The effect of specialized continuous renal replacement therapy team in acute kidney injury patients treatment.

Abstract:

PURPOSE:Continuous renal replacement therapy (CRRT) has been established for critically ill acute kidney injury (AKI) patients. In addition, some centers consist of a specialized CRRT team (SCT) with physicians and nurses. To our best knowledge, however, ona a few studies have yet been carried out on the superiority of SCT management. MATERIALS AND METHODS:A total of 551 patients, who received CRRT between January 2008 and March 2009, were divided into two groups based on the controller of CRRT. The impact of the CRRT management on 28-day mortality was compared between two groups by Kaplan-Meier curve and Cox analysis. RESULTS:During the study period, the number of filters used, down-time per day, and intensive care unit length of day were significantly higher in non-SCT group than in SCT group (6.2 hrs vs. 5.0 hrs, p=0.042; 5.0 hrs vs. 3.8 hrs, p<0.001; 27.5 days vs. 21.1 days, p=0.027, respectively), while net ultrafiltration rate was significantly lower in non-SCT group than SCT group (28.0 mL/kg/hr vs. 29.5 mL/kg/hr, p=0.043, respectively). In addition, 28-day mortality rate was significantly lower in SCT group than with non-SCT group (p=0.031). Moreover, Cox regression analysis showed that 28-day mortality rate was significantly lower in SCT control group, even after adjusting for age, gender, severity scores, biomarkers, risk, injury, failure, loss, and end-stage renal disease, and contributing factors (hazard ratio 0.91, p=0.046). CONCLUSION:A well-trained CRRT team could be beneficial for mortality improvement of AKI patients requiring CRRT.

journal_name

Yonsei Med J

journal_title

Yonsei medical journal

authors

Kee YK,Kim EJ,Park KS,Han SG,Han IM,Yoon CY,Lee E,Joo YS,Kim DY,Lee MJ,Park JT,Han SH,Yoo TH,Kim BS,Kang SW,Choi KH,Oh HJ

doi

10.3349/ymj.2015.56.3.658

subject

Has Abstract

pub_date

2015-05-01 00:00:00

pages

658-65

issue

3

eissn

0513-5796

issn

1976-2437

pii

201505658

journal_volume

56

pub_type

杂志文章
  • A single center experience of self-bougienage on stricture recurrence after surgery for corrosive esophageal strictures in children.

    abstract:PURPOSE:This study was undertaken to evaluate the long-term treatment of esophageal strictures in children with corrosive esophagitis and to determine the effect of self-bougienage on recurrent strictures. MATERIALS AND METHODS:We reviewed the medical records of nine children that were treated for corrosive esophageal...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2010.51.2.202

    authors: Lee HJ,Lee JH,Seo JM,Lee SK,Choe YH

    更新日期:2010-03-01 00:00:00

  • Tc-99m-ECD SPECT brain imaging in children with Tourette's syndrome.

    abstract::We undertook this study to assess the patterns of regional cerebral perfusion (RCP) with SPECT using Technetium- 99m-ethyl cysteinate dimer (Tc-99m-ECD) in children with Tourette's Syndrome (TS), and to compare these with the patterns in a group of normal controls. The study sample consisted of 38 children (7 to 14 ye...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2002.43.4.403

    authors: Diler RS,Reyhanli M,Toros F,Kibar M,Avci A

    更新日期:2002-08-01 00:00:00

  • Circulating immune complexes and cell-mediated immunity in patients with hepatitis B virus associated liver diseases.

    abstract::The prevalence of circulating immune complexes (CIC), their role and their relationship to cell-mediated immunity in patients with hepatitis B virus associated liver disease are still controversial. This study was designed to investigate the prevalence of CIC and their relationship to viral markers, to subsets of peri...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.1990.31.4.347

    authors: Kim SA,Lee SI,Choi IH,Shin JS,Uhm JR,Kim SJ,Choi HJ

    更新日期:1990-12-01 00:00:00

  • Certain Polymorphisms in SP110 Gene Confer Susceptibility to Tuberculosis: A Comprehensive Review and Updated Meta-Analysis.

