Hong Kong medical journal = Xianggang yi xue za zhi / Hong Kong Academy of Medicine
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To evaluate the prevalence and outcome of acute kidney injury in paediatric intensive care units using the modified RIFLE score (pRIFLE). ⋯ Among critically ill paediatric patients, the pRIFLE score serves as a suitable classification of acute kidney injury when stratified according to clinical severity. It also provides prognostic information on mortality and renal outcomes.
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A 66-year-old woman presented to the emergency department after a witnessed cardiac arrest, having had compression-only cardiopulmonary resuscitation initiated by her son on the backseat of his car. She was resuscitated in the emergency department for 1 hour before the return of spontaneous circulation. ⋯ She was discharged without significant neurological deficit. This case illustrates better survival and neurological outcome can be achieved by prompt implementation of a 'chain of survival' interventions and therapeutic hypothermia.
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To identify prognostic factors in children receiving continuous renal replacement therapy. ⋯ High PRISM III scores and the degree of pre-continuous renal replacement therapy fluid overload were independent predictors of mortality.