Key result
Delayed initiation of peritoneal dialysis (4.3 vs 1.2 days, P=0.001) and longer cardiopulmonary bypass time (154 vs 111 minutes, P=0.012) were associated with mortality in pediatric patients with ARF.
Why the study?
What are the risk factors for mortality in pediatric patients requiring peritoneal dialysis for acute renal failure after open heart surgery?
Population
542 children who underwent open heart surgery for congenital heart disease, of which 15 developed acute…
Design
Cohort
Authors
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May signal higher mortality with delayed peritoneal dialysis in pediatric post-surgical ARF; leaves open whether earlier initiation improves outcomes in prospective trials.
Cohort (n=542)
What are the risk factors for mortality in pediatric patients requiring peritoneal dialysis for acute renal failure after open heart surgery?
Early initiation of peritoneal dialysis in pediatric patients developing acute renal failure after open heart surgery is associated with improved survival.
Chien et al. (2009) conducted a cohort in Acute renal failure after open heart surgery (n=542). Risk factors for mortality (cardiopulmonary bypass time, timing of PD) vs. Survivors was evaluated on Risk factors associated with mortality. Delayed initiation of peritoneal dialysis (4.3 vs 1.2 days, P=0.001) and longer cardiopulmonary bypass time (154 vs 111 minutes, P=0.012) were associated with mortality in pediatric patients with ARF.
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