Clinical characteristics and outcomes of continuous renal replacement therapy performed on younger children weighing up to 10 kg

Authors: EMRAH GÜN, ANAR GURBANOV, ÖZLEM SARITAŞ NAKİP, AHMET YÖNTEM, AYŞEN DURAK ASLAN, EDİN BOTAN, FEVZİ KAHVECİ, SERHAN ÖZCAN, EBRU AZAPAĞASI, SERHAT EMEKSİZ, MUTLU UYSAL YAZICI, SELMAN KESİCİ, ÖZDEN ÖZGÜR HOROZ, ÖMER ERDEVE, BENAN BAYRAKCİ, RIZA DİNÇER YILDIZDAŞ, TANIL KENDİRLİ

Abstract: Background/aim: This study aimed to investigate the clinical features, modality, complications, and effecting factors on the survival of children weighing up to 10 kg who received continuous renal replacement therapy (CRRT). Materials and methods: This study was a retrospective observational study conducted in five pediatric intensive care units in tertiary hospitals in Turkey between January 2015 and December 2019. Results: One hundred and forty-one children who underwent CRRT were enrolled in the study. The median age was 6 (range, 2-12) months, and 74 (52.5%) were male. The median weight of the patients was 6 (range, 4-8.35) kg and 52 (36.9%) weighed less than 5 kg. The most common indication for CRRT was fluid overload in 75 (53.2%) patients, and sepsis together with multiorgan failure in 62 (44%). The overall mortality was 48.2%. Conclusion: Despite its complexity, CRRT in children weighing less than 10 kg is a beneficial, lifesaving extracorporeal treatment modality.

Keywords: Continuous renal replacement therapy, children, pediatric intensive care unit

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