Zhonghua wei zhong bing ji jiu yi xue
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jul 2013
[Role of acute kidney injury staging by KDIGO criteria in choosing the opportune time of continuous blood purification].
To investigate the role of acute kidney injury staging in multiple organ dysfunction syndrome (MODS) patients with acute kidney injury (AKI) for deciding the opportune time of continuous blood purification (CBP). ⋯ In patients of MODS accompanied by AKI, compared using as APACHEIIscore≤25 as opportune time to start CBP, to commence the treatment in the period of KDIGO standard 1, 2 cannot only improve patient survival with recovery of renal function, but also can reduce the ICU stay and medical expenses.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jul 2013
[A study on causes of re-admission to surgical intensive care unit and risk factors analysis of their prognosis].
To evaluate the causes of readmission of patients to surgical intensive care unit (SICU), and the risk factors involved in their prognosis. ⋯ The study indicated that the criteria for discharge of patients from SICU should be strictly controlled in line with patients' condition. It is very important to actively monitor the APACHEII score and GCS score, to control both respiratory and operation related complications in order to reduce the re-admission rate of the patients to SICU.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jul 2013
[Influence of time of initiation of continuous renal replacement therapy on prognosis of critically ill patients with acute kidney injury].
To investigate the influence of the time of initiation of continuous renal replacement therapy (CRRT) on the survival and recovery of renal function in survivors of critically ill patients with acute kidney injury (AKI). ⋯ Our results indicated that the time of initiation of CRRT by AKIN classification has no effect on the 28-, 90-, 180-day survival rate, ICU survival rate and outcome of renal function in survivors of critically ill patients with AKI. Improving CRRT dose may improve 28-day survival rate.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jul 2013
[The protective effect of different doses of dexamethasone on acute kidney injury induced by sepsis in mice].
To investigate the effect of different doses of dexamethasone (DEX) on sepsis induced acute kidney injury (AKI). ⋯ DEX given in physiological-dose could increase renal GR-α level and alleviate the sepsis induced kidney injury. The protective effect was much better than that of high dose DEX.
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Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Jun 2013
Meta Analysis[Relationship between antacid therapy and hospital acquired pneumonia in critically ill patients: a meta-analysis].
To systematically review the effect of antacid medication on stress-related mucosal disease (SRMD) bleeding, hospital acquired pneumonia (HAP), and hospital mortality in critically ill patients admitted to intensive care unit (ICU). ⋯ Antacid therapy used in critically ill patients may increase the incidence of HAP while reduce the rate of upper gastrointestinal bleeding, while it exerts no influence on mortality rate when compared with sucralfate treatment in this meta-analysis. It is imperative to restrict the overuse of such medication, and further RCTs focused on indication and withdrawal should be encouraged.