Comparative study between Sustained Low Efficiency Hemodialysis and Online Hemodiafiltration in Critically Ill patients with Acute Kidney Injury
El-Ballat, M., El-Shorbagy, M., El-Sayed, M., Abdel Aziz, A. (2019). Comparative study between Sustained Low Efficiency Hemodialysis and Online Hemodiafiltration in Critically Ill patients with Acute Kidney Injury. EKB Journal Management System, 76(2), 3414-3418. doi: 10.21608/ejhm.2019.37920
Mostafa Abdel Fattah El-Ballat; Mohamed Saeed El-Shorbagy; Mohamed Ahmed El-Sayed; Abdel Aziz Refaat Abdel Aziz. "Comparative study between Sustained Low Efficiency Hemodialysis and Online Hemodiafiltration in Critically Ill patients with Acute Kidney Injury". EKB Journal Management System, 76, 2, 2019, 3414-3418. doi: 10.21608/ejhm.2019.37920
El-Ballat, M., El-Shorbagy, M., El-Sayed, M., Abdel Aziz, A. (2019). 'Comparative study between Sustained Low Efficiency Hemodialysis and Online Hemodiafiltration in Critically Ill patients with Acute Kidney Injury', EKB Journal Management System, 76(2), pp. 3414-3418. doi: 10.21608/ejhm.2019.37920
El-Ballat, M., El-Shorbagy, M., El-Sayed, M., Abdel Aziz, A. Comparative study between Sustained Low Efficiency Hemodialysis and Online Hemodiafiltration in Critically Ill patients with Acute Kidney Injury. EKB Journal Management System, 2019; 76(2): 3414-3418. doi: 10.21608/ejhm.2019.37920

Comparative study between Sustained Low Efficiency Hemodialysis and Online Hemodiafiltration in Critically Ill patients with Acute Kidney Injury

The Egyptian Journal of Hospital Medicine
Article 5, Volume 76, Issue 2, July 2019, Page 3414-3418  XML PDF (472.83 K)
Document Type: Original Article
DOI: 10.21608/ejhm.2019.37920
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Authors
Mostafa Abdel Fattah El-Ballat1; Mohamed Saeed El-Shorbagy2; Mohamed Ahmed El-Sayed1; Abdel Aziz Refaat Abdel Aziz email 1
1Department of Internal Medicine, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
2Department of Clinical Pathology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
Abstract
Background: acute kidney injury (AKI) has arisen as a global public health problem and associated with high morbidity and mortality where the AKI mortality is more than 50%. It is a serious complication frequently occurred in ICU In hospitalized patients, 15% of them developed AKI and around 40% of AKI patients were referred to ICU. Objective: The aim of this study was to compare between effect of Sustained Low Efficiency Hemodialysis and Online Hemodiafiltration in Critically Ill patients with Acute Kidney Injury. Patients and Methods: This prospective study included a total of forty (age and sex matched) patients with Acute Kidney Injury (AKI) who were critically ill, attending at Nephrology Unit, Bab El-Shaareya, Al-Azhar University Hospitals. The patients were divided into 2 groups; Group (A): 20 patients on Sustained Low Efficiency Hemodialysis (SLED) and Group (B): 20 patients on Online Hemodiafiltration (OLHDF) Results: there was no significant difference between the two groups as regard Intradialytic hypotension (2 patients (10 %) in group 1 and 5 patients in group 2 (25%) p-value = 0.2). There was no significant difference between the two groups as regard weaning from ventilator (4 patients (40%) in group 1 and 3 patients in group 2 (42.8%) p-value = 0.5). Conclusion: Online haemodiafiltration (OL-HDF) showed to be better than IHD-LI in many aspects but there was no statistically significant difference in mortality, allowing us to recommend as first choice OL-HDF of treatment proposed for critically ill patients with acute kidney injury.
Keywords
Sustained Low Efficiency Hemodialysis; Online Hemodiafiltration; Acute kidney injury
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