当前位置： SCI文献检索 > INTENSIVE CARE MEDICINE期刊下所有文献 > An assessment of acute kidney injury with modified RIFLE criteria in pediatric patients with severe burns.

An assessment of acute kidney injury with modified RIFLE criteria in pediatric patients with severe burns.

Abstract：

OBJECTIVE:To apply the modified pediatric RIFLE criteria for severity of acute kidney injury (AKI) to pediatric burn ICU patients and to evaluate the overall incidence of AKI, risk factors for AKI and influence of AKI on outcome. DESIGN:Retrospective, descriptive cohort study. SETTING:10-bed burn PICU facility. PATIENTS:All consecutive patients with a burn injury of 10% or more of total body surface area percentage (TBSA, %) admitted during a 2 year period. MEASUREMENTS AND RESULTS:Data of 123 patients were studied. The incidence of AKI was 45.5%. Patients with AKI tended to have higher mortality than those without AKI (p = 0.057). All nonsurvivors attained pRIFLE AKI by combination of serum creatinine and urine output criteria. Patients with a more severe form of AKI (Failure and Injury) as well as patients with late AKI had more episodes of sepsis as compared to patients with early AKI and the Risk category of AKI. Logistic regression analysis indicated that PRISM score and TBSA were the independent risk factors for acute kidney injury in pediatric burn patients; the presence of sepsis and septic shock were the independent risk factors for the Failure class of AKI. CONCLUSION:We observed a high incidence of AKI in the burn PICU population. Sepsis seems to contribute to the development of the Failure class of AKI. Maximum Failure class of AKI is associated with high mortality.

journal_name

Intensive Care Med

journal_title

Intensive care medicine

authors

Palmieri T,Lavrentieva A,Greenhalgh D

doi

10.1007/s00134-009-1638-6

subject

Has Abstract

pub_date

2009-12-01 00:00:00

pages

2125-9

issue

12

eissn

0342-4642

issn

1432-1238

journal_volume

35

pub_type

杂志文章

相关文献

INTENSIVE CARE MEDICINE文献大全
  • Eosinopenia, an early marker of increased mortality in critically ill medical patients.

    abstract：PURPOSE:Inflammatory markers may have a role in predicting severity of illness of intensive care unit (ICU) patients. The aim of this study is to determine whether low eosinophil count can predict 28-day mortality in medical ICU. METHODS:A prospective study over a 4-month period. To evaluate the prognosis information ...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/s00134-011-2170-z

    authors： Abidi K,Belayachi J,Derras Y,Khayari ME,Dendane T,Madani N,Khoudri I,Zeggwagh AA,Abouqal R

    更新日期：2011-07-01 00:00:00

  • Regional tidal ventilation and compliance during a stepwise vital capacity manoeuvre.

    abstract：PURPOSE:To determine whether, during mechanical ventilation, an optimal positive end-expiratory pressure (PEEP) can be identified by measurement of regional tidal volume and compliance [V (T(reg)), C (RS(reg))]. METHODS:Sixteen anaesthetized intubated neonatal piglets underwent a stepwise vital capacity manoeuvre perf...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/s00134-010-1995-1

    authors： Dargaville PA,Rimensberger PC,Frerichs I

    更新日期：2010-11-01 00:00:00

  • Cognitive and perceived health status in patient with chronic obstructive pulmonary disease surviving acute on chronic respiratory failure: a controlled study.

    abstract：OBJECTIVE:To evaluate the perceived health and cognitive status in survivors of chronic obstructive pulmonary disease (COPD) exacerbations requiring mechanical ventilation. DESIGN AND SETTING:Prospective controlled cohort study in a respiratory intermediate intensive care unit. PATIENTS:Sixty-three COPD patients at t...

    journal_title：Intensive care medicine

    pub_type： 临床试验,杂志文章

    doi：10.1007/s00134-001-1165-6

    authors： Ambrosino N,Bruletti G,Scala V,Porta R,Vitacca M

    更新日期：2002-02-01 00:00:00

  • Safety and feasibility of a strategy of early central venous catheter insertion in a deployed UK military Ebola virus disease treatment unit.

