Elevated mean arterial pressure is associated with a lower risk of mortality in acute kidney injury patients receiving continuous renal replacement therapy
This study explored the relationship between mean arterial pressure and the risk of mortality in patients with acute kidney injury receiving continuous renal replacement therapy. Elevated mean arterial pressure is associated with a lower risk of mortality in acute kidney injury patients receiving co...
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| Veröffentlicht in: | Renal failure 2023-12, Vol.45 (1), p.2238828-2238828 |
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| description | This study explored the relationship between mean arterial pressure and the risk of mortality in patients with acute kidney injury receiving continuous renal replacement therapy.
Elevated mean arterial pressure is associated with a lower risk of mortality in acute kidney injury patients receiving continuous renal replacement therapy.
maintenance of an appropriate mean arterial pressure (MAP) is important for critically ill patients. However, the association between MAP and prognosis in acute kidney injury (AKI) patients receiving continuous renal replacement therapy (CRRT) is thus far unclear.
a total of 1,144 AKI patients who had received CRRT between January 2009 and September 2016 were enrolled and their MAP was measured at CRRT initiation. Patients were categorized into four groups (Quartile 1: MAP < 67.3 mmHg; Quartile 2: 67.3 ≤ MAP < 76.7 mmHg; Quartile 3: 76.7 ≤ MAP < 86.3 mmHg; Quartile 4: MAP ≥ 86.3 mmHg), and 28- and 90-day mortality rates were compared.
our results demonstrate that 204 (72.1%), 187 (63.4%), 174 (62.6%), and 145 (50.3%) deaths occurred in quartiles 1, 2, 3, and 4 within 28 days, respectively (p |
| doi_str_mv | 10.1080/0886022X.2023.2238828 |
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Elevated mean arterial pressure is associated with a lower risk of mortality in acute kidney injury patients receiving continuous renal replacement therapy.
maintenance of an appropriate mean arterial pressure (MAP) is important for critically ill patients. However, the association between MAP and prognosis in acute kidney injury (AKI) patients receiving continuous renal replacement therapy (CRRT) is thus far unclear.
a total of 1,144 AKI patients who had received CRRT between January 2009 and September 2016 were enrolled and their MAP was measured at CRRT initiation. Patients were categorized into four groups (Quartile 1: MAP < 67.3 mmHg; Quartile 2: 67.3 ≤ MAP < 76.7 mmHg; Quartile 3: 76.7 ≤ MAP < 86.3 mmHg; Quartile 4: MAP ≥ 86.3 mmHg), and 28- and 90-day mortality rates were compared.
our results demonstrate that 204 (72.1%), 187 (63.4%), 174 (62.6%), and 145 (50.3%) deaths occurred in quartiles 1, 2, 3, and 4 within 28 days, respectively (p < 0.001). This trend also exists in 90-day mortality (Quartile 1: 81.3%; Quartile 2: 72.5%; Quartile 3: 72.3%; Quartile 4: 61.1%, p < 0.001). The Kaplan-Meier results indicate that higher MAP is associated with a reduction in 28- and 90-day mortality (both p < 0.001). After adjusting for potential confounders using Cox proportional hazard regression analysis, higher MAP was still associated with a decline in 28 - and 90-day mortality (both p < 0.001).
MAP is a valuable parameter for predicting mortality in AKI patients who are receiving CRRT.]]></description><identifier>ISSN: 0886-022X</identifier><identifier>EISSN: 1525-6049</identifier><identifier>DOI: 10.1080/0886022X.2023.2238828</identifier><identifier>PMID: 37482910</identifier><language>eng</language><publisher>England: Taylor & Francis</publisher><subject>Acute Kidney Injury ; Arterial Pressure ; Blood pressure ; Continuous Renal Replacement Therapy ; Humans ; Kidneys ; Mean arterial pressure ; Mortality ; Renal Replacement Therapy ; Retrospective Studies</subject><ispartof>Renal failure, 2023-12, Vol.45 (1), p.2238828-2238828</ispartof><rights>2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group 2023</rights><rights>2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. This work is licensed under the Creative Commons Attribution – Non-Commercial License http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group 2023 The Author(s)</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c511t-74dd68613599e7f6ead9734e07035bc7bedaa3b75cb74a54ca5c9d2be7039b473</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10367572/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10367572/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,27479,27901,27902,53766,53768,59116,59117</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37482910$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yi, Sheng</creatorcontrib><creatorcontrib>Ning, Limeng</creatorcontrib><creatorcontrib>Xiao, Hong</creatorcontrib><title>Elevated mean arterial pressure is associated with a lower risk of mortality in acute kidney injury patients receiving continuous renal replacement therapy</title><title>Renal failure</title><addtitle>Ren Fail</addtitle><description><![CDATA[This study explored the relationship between mean arterial pressure and the risk of mortality in patients with acute kidney injury receiving continuous renal replacement therapy.
