Abstract：Objective To observe the influencing factors of unplanned withdrawing of patients with continuous renal replacement therapy (CRRT) in the intensive care unit (ICU). Methods The clinical data of 80 CRRT patients admitted to the hospital from January 2017 to January 2020 were retrospectively analyzed, and baseline data were collected. According to the occurrence of unplanned withdrawing, patients were divided into unplanned and planned withdrawing units, and logistic regression analysis was used to test the influencing factors of unplanned disengagement. Results Among 80 CRRT patients, a total of 35 cases (43.75%) were unplanned withdrawing, and another 45 cases (56.25%) were planned withdrawing. The blood flow rate of the unplanned withdrawing unit was lower than that of the planned withdrawing unit, and the volume ratio of venous ampulla embolism, hematocrit, therapeutic dose, and prothrombin time activity (PTA) were higher than those of the planned unit, and the differences were statistically significant (P ＜ 0.05). Logistic regression analysis showed that slow blood flow, high volume ratio of venous ampulla embolism, high hematocrit, high therapeutic dose, and high PTA were the risk factors for unplanned withdrawing of ICU patients with severe CRRT (OR ＞ 1, P ＜ 0.05). Conclusion The risk of unplanned withdrawing machine in patients with severe CRRT in ICU is high, the risk factors of unplanned withdrawing machine include slow velocity of blood flow, high volume ratio of jugular embolization, high packet cell volume, high therapeutic dose and high PTA.
陈进参 宋敏 杨顺银▲. ICU重症CRRT患者非计划下机发生的影响因素[J]. 中国医药导报, 2021, 18(30): 92-95.
CHEN Jincan SONG Min YANG Shunyin▲. Influencing factors of unplanned withdrawing machine in patients with severe CRRT in ICU#br#. 中国医药导报, 2021, 18(30): 92-95.
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