    abstract：PURPOSE:Early central venous catheter (CVC) insertion in Ebola virus disease (EVD) is a novel approach and has not previously been described. This report delineates the safety, feasibility and clinical implications of early CVC insertion as the optimum means of vascular access in patients with EVD, in the setting of a ...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/s00134-015-3736-y

    authors： Rees PS,Lamb LE,Nicholson-Roberts TC,Ardley CN,Bailey MS,Hinsley DE,Fletcher TE,Dickson SJ

    更新日期：2015-05-01 00:00:00

  • Antagonist of the type-1 ANG II receptor prevents against LPS-induced septic shock in rats.

    abstract：PURPOSE:Type 1 angiotensin II (AT1) receptor antagonists have anti-inflammatory effects in vitro and in patients. The purpose of this study was to investigate whether losartan (LOS), an AT1 receptor antagonist, reduces lung damage by inhibiting the induction of high mobility group box 1 (HMGB1) protein and cytokines by...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/s00134-009-1545-x

    authors： Hagiwara S,Iwasaka H,Hidaka S,Hasegawa A,Koga H,Noguchi T

    更新日期：2009-08-01 00:00:00

  • The CRIB (Clinical Risk Index for Babies) score and neurodevelopmental impairment at one year corrected age in very low birth weight infants.

    abstract：OBJECTIVE:To assess the ability of the Clinical Risk Index for Babies (CRIB) to predict long-term neurodevelopmental impairment in very low birth weight (VLBW) infants. DESIGN:Single-center cohort study. SETTING:Tertiary neonatal care hospital and follow-up clinic. PATIENTS:Four hundred fifty-five VLBW infants conse...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/s001340051157

    authors： Bührer C,Grimmer I,Metze B,Obladen M

    更新日期：2000-03-01 00:00:00

  • The combination of the load/force balance and the frequency/tidal volume can predict weaning outcome.

    abstract：OBJECTIVE:To examine whether an appropriately designed combination of an index of ventilatory endurance and the frequency divided by tidal volume ratio (f/VT) provides prognostic information for weaning outcome not offered by any index alone. DESIGN AND SETTING:Prospective study in a multidisciplinary intensive care u...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/s00134-006-0104-y

    authors： Vassilakopoulos T,Routsi C,Sotiropoulou C,Bitsakou C,Stanopoulos I,Roussos C,Zakynthinos S

    更新日期：2006-05-01 00:00:00

  • Dosing of medications in morbidly obese patients in the intensive care unit setting.

    abstract：OBJECTIVE:To derive recommendations for the dosing of commonly used medications in the morbidly obese patient in the ICU. DATA SOURCES:Articles were obtained through computerized searches involving MEDLINE. The bibliographies of retrieved publications and textbooks were reviewed for additional references. STUDY SELEC...

    journal_title：Intensive care medicine

    pub_type： 杂志文章,评审

    doi：10.1007/s00134-003-2059-6

    authors： Erstad BL

    更新日期：2004-01-01 00:00:00

  • Evaluation of the catheter positioning for neurally adjusted ventilatory assist.

    abstract：PURPOSE:During neurally adjusted ventilatory assist (NAVA) the ventilator is driven by the patients electrical activation of the diaphragm (EAdi), detected by a special esophageal catheter. A reliable positioning of the EAdi-catheter is mandatory to trace a representative EAdi signal. We aimed to determine whether a fo...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/s00134-009-1587-0

    authors： Barwing J,Ambold M,Linden N,Quintel M,Moerer O

    更新日期：2009-10-01 00:00:00

  • Erythropoietin response is blunted in critically ill patients.

    abstract：OBJECTIVES:Critically ill patients often develop anaemia which can be related to a number of factors. However, the exact causes of anaemia in many patients remain unexplained. We hypothesized that the relationship between erythropoietin (EPO) and haematocrit may be altered in critically ill patients. DESIGN:Serum conc...