    abstract:PURPOSE:Numerous studies have assessed the association of SP110 gene variants with tuberculosis (TB), but the results were inconsistent. Through a comprehensive review and meta-analysis, our study aimed to clarify the nature of genetic risks contributed by 11 polymorphisms for the development of TB. MATERIALS AND METH...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章,meta分析,评审

    doi:10.3349/ymj.2017.58.1.165

    authors: Zhang S,Wang XB,Han YD,Wang C,Zhou Y,Zheng F

    更新日期:2017-01-01 00:00:00

  • Mismatch between TOF MR Angiography and CT Angiography of the Middle Cerebral Artery may be a Critical Sign in Cerebrovascular Dynamics.

    abstract:PURPOSE:Although time-of-flight (TOF)-magnetic resonance angiography (MRA) can clearly depict intracranial arteries, the arterial flow of middle cerebral artery (MCA) is occasionally not detected. We evaluated this phenomenon with reference to cerebrovascular dynamics. MATERIALS AND METHODS:Seventeen patients with sus...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2018.59.1.80

    authors: Igase K,Igase M,Matsubara I,Sadamoto K

    更新日期:2018-01-01 00:00:00

  • Intradiscal electrothermal treatment for chronic lower back pain patients with internal disc disruption.

    abstract::Chronic lower back pain is one of the most common musculoskeletal problems; it is also the most expensive industrial injury. Not surprisingly, many treatments have been developed to combat this expensive and debilitating condition. One of these, intradiscal electrothermal treatment (IDET), was developed for patients w...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2005.46.4.539

    authors: Park SY,Moon SH,Park MS,Kim HS,Choi YJ,Lee HM

    更新日期:2005-08-31 00:00:00

  • Effects of Alveolar Recruitment and Positive End-Expiratory Pressure on Oxygenation during One-Lung Ventilation in the Supine Position.

    abstract:PURPOSE:Hypoxemia during one-lung ventilation (OLV) remains a serious problem, particularly in the supine position. We investigated the effects of alveolar recruitment (AR) and positive end-expiratory pressure (PEEP) on oxygenation during OLV in the supine position. MATERIALS AND METHODS:Ninety-nine patients were rand...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章,随机对照试验

    doi:10.3349/ymj.2015.56.5.1421

    authors: Choi YS,Bae MK,Kim SH,Park JE,Kim SY,Oh YJ

    更新日期:2015-09-01 00:00:00

  • Clinical Implications of Moderate Coronary Stenosis on Coronary Computed Tomography Angiography in Patients with Stable Angina.

    abstract:PURPOSE:The present study investigated the diagnostic accuracy and clinical implications of moderate stenosis (50-69%, Coronary Artery Disease Reporting and Data System, grade 3) on coronary computed tomography angiography (CCTA), compared with invasive coronary angiography (ICA). MATERIALS AND METHODS:Two hundred and...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2018.59.8.937

    authors: Kim C,Hong SJ,Ahn CM,Kim JS,Kim BK,Ko YG,Choi BW,Choi D,Jang Y,Hong MK

    更新日期:2018-10-01 00:00:00

  • Therapeutic Efficacy of Oral Enteral Nutrition in Pediatric Crohn's Disease: A Single Center Non-Comparative Retrospective Study.

    abstract:PURPOSE:Exclusive enteral nutrition (EEN) therapy effectively induces clinical remission in Crohn's disease (CD). It remains unclear, however, whether partial enteral nutrition (PEN) can maintain remission. This study was performed to determine the abilities of oral EEN and oral PEN to induce and maintain clinical remi...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2016.57.5.1185

    authors: Kim HJ,Kim Y,Cho JM,Oh SH,Kim KM

    更新日期:2016-09-01 00:00:00

  • RETT's syndrome in Korea--report of two cases.

