A national survey of renal replacement therapy prescribing practice for acute kidney injury in Malaysian intensive care units

Jamal, Janattul-Ain, Mat-Nor, Mohd-Basri, Mohamad-Nor, Fariz-Safhan, Udy, Andrew A., Lipman, Jeffrey and Roberts, Jason A. (2014) A national survey of renal replacement therapy prescribing practice for acute kidney injury in Malaysian intensive care units. Nephrology, 19 8: 507-512. doi:10.1111/nep.12276


Author Jamal, Janattul-Ain
Mat-Nor, Mohd-Basri
Mohamad-Nor, Fariz-Safhan
Udy, Andrew A.
Lipman, Jeffrey
Roberts, Jason A.
Title A national survey of renal replacement therapy prescribing practice for acute kidney injury in Malaysian intensive care units
Journal name Nephrology   Check publisher's open access policy
ISSN 1320-5358
1440-1797
Publication date 2014
Year available 2014
Sub-type Article (original research)
DOI 10.1111/nep.12276
Open Access Status
Volume 19
Issue 8
Start page 507
End page 512
Total pages 6
Place of publication Richmond, VIC Australia
Publisher Blackwell Publishing
Collection year 2015
Language eng
Abstract Objectives To describe renal replacement therapy (RRT) prescribing practices in Malaysian intensive care units (ICU), and compare this with previously published data from other regions. Method A survey was sent to physicians responsible for prescribing RRT in major ICU throughout Malaysia. The questionnaire sought information on the physicians' background, and detailed information regarding RRT settings. Results Nineteen physicians from 24 sites throughout Malaysia responded to the survey (response rate 79.2%). Sixteen respondents were intensivists (84%), 2 were anaesthetists (11%) and one was a nephrologist (5%). The majority (58%) used continuous venovenous haemofiltration (CVVH) as the treatment of choice for acute kidney injury (AKI) in critically ill patients. RRT prescription was predominantly practitioner-dependent (63%), while 37% reported use of a dedicated protocol. The mean blood flow rate and effluent flow rate used for continuous RRT (CRRT) were 188.9 ± 28.9 mL/min and 30.6 ± 4.7 mL/kg/h respectively. Replacement fluid solutions containing both lactate and bicarbonate were commonly used during CRRT, applied both pre- and post-dilution. Conclusion CRRT was the first-choice modality used to treat AKI in critically ill patients. CVVH was the most common CRRT technique used, while other RRT modalities were used less frequently. Overall, RRT practices were similar to those observed in other regions, although the modality and settings used were slightly different, likely due to local availability.
Keyword Intensive care
Renal replacement therapy (RRT)
Survey
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Medicine Publications
 
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Created: Tue, 12 Aug 2014, 03:11:48 EST by System User on behalf of Anaesthesiology and Critical Care - RBWH