    journal_title：Intensive care medicine

    pub_type： 杂志文章,多中心研究

    doi：10.1007/s001340050310

    authors： Rogiers P,Zhang H,Leeman M,Nagler J,Neels H,Mélot C,Vincent JL

    更新日期：1997-02-01 00:00:00

  • Partial pressure of oxygen and partial pressure of carbon dioxide of perfluorocarbon liquid during partial liquid ventilation: their regional difference and their dependence on tidal volume and positive end-expiratory pressure level.

    abstract：OBJECTIVE:To investigate the regional partial pressure of oxygen (PO2) and partial pressure of carbon dioxide (PCO2) of the perfluorocarbon liquid (PpfcO2, PpfcCO2) during partial liquid ventilation (PLV). DESIGN:Prospective, controlled study. SETTING:A research laboratory at a university medical center. SUBJECTS:Th...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/s001340000706

    authors： Uchida T,Yokoyama K,Nakazawa K,Makita K

    更新日期：2001-01-01 00:00:00

  • Predictors of short-term mortality in critically ill patients with solid malignancies.

    abstract：UNLABELLED:Admission of cancer patients with serious medical complications to the ICU remains controversial primarily because of the high short-term mortality rates in these patients. However, the cancer patient population is heterogeneous regarding age, underlying conditions, and curability of their disease, suggestin...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/s001340051350

    authors： Azoulay E,Moreau D,Alberti C,Leleu G,Adrie C,Barboteu M,Cottu P,Levy V,Le Gall JR,Schlemmer B

    更新日期：2000-12-01 00:00:00

  • Left ventricular function in tetanus: influence of therapy.

    abstract：:Nine patients hospitalized for tetanus were studied under the same protocol which included two haemodynamic studies with a preload trial (PLT). The first being made during therapy (diazepam barbiturate association), on the sixth day of hospitalisation, and the second one after recovery. The comparison of the results s...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/BF01700252

    authors： Desjars P,Pinaud M,Baron D,Rodineau P,Nicolas R

    更新日期：1978-07-01 00:00:00

  • Early organ dysfunction course, cooling time and outcome in classic heatstroke.

    abstract：PURPOSE:To describe the course of early organ dysfunction in a cohort of patients admitted in ICU suffering classic heatstroke. METHODS:Prospective observational single-centre cohort study with a 1-year follow-up. INTERVENTIONS:None. MEASUREMENTS AND MAIN RESULTS:Clinical and biological data of 22 patients were anal...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/s00134-009-1500-x

    authors： Pease S,Bouadma L,Kermarrec N,Schortgen F,Régnier B,Wolff M

    更新日期：2009-08-01 00:00:00

  • Bile canaliculi are defective in hepatic involvement of organ failure and recovery of liver function is due to their secondary regeneration.

    abstract：OBJECTIVE:To investigate the morphological changes in the liver in patients with organ failure and hyperbilirubinemia and to correlate them to the outcome. DESIGN:A case series prospective study. SETTING:Intensive care units of two general hospitals. PATIENTS:Twelve patients in organ failure with predominant hepatic...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/BF01708095

    authors： Douzinas EE,Vamvasakis E,Rigas K,Pitaridis M,Kittas C,Roussos C

    更新日期：1996-06-01 00:00:00

  • Group A beta-haemolytic streptococcus septicaemia: the toxic strep syndrome. Report of our cases developing septic shock and multiple organ failure.

    abstract：:During the last two decades, severe group A beta-haemolytic streptococcal infections have been defined as the "toxic strep syndrome", and have been reported not only in immunocompromised or elderly people, but also occasionally in previously healthy patients. We describe 4 patients presenting with the toxic strep synd...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/BF01709279

    authors： Soravia C,Romand JA,Herrmann M,Chevrolet JC,Ricou B,Suter PM

    更新日期：1993-01-01 00:00:00

  • Modified score for disseminated intravascular coagulation in the critically ill.

    abstract：OBJECTIVE:To assess the value of the diagnosis of overt disseminated intravascular coagulation (DIC) according to the International Society on Thrombosis and Haemostasis (ISTH) criteria and that of the parameters included in the ISTH score for overt DIC in predicting day 28 mortality in intensive care patients. Also, t...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/s00134-005-2685-2

    authors： Sivula M,Tallgren M,Pettilä V

    更新日期：2005-09-01 00:00:00

  • Modulation of rat brain synaptosomal plasma membrane achieved by atracurium and its metabolite laudanosine.

