Evidence map›Paper›PMID 34510860›Full record

ArticleKidney research and clinical practice2021

Clinical outcomes and prognostic factors of mortality in liver cirrhosis patients on continuous renal replacement therapy in two tertiary hospitals in Korea.

You Hyun Jeon, Il Young Kim, Gum Sook Jang, Sang Heon Song, Eun Young Seong, Dong Won Lee, Soo Bong Lee, Hyo Jin Kim

Open access · diamondAbstract read
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Article in Kidney research and clinical practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 41% of its field
1 · What the graph read from it

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3 · Its place in the literature

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4 citing papers in PubMed, 5 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

You Hyun JeonDepartment of Internal Medicine, Pusan National University Hospital, Busan, Republic of Korea.
Il Young KimDepartment of Internal Medicine, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea.
Gum Sook JangDepartment of Internal Medicine, Pusan National University Hospital, Busan, Republic of Korea.
Sang Heon SongDepartment of Internal Medicine, Pusan National University Hospital, Busan, Republic of Korea.
Eun Young SeongDepartment of Internal Medicine, Pusan National University Hospital, Busan, Republic of Korea.
Dong Won LeeDepartment of Internal Medicine, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea.
Soo Bong LeeDepartment of Internal Medicine, Pusan National University Yangsan Hospital, Yangsan, Republic of Korea.
Hyo Jin KimDepartment of Internal Medicine, Pusan National University Hospital, Busan, Republic of Korea.
Pusan National University Hospital · KRPusan National University Yangsan Hospital · KR

Funding

Pusan National University Hospital
6 · The paper itself

Abstract

backgroundData on liver cirrhosis (LC) patients undergoing continuous renal replacement therapy (CRRT) are lacking despite of the dismal prognosis. We therefore evaluated clinical characteristics and predictive factors related to mortality in LC patients undergoing CRRT.

methodsWe performed a retrospective observational study at two tertiary hospitals in Korea. A total of 229 LC patients who underwent CRRT were analyzed. Patients were classified into survivor and non-survivor groups. We used multivariable Cox regression analyses to identify predictive factors of in-hospital mortality.

resultsDuring a median follow-up of 5 days (interquartile range, 1-19 days), in-hospital mortality rate was 66.4%. In multivariable analysis, the Acute Physiology and Chronic Health Evaluation II (APACHE II) score (hazard ratio [HR], 1.03; 95% confidence interval [CI], 1.01-1.06; p = 0.02), Model for End-Stage Liver Disease (MELD) score (HR, 1.08; 95% CI, 1.04-1.11; p <0.001), and delivered CRRT dose (HR, 0.95; 95% CI, 0.92-0.98; p = 0.002) were significant risk factors for in-hospital mortality. Patients with a CRRT delivered dose < 25 mL/kg/hr had a higher mortality rate than those with a delivered dose > 35 mL/kg/hr (HR, 3.13; 95% CI, 1.62-6.05; p = 0.001). Subgroup analysis revealed that a CRRT delivered dose < 25 mL/kg/hr was a significant risk factor for in-hospital mortality among LC patients with a MELD score ≥ 30.

conclusionHigh APACHE II score, high MELD score, and low delivered CRRT dose were significant risk factors for in-hospital mortality. CRRT delivered dose impacted mortality significantly, especially in patients with a MELD score ≥ 30.

Indexed as

Acute kidney injuryContinuous renal replacement therapyLiver cirrhosisMortalityPrognosis

Identifiers

PMID34510860
PMCPMC8685364
OpenAlexW3191387659

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