Acute dialysis in children

results of a European survey

ESCAPE Network

Research output: Contribution to journalArticle

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.

Original languageEnglish
JournalJournal of Nephrology
DOIs
Publication statusE-pub ahead of print - Apr 4 2019

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Dialysis
Renal Replacement Therapy
Acute Kidney Injury
Pediatrics
Nurses
Gross Domestic Product
Nephrology
Surveys and Questionnaires
Critical Care
Critical Illness
Registries
Epidemiology
Therapeutics
Organizations

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Acute dialysis in children : results of a European survey. / ESCAPE Network.

In: Journal of Nephrology, 04.04.2019.

Research output: Contribution to journalArticle

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title = "Acute dialysis in children: results of a European survey",
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.",
author = "{ESCAPE Network} and Isabella Guzzo and {de Galasso}, Lara and Sevgi Mir and Bulut, {Ipek Kaplan} and Augustina Jankauskiene and Vilmanta Burokiene and Mirjana Cvetkovic and Mirjana Kostic and Bayazit, {Aysun Karabay} and Dincer Yildizdas and Schmitt, {Claus Peter} and Fabio Paglialonga and Giovanni Montini and Ebru Yilmaz and Jun Oh and Lutz Weber and Christina Taylan and Wesley Hayes and Rukshana Shroff and Enrico Vidal and Luisa Murer and Francesca Mencarelli and Andrea Pasini and Ana Teixeira and Afonso, {Alberto Caldas} and Dorota Drozdz and Franz Schaefer and Stefano Picca",
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T2 - results of a European survey

AU - ESCAPE Network

AU - Guzzo, Isabella

AU - de Galasso, Lara

AU - Mir, Sevgi

AU - Bulut, Ipek Kaplan

AU - Jankauskiene, Augustina

AU - Burokiene, Vilmanta

AU - Cvetkovic, Mirjana

AU - Kostic, Mirjana

AU - Bayazit, Aysun Karabay

AU - Yildizdas, Dincer

AU - Schmitt, Claus Peter

AU - Paglialonga, Fabio

AU - Montini, Giovanni

AU - Yilmaz, Ebru

AU - Oh, Jun

AU - Weber, Lutz

AU - Taylan, Christina

AU - Hayes, Wesley

AU - Shroff, Rukshana

AU - Vidal, Enrico

AU - Murer, Luisa

AU - Mencarelli, Francesca

AU - Pasini, Andrea

AU - Teixeira, Ana

AU - Afonso, Alberto Caldas

AU - Drozdz, Dorota

AU - Schaefer, Franz

AU - Picca, Stefano

PY - 2019/4/4

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N2 - 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.

AB - 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.

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DO - 10.1007/s40620-019-00606-1

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JO - Journal of Nephrology

JF - Journal of Nephrology

SN - 1121-8428

ER -