    abstract：OBJECTIVE:Atracurium besylate and laudanosine cause excitement and seizures when introduced into the central nervous system of laboratory animals. We examined the modulation of lipid-protein interaction in the lipid environment of rat brain synaptosomal plasma membrane (SPM)-bound enzymes as a possible mechanism leadin...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/s001340050605

    authors： Kamper EF,Siafaka J,Stavridis J

    更新日期：1998-05-01 00:00:00

  • Ionized hypocalcemia during out-of-hospital cardiac arrest and cardiopulmonary resuscitation is not due to binding by lactate.

    abstract：OBJECTIVE:To determine the relationship between ionized calcium concentrations and blood lactate levels during cardiac arrest and cardiopulmonary resuscitation (CPR). DESIGN:A prospective cohort study. SETTING:Emergency department (ED) and general intensive care unit in a city hospital (tertiary care center). PATIEN...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/s001340050493

    authors： Gando S,Igarashi M,Kameue T,Nanzaki S

    更新日期：1997-12-01 00:00:00

  • Short-term evaluation of sedation with sevoflurane administered by the anesthetic conserving device in critically ill patients.

    abstract：PURPOSE:Assessing feasibility and physiological effects of sedation with sevoflurane, administered with the anesthetic conserving device (AnaConDa), in comparison with propofol and remifentanil. METHODS:Seventeen patients undergoing mechanical ventilation underwent sedation with sevoflurane delivered with AnaConDa (ph...

    journal_title：Intensive care medicine

    pub_type： 临床试验,杂志文章

    doi：10.1007/s00134-009-1414-7

    authors： Migliari M,Bellani G,Rona R,Isgrò S,Vergnano B,Mauri T,Patroniti N,Pesenti A,Foti G

    更新日期：2009-07-01 00:00:00

  • The diagnostic accuracy of clinical examination for estimating cardiac index in critically ill patients: the Simple Intensive Care Studies-I.

    abstract：PURPOSE:Clinical examination is often the first step to diagnose shock and estimate cardiac index. In the Simple Intensive Care Studies-I, we assessed the association and diagnostic performance of clinical signs for estimation of cardiac index in critically ill patients. METHODS:In this prospective, single-centre coho...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/s00134-019-05527-y

    authors： Hiemstra B,Koster G,Wiersema R,Hummel YM,van der Harst P,Snieder H,Eck RJ,Kaufmann T,Scheeren TWL,Perner A,Wetterslev J,de Smet AMGA,Keus F,van der Horst ICC,SICS Study Group.

    更新日期：2019-02-01 00:00:00

  • Respiratory changes after open-heart surgery.

    abstract：:Breathing pattern was studied non-invasively in 20 coronary artery bypass surgery patients before the operation and post-operatively after weaning from mechanical ventilation. Post-operatively minute ventilation (VE), breathing frequency (Fr) and mean inspiratory flow (VT/TI) increased (28%, 42%, 27%; p less than 0.01...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/BF01716198

    authors： Tulla H,Takala J,Alhava E,Huttunen H,Kari A,Manninen H

    更新日期：1991-01-01 00:00:00

  • Effects of pulmonary blood volume on vascular reactivity in the lung.

    abstract：OBJECTIVE:Pulmonary flow resistance is mainly determined by vessel calibres, resulting from the interaction of volume-passive distension and active vasomotion. However, quantitative information on the interplay between these counteracting forces in the lung is lacking. Therefore, we aimed at quantifying (1) the effects...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/s001340051090

    authors： Ding ZP,Scheeren TW,Arndt JO

    更新日期：1999-12-01 00:00:00

  • Correction to: Polymyxin B-immobilized hemoperfusion and mortality in critically ill adult patients with sepsis/septic shock: a systematic review with meta-analysis and trial sequential analysis.

    abstract：:Owing to an oversight by the authors, Figure 2 in this article was not the version intended for publication. The correct Figure 2, reproduced here, features footnote symbols and Figure 2b includes three studies as described in the main text. ...

