Scoring systems and outcome of chronic kidney disease patients admitted in intensive care units
Joint Authors
Goswami, Jitendra
Balwani, Manish R.
Kute, Vivek
Patel, Mohan
Godhani, Umesh
Gumber, Manoj
Source
Saudi Journal of Kidney Diseases and Transplantation
Issue
Vol. 29, Issue 2 (30 Apr. 2018), pp.310-317, 8 p.
Publisher
Saudi Center for Organ Transplantation
Publication Date
2018-04-30
Country of Publication
Saudi Arabia
No. of Pages
8
Main Subjects
Abstract EN
The outcome of chronic kidney disease (CKD) patients admitted to the Intensive Care Unit (ICU) is difficult to predict.
This study assessed the outcome of CKD patients admitted to the ICU and evaluated prediction of 30-day mortality using the Acute Physiology and Chronic Health Evaluation (APACHE II), Simplified Acute Physiology Score (SAPS II), and Sequential Organ Failure Assessment (SOFA) score.
One hundred consecutive CKD patients admitted to the ICU at a tertiary care hospital, Ahmedabad between 2011 and 2013 were included prospectively.
Data on demographics, indication for admission, cause of CKD, use of vasoactive drugs and mechanical ventilation (MV), mode of renal replacement therapy (RRT), and 30-day mortality were recorded.
The APACHE II, SAPS II, and SOFA scores were calculated based on the admission characteristics.
The mean APACHE II, SAPS II, and SOFA scores were 28.22 ± 7.53, 43.04 ± 16.40, and 10.39 ± 5.20, respectively, and area under receiver operating characteristics curve in predicting 30-day mortality were 0.961, 0.994, and 0.950, respectively.
The scores were significantly higher in 30-day nonsurvivors as compared to survivors (P = 0.001).
During the ICU stay, MV and vasoactive drugs were required in 57% and 67% of the patients, respectively, and the requirement was significantly greater in nonsurvivors as compared to survivors (P = 0.001).
About 85% of patients were on intermittent hemodialysis and 15% of patients were on continuous veno
American Psychological Association (APA)
Goswami, Jitendra& Balwani, Manish R.& Kute, Vivek& Gumber, Manoj& Patel, Mohan& Godhani, Umesh. 2018. Scoring systems and outcome of chronic kidney disease patients admitted in intensive care units. Saudi Journal of Kidney Diseases and Transplantation،Vol. 29, no. 2, pp.310-317.
https://search.emarefa.net/detail/BIM-838515
Modern Language Association (MLA)
Goswami, Jitendra…[et al.]. Scoring systems and outcome of chronic kidney disease patients admitted in intensive care units. Saudi Journal of Kidney Diseases and Transplantation Vol. 29, no. 2 (Mar. / Apr. 2018), pp.310-317.
https://search.emarefa.net/detail/BIM-838515
American Medical Association (AMA)
Goswami, Jitendra& Balwani, Manish R.& Kute, Vivek& Gumber, Manoj& Patel, Mohan& Godhani, Umesh. Scoring systems and outcome of chronic kidney disease patients admitted in intensive care units. Saudi Journal of Kidney Diseases and Transplantation. 2018. Vol. 29, no. 2, pp.310-317.
https://search.emarefa.net/detail/BIM-838515
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 316-317
Record ID
BIM-838515