| 일 종합병원에서의 지속적 신대체요법 적용에 관한 실태 |
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서민정, 최앵자, 서지영, 조용애, 성영희 |
1삼성 서울 병원.중환자 CRRT
2삼성 서울 병원.중환자 CRRT
3삼성 서울 병원.중환자실, 성균관 대학
4삼성 서울 병원.간호교육팀, 성균관 대학
5삼성 서울 병원.임상간호학 연구소, 성균관대학 |
| Continuous Renal Replacement Therapy: A Survey of Practice in a Critical Care Unit |
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Min-Jeong Seo, Ang-Ja Choi, Ji-Young Suh, Yong-Ae Cho, Young-Hee Sung |
1Intensive care unit, Samsung Medical Center
2Intensive care unit, Samsung Medical Center
3critical care unit, Samsung Medical Center and professor of Sungkyunkwan University School of Medicine
4Development, Samsung Medical Center and Professor Sungkyunkwan University School of Medicine
5Department of Clinical Nursing Science, Samsung Medical Center, Sungkyunkwan University School of Medicine |
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| Abstract |
Purpose
The treatment effects and operation status of continuous renal replacement therapy (CRRT) for acute renal failure patients have been investigated.
Method
Two expert nurses reviewed the records of 731 patients undergoing CRRT in an intensive care unit of a general hospital from Jan. 2002 to Dec. 2006 with the CRRT assessment sheet and situation sheet developed for this study.
Results
The number of patients received CRRT increased from 90 in 2002 to 194 in 2006. The most common indication for CRRT was azotemia (40.0%). Before CRRT treatment, patients were 78.6 ($pm55.5$) of BUN value and 5.0 ($pm3.2$) of Cr. value. The standard values of BUN and Cr. were lowered. Compared the survival group with the death group, there were significant differences among the medical departments and the main diagnosis group. Their BUN and creatinine value, APACHE II score, mean blood pressure, and oliguria were significantly different (p<0.05).
Conclusion
This survey demonstrates a trend that patients receiving CRRT has been increased. We suggest further studies are needed in some hospitals in order to generalize the results and to find how CRRT treatment affects patient’s survival and death rate. |
| Key Words:
CRRT, Renal replacement therapy, ICU |
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