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Critical Care: Original Investigations in Critical Care |

Examining the Relationship Between Timing of Continuous Veno-Venus Hemodialysis (CVVHD) and Fulminant Liver Failure Outcomes in the ICU

John Kileci, MD; Yuriy Takhalov, MD; Keith Guevarra, DO
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Rutgers New Jersey Medical School, Newark, NJ


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4_S):345A. doi:10.1016/j.chest.2016.08.358
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SESSION TITLE: Original Investigations in Critical Care

SESSION TYPE: Original Investigation Slide

PRESENTED ON: Sunday, October 23, 2016 at 04:30 PM - 05:30 PM

PURPOSE: To Examine the relationship between the timing of Continuous Veno-Venus Hemodialysis (CVVHD) and Morbidity and Mortality Outcome from Fulminant Liver Failure

METHODS: All patients with Fulminant liver failure and acute renal failure defined by The Modification of Diet in Renal Disease (MDRD) admitted in the intensive care unit were included in the study. Parameters and outcomes that were reviewed were: Age/date of birth, gender, ethnicity, height, weight, BMI, previous kidney disease, adminittration bicarbonate during ICU stay, MELD score, etiology of liver failure, use of pressors at the time of initiation of CVVHD, number of pressor requirements, average creatinine before and after CVVHD started, time of CVVHD start and time of CVVHD start, encephalopathy grade, time of CVVHD initiation and duration of CVVHD to transplant, medications, liver function results, outcome after hospitalization (death within 30 days vs discharge), etiology of liver failure, time on and off CVVHD, renal function enzyme test results, morbidity (time off ventilator, mental status improvement etc) and mortality.

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