The use of renal replacement therapy in critically ill pediatric small bowel transplantation candidates and recipients: Experience from one center.
Publication/Presentation Date
6-1-2015
Abstract
Outcomes for pediatric SBT patients requiring perioperative RRT in the PICU remain unknown. The objectives were to document our center's experience with PICU SBT patients receiving perioperative RRT and to identify variables predictive of survival to discharge. A retrospective chart review of patients (ages, 0-18 yr) between January 1, 2000 and December 31, 2011 that received RRT within a SBT perioperative period and were transplanted at our university-affiliated, tertiary care children's hospital was performed. Six SBT patients received perioperative RRT (ages, 5-12 yr). Three patients (50%) survived to hospital discharge. Among survivors, RRT was required for a total of 1-112 days (mean, 49.7 days). All three survivors survived to hospital discharge without renal transplantation and free of RRT. There was a trend toward increased survival among older patients receiving RRT (p = 0.05). Survivors had a higher I-125 GFR prior to PICU admission (p = 0.045). A higher I-125 GFR prior to PICU admission among survivors may support this test's utility during SBT evaluation. In our experience, a high survival rate and freedom from RRT at the time of discharge support RRT use in the SBT population.
Volume
19
Issue
4
First Page
88
Last Page
92
ISSN
1399-3046
Published In/Presented At
Pineda, C., Grogan, T., Lin, J. A., Zaritsky, J. J., Venick, R., Farmer, D. G., & Kelly, R. B. (2015). The use of renal replacement therapy in critically ill pediatric small bowel transplantation candidates and recipients: Experience from one center. Pediatric transplantation, 19(4), E88–E92. https://doi.org/10.1111/petr.12456
Disciplines
Medicine and Health Sciences | Pediatrics
PubMedID
25818994
Department(s)
Department of Pediatrics
Document Type
Article