title: [Renal replacement therapy in Intensive Care Units in Catalonia (Spain)].
abstract: OBJECTIVE
  To assess the indications, settings and techniques used in renal replacement therapy (RRT) in Intensive Care Units (ICUs).
  
  
  METHODS
  A prospective, multicenter observational study was carried out.
  
  
  METHODS
  Intensive Care Units.
  
  
  METHODS
  All patients admitted to ICUs during the two-month study period in 2011 who required RRT.
  
  
  METHODS
  None.
  
  
  METHODS
  Patient demographic characteristics, baseline clinical data, RRT technique and materials used.
  
  
  RESULTS
  Thirty-three patients were analyzed. RRT was started within the first 24hours after ICU admission in 17 of the 33 patients (52%). At the start of RRT, 18% of the patients (n=6) presented grade R on the RIFLE acute kidney injury (AKI) scale. The most common disorder associated with AKI was multiple organ dysfunction syndrome (64%; n=21). At the start of RRT, most patients (76%; n=25) presented hemodynamic instability, while the remaining 24% (n=8) were considered hemodynamically stable. The most common RRT technique in hemodynamically stable patients was continuous renal replacement therapy (CRRT) (63%; n=5). CRRT was the technique of choice in all 25 of the hemodynamically unstable patients (100%). Anticoagulation was used in 55% (n=18) of the patients. In most cases (61%, n=20), RRT was administered through the right femoral vein. In 84% (n=28) of the patients, the ultrafiltration effluent flow rate was ≤ 35ml/kg/h.
  
  
  CONCLUSIONS
  The ICU physicians in this study followed current RRT guidelines. CRRT was preferred over intermittent renal replacement therapy, regardless of patient hemodynamic status.
authors.affiliation: Servicio de Medicina Intensiva, Hospital de la Santa Creu i Sant Pau, Barcelona, España. Electronic address: hermar0699@gmail.com.
authors.forename: H
authors.initials: H
authors.lastname: Aguirre-Bermeo
authors.affiliation: Servicio de Medicina Intensiva, Hospital Germans Trias i Pujol, Badalona, Barcelona, España.
authors.forename: T
authors.initials: T
authors.lastname: Tomasa
authors.affiliation: Área de Críticos, Hospital de Sabadell, Corporació Sanitària i Universitària Parc Taulí, Sabadell, Barcelona, España.
authors.forename: A
authors.initials: A
authors.lastname: Navas
authors.affiliation: Servicio de Medicina Intensiva, Hospital General de Granollers, Granollers, Barcelona, España.
authors.forename: J
authors.initials: J
authors.lastname: Xirgu
authors.affiliation: Servicio de Medicina Intensiva, Hospital General de Vic, Vic, Barcelona, España.
authors.forename: R M
authors.initials: RM
authors.lastname: Catalán-Ibars
authors.affiliation: Servicio de Medicina Intensiva, Hospital de Barcelona, Barcelona, España.
authors.forename: J
authors.initials: J
authors.lastname: Morillas
authors.affiliation: Servicio de Medicina Intensiva, Hospital de la Santa Creu i Sant Pau, Barcelona, España.
authors.forename: M
authors.initials: M
authors.lastname: Cuartero
authors.affiliation: Servicio de Medicina Intensiva, Hospital Germans Trias i Pujol, Badalona, Barcelona, España.
authors.forename: J M
authors.initials: JM
authors.lastname: Manciño
authors.affiliation: Servicio de Medicina Intensiva, Hospital de la Santa Creu i Sant Pau, Barcelona, España.
authors.forename: A
authors.initials: A
authors.lastname: Roglán
mesh_terms: D058186:Acute Kidney Injury / Q000097:blood / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D000368:Aged; D000925:Anticoagulants / Q000627:therapeutic use; D003404:Creatinine / Q000097:blood; D003422:Critical Care / Q000379:methods*; D005260:Female; D017583:Hemodiafiltration / Q000706:statistics & numerical data; D006439:Hemodynamics; D006801:Humans; D007362:Intensive Care Units / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000150:complications; D011446:Prospective Studies; D017582:Renal Replacement Therapy / Q000379:methods* / Q000706:statistics & numerical data; D012720:Severity of Illness Index; D013030:Spain; D061665:Time-to-Treatment
chemical_list: D000925:Anticoagulants; D003404:Creatinine
keywords: Acute kidney injury; Continuous renal replacement therapy; Critical illness; Disfunción renal aguda; Intermittent renal replacement therapy; Paciente crítico; Terapias continuas de depuración extracorpórea; Terapias intermitentes de depuración extracorpórea