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Your search keyword '"Kim, Kyung Won"' showing total 8 results
Start Over Author "Kim, Kyung Won" Journal journal of clinical medicine
8 results on '"Kim, Kyung Won"'

8. Continuous Renal Replacement Therapy (CRRT) in Children and the Specialized CRRT Team: A 14-Year Single-Center Study.

Author

Lee, Keum Hwa, Sol, In Suk, Park, Jung Tak, Kim, Ji Hong, Shin, Jae Won, Park, Mi Rireu, Lee, Jae Hyun, Kim, Yoon Hee, Kim, Kyung Won, and Shin, Jae Il

Subjects
CRITICALLY ill children, INTENSIVE care patients, EXTRACORPOREAL membrane oxygenation, BLOOD flow, HEMODIAFILTRATION
Abstract

Continuous renal replacement therapy (CRRT) has been used as an important intervention in critically ill children. Our center has the only specialized CRRT team (SCT) for children in Korea, which consists of pediatric intensivists, a pediatric nephrologist and CRRT-specialized-nurses. This study was a retrospective single-center analysis, including all pediatric patients admitted to the intensive care unit (ICU) of Severance hospital in Korea and received CRRT between 2003 and 2016, grouped as before SCT (group A, n = 51) and after SCT (group B, n = 212). We obtained the data for sex, age, weight, diagnosis, blood flow rate or type of CRRT machine used, administration of inotropic agents or anticoagulants, and ICU duration before CRRT (hours). A total of 263 patients were included. The age was significantly younger (p < 0.001) and blood flow rate was lower (p = 0.001) in group B than group A. Vasopressors (p < 0.001), continuous veno-venous hemodiafiltration (CVVHDF) (p < 0.001), nafamostat mesilate (p < 0.001), and extracorporeal membrane oxygenation (ECMO)-CRRT (p = 0.004) were more frequently used in group B. Based on our 14-year experience, we conclude that SCT operation could have played an important role in increasing the amount of CRRT utilization. [ABSTRACT FROM AUTHOR]

Published
2020
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