%0 Generic
%A R., Bellomo
%A J., Mårtensson
%A S., Lo
%A K.-M., Kaukonen
%A A., Cass
%A M., Gallagher
%D 2015
%T Supplementary Material for: Femoral Access and Delivery of Continuous Renal Replacement Therapy Dose
%U https://karger.figshare.com/articles/dataset/Supplementary_Material_for_Femoral_Access_and_Delivery_of_Continuous_Renal_Replacement_Therapy_Dose/5128744
%R 10.6084/m9.figshare.5128744.v1
%2 https://ndownloader.figshare.com/files/8717065
%K Dialysis
%K Continuous renal replacement therapy
%K Catheters
%K Femoral vein
%K Intensive care
%X Aims: The study aims to describe the use of dialysis catheters in critically ill patients treated with continuous renal replacement therapy (CRRT) and to study the impact of femoral versus non-femoral access on CRRT dose. Methods: Statistical analysis and predictive modelling of data from the Randomized Evaluation of Normal vs. Augmented Level renal replacement therapy trial. Results: The femoral vein was the first access site in 937 (67%) of 1,399 patients. These patients had higher Acute Physiology and Chronic Health Evaluation and Sequential Organ Failure Assessment scores (p = 0.009) and lower pH (p < 0.001) but similar mortality to patients with non-femoral access (44 vs. 45%; p = 0.63). Lower body weight was independently associated with femoral access placement (OR 0.97, 95% CI 0.96-0.98). Femoral access was associated with a 1.03% lower CRRT dose (p = 0.05), but a 4.20% higher dose was achieved with 13.5 Fr catheters (p = 0.03). Conclusions: Femoral access was preferred in lighter and sicker patients. Catheter gauge had greater impact than catheter site in CRRT dose delivery. Video Journal Club “Cappuccino with Claudio Ronco” at http://www.karger.com/?doi=439581.
%I Karger Publishers