    abstract::Rett's syndrome(RS) is a progressive neurodegenerative disorder characterized by exclusive occurrence in females, autistic behavior, dementia, gait ataxia, loss of purposeful use of the hands with stereotypic hand movement, and seizures. Initially RS was considered to be very rare; however, recent reports suggest that...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章,评审

    doi:10.3349/ymj.1991.32.2.172

    authors: Choi YC,Lee BI,Huh K,Kim GW

    更新日期:1991-06-01 00:00:00

  • Rethinking statistical approaches to evaluating drug safety.

    abstract:PURPOSE:The current methods used to evaluate the efficacy of drug products are inadequate. We propose a non-inferiority approach to prove the safety of drugs. MATERIALS AND METHODS:Traditional hypotheses for the evaluation of the safety of drugs are based on proof of hazard, which have proven to be inadequate. Therefo...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2007.48.6.895

    authors: Liu JP

    更新日期:2007-12-31 00:00:00

  • Isolation and cultivation of microvascular endothelial cells from rat lungs: effects of gelatin substratum and serum.

    abstract::Microvascular endothelial cells from rat lungs were cultured in serum-free medium supplemented with an endothelial growth substance, insulin, hydrocortisone and so on. Five to seven days after plating, cultured cells formed a monolayer. They were identified as endothelial cells by morphology and by positive immunohist...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.1991.32.4.303

    authors: Kim NS,Kim SJ

    更新日期:1991-12-01 00:00:00

  • Role of prostate volume in the early detection of prostate cancer in a cohort with slowly increasing prostate specific antigen.

    abstract:PURPOSE:To investigate the relationship between prostate volume and the increased risk for being diagnosed with prostate cancer (PCa) in men with slowly increasing prostate specific antigen (PSA). MATERIALS AND METHODS:A cohort of 1035 men who visited our hospital's health promotion center and were checked for serum P...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2013.54.5.1202

    authors: Kim YM,Park S,Kim J,Park S,Lee JH,Ryu DS,Choi SH,Cheon SH

    更新日期:2013-09-01 00:00:00

  • Surgical outcome of synchronous second primary cancer in patients with gastric cancer.

    abstract:PURPOSE:In order to improve the likelihood of curative and safe gastric surgery, this study investigated the clinical features and surgical outcomes of gastric cancer with a synchronous cancer. PATIENTS AND METHODS:The clinicopathological data of 10,090 gastric cancer patients at Samsung Medical Center from September ...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2007.48.6.981

    authors: Ha TK,An JY,Youn HG,Noh JH,Sohn TS,Kim S

    更新日期:2007-12-31 00:00:00

  • Penoscrotal reconstruction using groin and bilateral superomedial thigh flaps: a case of penile vaselinoma causing Fournier's gangrene.

    abstract::Penile augmentation by the injection of mineral oil provokes many serious, undesirable effects. Although there are reports of complications such as deformity, ulceration, necrosis, and erectile dysfunction, Fournier's gangrene resulting from the injection of petroleum jelly into the penis has not been reported. Here, ...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2007.48.4.723

    authors: Lee SW,Bang CY,Kim JH

    更新日期:2007-08-31 00:00:00

  • Bilateral coronary arteriovenous fistula coexistent with atrial septal defect and pulmonary stenosis.

    abstract::A coronary arteriovenous fistula consists of a communication between a coronary artery and a cardiac chamber, a great artery or the vena cava. It is the most common anomaly that can affect coronary perfusion. Bilateral involvement of coronary fistula, however, constitutes an uncommon subgroup of coronary arteriovenous...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.1997.38.3.190

    authors: Ha JW,Lee HJ,Lee JY,Kim HY,Yoon J,Choe KH

    更新日期:1997-06-01 00:00:00

  • Effect of an air cleaner with electrostatic filter on the removal of airborne house dust mite allergens.

