Primary Injuries and Secondary Organ Failures in Trauma Patients with Acute Kidney Injury Treated with Continuous Renal Replacement Therapy
Joint Authors
Sunde, Kjetil
Os, Ingrid
Beitland, Sigrid
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-12-22
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
Acute kidney injury (AKI) treated with continuous renal replacement therapy (CRRT) is a severe complication in trauma patients.
The aim of the study was to assess primary traumatic injuries and secondary organ failures in severe posttraumatic AKI.
Methods.
Retrospective review of adult trauma patients admitted to the trauma centre at Oslo University Hospital Ullevål.
Injury severity score (ISS) was used to assess the severity of primary injuries, and sequential organ failure assessment (SOFA) score was utilized to measure secondary organ failures.
Results.
Forty-two (8%) of 506 trauma patients admitted to intensive care unit developed AKI treated with CRRT, whereof 40 (95%) suffered blunt trauma mechanisms.
Patients had extensive primary organ injuries with median (interquartile range) ISS 36 (27–49).
The majority of the patients had respiratory (93% intubated) and cardiovascular (67% with inotropic and/or vasoactive medication) failure within 24 hours after admission.
AKI was often part of multiple organ failure, most frequently respiratory and cardiovascular failure, affecting 33 (75%) and 30 (71%) of the patients, respectively.
Conclusion.
Trauma patients with AKI undergoing CRRT often had severe primary injuries due to blunt trauma.
Most of them suffered from secondary multiple organ failure concomitant to AKI.
American Psychological Association (APA)
Beitland, Sigrid& Os, Ingrid& Sunde, Kjetil. 2014. Primary Injuries and Secondary Organ Failures in Trauma Patients with Acute Kidney Injury Treated with Continuous Renal Replacement Therapy. Scientifica،Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-1047551
Modern Language Association (MLA)
Beitland, Sigrid…[et al.]. Primary Injuries and Secondary Organ Failures in Trauma Patients with Acute Kidney Injury Treated with Continuous Renal Replacement Therapy. Scientifica No. 2014 (2014), pp.1-6.
https://search.emarefa.net/detail/BIM-1047551
American Medical Association (AMA)
Beitland, Sigrid& Os, Ingrid& Sunde, Kjetil. Primary Injuries and Secondary Organ Failures in Trauma Patients with Acute Kidney Injury Treated with Continuous Renal Replacement Therapy. Scientifica. 2014. Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-1047551
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1047551