Nephrology consultation in acute renal failure: Does timing matter?
Nephrology consultation in acute renal failure: Does timing matter?
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DOI：
10.1016/s0002-9343(02)01230-5
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发表时间：
2002-10-15
影响因子：
5.9
通讯作者：
Chertow, GM
中科院分区：
文献类型：
--
作者：
Mehta, RL;McDonald, B;Chertow, GM
目的：重症监护室（ICU）中发生急性肾衰竭的患者具有极高的死亡率和发病率。本研究的目的是确定相关的时间在急性肾功能衰竭的肾脏科会诊，并探讨时间的咨询和outcomes.METHODS之间的关系：我们探讨了肾脏科会诊的时间和住院死亡率之间的关联，住院时间和ICU住院时间，并在215 ICU急性肾功能衰竭患者在四个美国教学医院的肾功能恢复。我们使用多变量逻辑回归和倾向评分来调整混杂因素和选择效应。结果：61例患者（28%）的肾脏科会诊延迟（大于或等于48小时）（中位会诊时间，4天）。血清肌酐水平降低（P
PURPOSE: Patients who develop acute renal failure in the intensive care unit (ICU) have extremely high rates of mortality and morbidity. The goals of this study were to identify correlates of the timing of nephrology consultation in acute renal failure, and to explore the relation between timing of consultation and outcomes.METHODS: We explored associations among timing of nephrology consultation and in-hospital mortality, lengths of hospital and ICU stay, and recovery of renal function in 215 ICU patients with acute renal failure at four U.S. teaching hospitals. We used multivariable logistic regression and propensity scores to adjust for confounding and selection effects.RESULTS: Nephrology consultation was delayed (greater than or equal to48 hours) in 61 patients (28%) (median time to consultation, 4 days). Lower serum creatinine levels (P