p < .01) and APACHE II scores (24.5 ± 5.8 vs. 26.9 ± 5.7, p < .01) than non-survivors. Furthermore, survivors were more likely than non-survivors to have a urine output of >0.05 mL/kg/h (66% vs. 86%, p = .001) in the first day. In a multivariate logistic regression analysis, age, platelet count, RDW score, APACHE II score, serum creatinine level, and a urine output of <0.05 mL/kg/h the first day were prognostic factors for the 28-day all-cause mortality.

Conclusion: Age, platelet count, APACHE II score, RDW score, serum creatinine level, and urine output the first day are useful predictors for the 28-day all-cause mortality in sepsis patients requiring CRRT.

Keywords: Acute kidney injury; continuous renal replacement therapy; platelet; sepsis; urine output.

Publication types

  • Comparative Study

MeSH terms

  • APACHE
  • Acute Kidney Injury / blood
  • Acute Kidney Injury / epidemiology*
  • Acute Kidney Injury / etiology
  • Acute Kidney Injury / therapy
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Comorbidity
  • Creatinine / blood
  • Critical Illness / mortality*
  • Critical Illness / therapy
  • Female
  • Glomerular Filtration Rate
  • Humans
  • Incidence
  • Intensive Care Units / statistics & numerical data
  • Male
  • Middle Aged
  • Platelet Count
  • Prognosis
  • Proportional Hazards Models
  • Renal Dialysis / statistics & numerical data*
  • Retrospective Studies
  • Sepsis / blood
  • Sepsis / complications
  • Sepsis / epidemiology*
  • Sepsis / therapy
  • Survivors / statistics & numerical data*
  • Treatment Outcome

Substances

  • Creatinine