    journal_title：Intensive care medicine

    pub_type： 杂志文章,已发布勘误

    doi：10.1007/s00134-018-5055-6

    authors： Fujii T,Ganeko R,Kataoka Y,Furukawa TA,Featherstone R,Doi K,Vincent JL,Pasero D,Robert R,Ronco C,Bagshaw SM

    更新日期：2018-02-01 00:00:00

  • Pressure support ventilation (PSV) reverses hyperinflation induced isorhythmic A-V dissociation.

    abstract：:We report a case of hyperinflation induced isorythmic atrio-ventricular dissociation with circulatory failure in a patient with chronic obstructive pulmonary disease. The arrythmia was successfully treated by applying "pressure support ventilation" (PSV: 20 cmH2O) which, by decreasing the respiratory rate and increasi...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/BF00263868

    authors： Conti G,Bufi M,Antonelli M,Rocco M,Gasparetto A

    更新日期：1989-01-01 00:00:00

  • Current practice regarding invasive monitoring in intensive care units in Finland. A nationwide study of the uses of arterial, pulmonary artery and central venous catheters and their effect on outcome. The Finnish Intensive Care Study Group.

    abstract：:As part of a nationwide evaluation of intensive care, we examined patient- and hospital-related factors which could influence the patterns of utilization of arterial cannulae and central venous and pulmonary artery catheters. We also studied the possible impact of these interventions on the short-term outcome among 14...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/BF01713935

    authors： Saarela E,Kari A,Nikki P,Rauhala V,Iisalo E,Kaukinen L

    更新日期：1991-01-01 00:00:00

  • Monitoring lung mechanics and airway pressures during differential lung ventilation (DLV) with emphasis on weaning from DLV.

    abstract：:Fifteen polytrauma patients with asymmetric pulmonary contusion were treated with differential lung ventilation (DLV) for a mean of 106 hours (range 24-298, median 83). The differential time constant (Tc), compliance (Ct), inspiratory and expiratory airway resistance (Rawinsp, Rawexp) and peak-airway pressure (Pawpeak...

    journal_title：Intensive care medicine

    pub_type： 杂志文章

    doi：10.1007/BF00255602

    authors： Zandstra DF,Stoutenbeek CP,Bams JL

    更新日期：1989-01-01 00:00:00

  • Central venous catheter infections: concepts and controversies.

    abstract：:Central venous catheters (CVCs) are widely used in critically ill patients in intensive care units. However, infectious complications are common and may limit their utility. We critically review the literature to determine the impact of CVC design and composition, insertion site selection, insertion procedures, care a...

    journal_title：Intensive care medicine

    pub_type： 杂志文章,评审

    doi：10.1007/BF01726542

    authors： Reed CR,Sessler CN,Glauser FL,Phelan BA

    更新日期：1995-02-01 00:00:00

  • Effects of reducing beta-lactam antibiotic pressure on intestinal colonization of antibiotic-resistant gram-negative bacteria.

    abstract：BACKGROUND:We determined the effects of two antibiotic policies (predominance of either beta-lactam antibiotics or fluroquinolones) on acquisition with third-generation cephalosporin-resistant Enterobacteriaceae (CRE) and fluoroquinolone-resistant CRE (FCRE) in two ICUs, with monitoring of other variables that may infl...

    journal_title：Intensive care medicine

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1007/s00134-009-1714-y

    authors： Nijssen S,Fluit A,van de Vijver D,Top J,Willems R,Bonten MJ

    更新日期：2010-03-01 00:00:00

  • Extracorporeal treatment of acute renal failure in the intensive care unit: a critical view.

    abstract：:Acute renal failure in critically ill patients is seldom an isolated problem but is more usually associated with multiple organ failure. When choosing an extracorporeal kidney replacement therapy, these other failing organs must be taken into account. Therefore the choice of an artificial kidney in patients requiring ...

    journal_title：Intensive care medicine

    pub_type： 杂志文章,评审

    doi：10.1007/BF00261492

    authors： Schetz M,Lauwers PM,Ferdinande P

    更新日期：1989-01-01 00:00:00