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Net ultrafiltration intensity and mortality in critically ill patients with fluid overload

Critical Care Sep 28, 2018

Murugan R, et al. - Researchers assessed risk-adjusted 1-year mortality in relation to net ultrafiltration (UFNET) intensity in critically ill patients with fluid overload receiving renal replacement therapy (RRT) to ultimately gain clarity regarding the optimal intensity of UFNET in such a patient populace. Using a large academic medical center ICU dataset, they identified patients with fluid overload ≥ 5% of body weight before initiation of RRT. UFNET intensity was calculated as the net volume of fluid ultrafiltered per day from initiation of either continuous or intermittent RRT until the end of ICU stay, adjusted for patient hospital admission body weight. Intensity of UFNET was categorized as low (≤ 20 ml/kg/day), moderate (> 20 to ≤ 25 ml/kg/day) or high (> 25 ml/kg/day). In this study, lower 1-year risk-adjusted mortality was observed in relation to UFNET intensity > 25 ml/kg/day vs ≤ 20 ml/kg/day among these critically ill patients.

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