Acute intermittent renal replacement therapy in a rural Scottish intensive care unit - a review of patient and renal outcomes

J Intensive Care Soc. 2022 Nov;23(4):503-505. doi: 10.1177/17511437211018616. Epub 2021 May 19.

Abstract

In this study we report 5-year outcomes for patients who received intermittent haemodiafiltration for Acute Kidney Injury (AKI) between 2010 and 2014 in a small Scottish Intensive Care Unit (ICU). Dialysis independence and mortality at ICU discharge, 30 and 90 days, one and five years were determined. There were 1496 admissions to ICU during the study period. 12% of patient admissions required Renal Replacement Therapy (RRT). 56.3% of patients survived to ICU discharge and all were RRT independent at ICU discharge. 30 day, 90 day, 1 year and 5 year survival was 52.3%, 50.6%, 46.6% and 30.7% respectively. By 5 years, 2 patients had developed end stage kidney disease.

Keywords: Acute kidney injury; acute dialysis; mortality; patient survival; renal recovery.