    abstract:PURPOSE:The effects of air cleaners on the removal of airborne indoor allergens, especially house dust mites (HDM), are still controversial. The objective of this study is to evaluate the effect of an air cleaner with an electrostatic filter on the removal of airborne mite allergens. MATERIALS AND METHODS:A dried HDM ...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2010.51.6.918

    authors: Agrawal SR,Kim HJ,Lee YW,Sohn JH,Lee JH,Kim YJ,Lee SH,Hong CS,Park JW

    更新日期:2010-11-01 00:00:00

  • Silicon dioxide particles deposited in vessels and cartilage of the femoral head.

    abstract::Silicosis had been considered for decades as an illness with manifestations of lung fibrosis due to inhalation of overconcentrated SiO₂ dust. To the best of our knowledge, studies have yet to report SiO₂ deposits in any other tissues and organs. In the present case, while performing bilateral artificial total hip arth...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2014.55.5.1447

    authors: Xu M,Qing M,Peng D

    更新日期:2014-09-01 00:00:00

  • Percutaneous cardiopulmonary support in refractory no-reflow with cardiogenic shock after coronary stenting in acute myocardial infarction.

    abstract::Coronary no-reflow is defined as inadequate myocardial perfusion of a given coronary segment without angiographic evidence of mechanical vessel obstruction. No-reflow is visualized angiographically as a reduction in thrombolysis in myocardial infarction (TIMI) flow grade and is typically accompanied by chest pain, ele...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2010.51.4.599

    authors: Son JW,Kim JS,Lee JM,Hong SJ,Jung MK,Kim DH,Kim JS,Choi D,Jang Y

    更新日期:2010-07-01 00:00:00

  • Localized resectable genitourinary sarcoma in adult Korean patients: experiences at a single center.

    abstract:PURPOSE:To evaluate the clinicopathological characteristics and prognosis of localized resectable genitourinary sarcomas in adults. MATERIALS AND METHODS:Between September, 1996 and November, 2008, 18 consecutive cases of adults (12 men and 6 women; median age 48.8 years) who were treated for primary genitourinary sar...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2011.52.5.761

    authors: Cho SY,Moon KC,Cheong MS,Kwak C,Kim HH,Ku JH

    更新日期:2011-09-01 00:00:00

  • Auditory p300 event-related potentials in fibromyalgia patients.

    abstract::This study assessed the cognitive brain function measured by the cognitive P300 auditory event-related potentials (ERPs) in female fibromyalgia (FM) patients and compared the results with those from healthy age and education-matched controls. The relationship of the P300 potentials to the pain threshold of patients wa...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2003.44.1.89

    authors: Yoldas T,Ozgocmen S,Yildizhan H,Yigiter R,Ulvi H,Ardicoglu O

    更新日期:2003-02-01 00:00:00

  • Radiologic findings of metastatic signet ring cell carcinoma to the breast from stomach.

    abstract::Two Korean women (41 and 23-years of age) presented with painful breast enlargement and redness. The involved breast was confirmed as metastatic signet ring cell carcinoma. Although metastatic signet ring cell carcinoma of the breast shows similar clinical symptoms to inflammatory breast cancer, the difference between...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2000.41.5.669

    authors: Kwak JY,Kim EK,Oh KK

    更新日期:2000-10-01 00:00:00

  • Comparison of Outcomes after Device Closure and Medication Alone in Patients with Patent Foramen Ovale and Cryptogenic Stroke in Korean Population.

    abstract:PURPOSE:To compare the effectiveness of device closure and medical therapy in prevention of recurrent embolic event in the Korean population with cryptogenic stroke and patent foramen ovale (PFO). MATERIALS AND METHODS:Consecutive 164 patients (men: 126 patients, mean age: 48.1 years, closure group: 72 patients, medic...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2016.57.3.621

    authors: Moon J,Kang WC,Kim S,Oh PC,Park YM,Chung WJ,Choi DY,Lee JY,Lee YB,Hwang HY,Ahn T

    更新日期:2016-05-01 00:00:00

  • Tissue engineering in the twenty-first century.

