Bedside prediction of intradialytic hemodynamic instability in critically ill patients: the SOCRATE study.

ABSTRACT:

Background

Despite improvements in intermittent hemodialysis management, intradialytic hemodynamic instability (IHI) remains a common issue that could account for increased mortality and delayed renal recovery. However, predictive factors of IHI remain poorly explored. The objective of this study was to evaluate the relationship between baseline macrohemodynamic, tissue hypoperfusion parameters and IHI occurrence.

Methods

Prospective observational study conducted in a 18-bed medical ICU of a tertiary teaching hospital. Cardiovascular SOFA score, index capillary refill time (CRT) and lactate level were measured just before (T0) consecutive intermittent hemodialysis sessions performed for AKI. The occurrence of IHI requiring a therapeutic intervention was recorded.

Results<

SUBMITTER: Bige N 

PROVIDER: S-EPMC7176798 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature