Guzzo, Isabella ORCID: 0000-0003-4960-3083, de Galasso, Lara, Mir, Sevgi, Bulut, Ipek Kaplan, Jankauskiene, Augustina, Burokiene, Vilmanta, Cvetkovic, Mirjana, Kostic, Mirjana, Bayazit, Aysun Karabay, Yildizdas, Dincer, Schmitt, Claus Peter, Paglialonga, Fabio, Montini, Giovanni ORCID: 0000-0002-7350-4475, Yilmaz, Ebru, Oh, Jun, Weber, Lutz, Taylan, Christina, Hayes, Wesley, Shroff, Rukshana, Vidal, Enrico, Murer, Luisa, Mencarelli, Francesca, Pasini, Andrea, Teixeira, Ana, Afonso, Alberto Caldas, Drozdz, Dorota, Schaefer, Franz and Picca, Stefano (2019). Acute dialysis in children: results of a European survey. J. Nephrol., 32 (3). S. 445 - 452. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1724-6059

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Abstract

The number of children with acute kidney injury (AKI) requiring dialysis is increasing. To date, systematic analysis has been largely limited to critically ill children treated with continuous renal replacement therapy (CRRT). We conducted a survey among 35 European Pediatric Nephrology Centers to investigate dialysis practices in European children with AKI. Altogether, the centers perform dialysis in more than 900 pediatric patients with AKI per year. PD and CRRT are the most frequently used dialysis modalities, accounting for 39.4% and 38.2% of treatments, followed by intermittent HD (22.4%). In units treating more than 25 cases per year and in those with cardiothoracic surgery programs, PD is the most commonly chosen dialysis modality. Also, nearly one quarter of centers, in countries with a gross domestic product below $35,000/year, do not utilize CRRT at all. Dialysis nurses are exclusively in charge of CRRT management in 45% of the cases and pediatric intensive care nurses in 25%, while shared management is practiced in 30%. In conclusion, this survey indicates that the choice of treatment modalities for dialysis in children with AKI in Europe is affected by the underlying ethiology of the disease, organization/set-up of centers and socioeconomic conditions. PD is utilized as often as CRRT, and also intermittent HD is a commonly applied treatment option. A prospective European AKI registry is planned to provide further insights on the epidemiology, management and outcomes of dialysis in pediatric AKI.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Guzzo, IsabellaUNSPECIFIEDorcid.org/0000-0003-4960-3083UNSPECIFIED
de Galasso, LaraUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mir, SevgiUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bulut, Ipek KaplanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Jankauskiene, AugustinaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Burokiene, VilmantaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Cvetkovic, MirjanaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kostic, MirjanaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bayazit, Aysun KarabayUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Yildizdas, DincerUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schmitt, Claus PeterUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Paglialonga, FabioUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Montini, GiovanniUNSPECIFIEDorcid.org/0000-0002-7350-4475UNSPECIFIED
Yilmaz, EbruUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Oh, JunUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Weber, LutzUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Taylan, ChristinaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hayes, WesleyUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Shroff, RukshanaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Vidal, EnricoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Murer, LuisaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mencarelli, FrancescaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pasini, AndreaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Teixeira, AnaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Afonso, Alberto CaldasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Drozdz, DorotaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schaefer, FranzUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Picca, StefanoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-147622
DOI: 10.1007/s40620-019-00606-1
Journal or Publication Title: J. Nephrol.
Volume: 32
Number: 3
Page Range: S. 445 - 452
Date: 2019
Publisher: SPRINGER HEIDELBERG
Place of Publication: HEIDELBERG
ISSN: 1724-6059
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
ACUTE KIDNEY INJURY; RENAL REPLACEMENT THERAPY; PERITONEAL-DIALYSIS; CARDIAC-SURGERY; EPIDEMIOLOGY; AKIMultiple languages
Urology & NephrologyMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/14762

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