    abstract::In the 20th century, free tissue transfers have been successfully introduced using microvascular anastomosis techniques. Transplants not only include whole organs such as the kidney, liver and lung, but also bone, muscle and skin. However, there are a limited number of organs available for transplantation. This leads ...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章,评审

    doi:10.3349/ymj.2000.41.6.685

    authors: Terada S,Sato M,Sevy A,Vacanti JP

    更新日期:2000-12-01 00:00:00

  • Association of plasma retinol-binding protein 4, adiponectin, and high molecular weight adiponectin with insulin resistance in non-diabetic hypertensive patients.

    abstract:PURPOSE:The aim of this study was to determine whether retinol-binding protein 4 (RBP4), adiponectin and high molecular weight (HMW) adiponectin are associated with insulin resistance (IR) and metabolic parameters in non-diabetic hypertensive patients. Also, we sought to compare the predictive values of these adipocyto...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2010.51.3.375

    authors: Shim CY,Park S,Kim JS,Shin DJ,Ko YG,Kang SM,Choi D,Ha JW,Jang Y,Chung N

    更新日期:2010-05-01 00:00:00

  • Difficulty in removal of a femoral intramedullary nail: the geometry of the distal end of the nail.

    abstract::Different difficulties can be encountered during removal of an intramedullary femoral nail depending partly upon the design of the nail but mainly on bone ingrowth. This possibility is higher in younger patients and when nail removal is attempted long after initial insertion. We present a case of difficult nail remova...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2003.44.6.1083

    authors: Bombaci H,Gorgec M

    更新日期:2003-12-30 00:00:00

  • A case of immunoglobulin E mediated anaphylaxis to levodropropizine.

    abstract::We experienced a case of immunoglobulin E (IgE) mediated anaphylaxis to levodropropizine. The patient was an 18-year old Korean woman. After taking the common cold medication including acetaminophen, domperidone, and levodropropizine, skin rash, angioedema and anaphylaxis were developed immediately. As she was tolerab...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2013.54.1.262

    authors: Park KH,Yun IS,Choi SY,Lee JH,Hong CS,Park JW

    更新日期:2013-01-01 00:00:00

  • Specially programmed respiratory muscle training for singers by using respiratory muscle training device (Ultrabreathe).

    abstract::Respiratory muscle training is one of the major methods for enhancing the vocal function. Singers who must use their voice most frequently are well aware of the importance of respiration. However, most of them do not know precisely how to exercise their abdominal respiration. Using a respiratory training device, singe...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2004.45.5.810

    authors: Nam DH,Lim JY,Ahn CM,Choi HS

    更新日期:2004-10-31 00:00:00

  • Giant Meckel's diverticulum associated with a congenital diaphragmatic hernia.

    abstract::Giant Meckel's diverticulum is a very rare lesion and its association with a congenital diaphragmatic hernia has not been reported previously. We report a case of newborn with a giant Meckel's diverticulum and congenital diaphragmatic hernia. A large round atypical air-filled bowel segment was found by chest radiograp...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2004.45.1.177

    authors: Kang IS,Ahn SM,Han A,Oh JT,Han SJ,Choi SH,Hwang EH

    更新日期:2004-02-29 00:00:00

  • Restoration of P-glycoprotein function is involved in the increase of natural killer activity with exogenous interleukin-15 in human immunodeficiency virus-infected individuals.

    abstract::A depressed level of natural killer (NK) activity is one of the various immunologic abnormalities in human immunodeficiency virus (HIV) infection. Interleukin-15 (IL-15), an immunotherapeutic candidate in HIV infection, increases NK activity and induces the excretion of CC-chemokines from divergent immune cells, but t...

    journal_title:Yonsei medical journal

    pub_type: 杂志文章

    doi:10.3349/ymj.2000.41.5.600

    authors: Chang KH,Kim JM,Yoo NC,Kim WH,Park JH,Choi IH,Kim HS,Lee KW,Song YG,Hong SK,Kim HY

    更新日期:2000-10-01 00:00:00