Elevated mean arterial pressure is associated with a lower risk of mortality in acute kidney injury patients receiving continuous renal replacement therapy.
maintenance of an appropriate mean arterial pressure (MAP) is important for critically ill patients. However, the association between MAP and prognosis in acute kidney injury (AKI) patients receiving continuous renal replacement therapy (CRRT) is thus far unclear.
a total of 1,144 AKI patients who had received CRRT between January 2009 and September 2016 were enrolled and their MAP was measured at CRRT initiation. Patients were categorized into four groups (Quartile 1: MAP < 67.3 mmHg; Quartile 2: 67.3 ≤ MAP < 76.7 mmHg; Quartile 3: 76.7 ≤ MAP < 86.3 mmHg; Quartile 4: MAP ≥ 86.3 mmHg), and 28- and 90-day mortality rates were compared.
our results demonstrate that 204 (72.1%), 187 (63.4%), 174 (62.6%), and 145 (50.3%) deaths occurred in quartiles 1, 2, 3, and 4 within 28 days, respectively (p < 0.001). This trend also exists in 90-day mortality (Quartile 1: 81.3%; Quartile 2: 72.5%; Quartile 3: 72.3%; Quartile 4: 61.1%, p < 0.001). The Kaplan-Meier results indicate that higher MAP is associated with a reduction in 28- and 90-day mortality (both p < 0.001). After adjusting for potential confounders using Cox proportional hazard regression analysis, higher MAP was still associated with a decline in 28 - and 90-day mortality (both p < 0.001).
MAP is a valuable parameter for predicting mortality in AKI patients who are receiving CRRT.]]></description><subject>Acute Kidney Injury</subject><subject>Arterial Pressure</subject><subject>Blood pressure</subject><subject>Continuous Renal Replacement Therapy</subject><subject>Humans</subject><subject>Kidneys</subject><subject>Mean arterial pressure</subject><subject>Mortality</subject><subject>Renal Replacement Therapy</subject><subject>Retrospective Studies</subject><issn>0886-022X</issn><issn>1525-6049</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>0YH</sourceid><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><sourceid>DOA</sourceid><recordid>eNp9ks9u1DAQxiMEoqXwCCBLXLjs4r9xcgJUFahUiQtI3KyJM9n1NokX29nVPgsvi9PdVpQDJ8szv_nGM_6K4jWjS0Yr-p5WVUk5_7nklIsl56KqePWkOGeKq0VJZf20OJ-ZxQydFS9i3FDKVKX58-JMaFnxmtHz4vdVjztI2JIBYSQQEgYHPdkGjHEKSFwkEKO37g7au7QmQHq_x0CCi7fEd2TwIUHv0oG4rGCnhOTWtSPO980UDmQLyeGYIglo0e3cuCLWj8mNk5_m4JgbBtz2YHHIHElrDLA9vCyeddBHfHU6L4ofn6--X35d3Hz7cn356WZhFWNpoWXbllXJhKpr1F2J0NZaSKSaCtVY3WALIBqtbKMlKGlB2brlDeZ83UgtLorro27rYWO2wQ0QDsaDM3cBH1Ym78XZHg1XXFouZd1pLbuqrTqOVtNag5RC8jprfThqbadmwNbmcQL0j0QfZ0a3Niu_M4yKUivNs8K7k0LwvyaMyQwuWux7GDGvy_BKMpk_lauMvv0H3fgp5G3OlGaKlYKzTKkjZYOPMWD38BpGzewlc-8lM3vJnLyU6978PcpD1b15MvDxCLix82GAvQ99axIceh-6AKN10Yj_9_gDCyHc7w</recordid><startdate>202312</startdate><enddate>202312</enddate><creator>Yi, Sheng</creator><creator>Ning, Limeng</creator><creator>Xiao, Hong</creator><general>Taylor & Francis</general><general>Taylor & Francis Ltd</general><general>Taylor & Francis Group</general><scope>0YH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7XB</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>202312</creationdate><title>Elevated mean arterial pressure is associated with a lower risk of mortality in acute kidney injury patients receiving continuous renal replacement therapy</title><author>Yi, Sheng ; Ning, Limeng ; Xiao, Hong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c511t-74dd68613599e7f6ead9734e07035bc7bedaa3b75cb74a54ca5c9d2be7039b473</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Acute Kidney Injury</topic><topic>Arterial Pressure</topic><topic>Blood pressure</topic><topic>Continuous Renal Replacement Therapy</topic><topic>Humans</topic><topic>Kidneys</topic><topic>Mean arterial pressure</topic><topic>Mortality</topic><topic>Renal Replacement Therapy</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yi, Sheng</creatorcontrib><creatorcontrib>Ning, Limeng</creatorcontrib><creatorcontrib>Xiao, Hong</creatorcontrib><collection>Taylor & Francis Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Renal failure</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yi, Sheng</au><au>Ning, Limeng</au><au>Xiao, Hong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Elevated mean arterial pressure is associated with a lower risk of mortality in acute kidney injury patients receiving continuous renal replacement therapy</atitle><jtitle>Renal failure</jtitle><addtitle>Ren Fail</addtitle><date>2023-12</date><risdate>2023</risdate><volume>45</volume><issue>1</issue><spage>2238828</spage><epage>2238828</epage><pages>2238828-2238828</pages><issn>0886-022X</issn><eissn>1525-6049</eissn><abstract><![CDATA[This study explored the relationship between mean arterial pressure and the risk of mortality in patients with acute kidney injury receiving continuous renal replacement therapy.
Elevated mean arterial pressure is associated with a lower risk of mortality in acute kidney injury patients receiving continuous renal replacement therapy.
maintenance of an appropriate mean arterial pressure (MAP) is important for critically ill patients. However, the association between MAP and prognosis in acute kidney injury (AKI) patients receiving continuous renal replacement therapy (CRRT) is thus far unclear.
a total of 1,144 AKI patients who had received CRRT between January 2009 and September 2016 were enrolled and their MAP was measured at CRRT initiation. Patients were categorized into four groups (Quartile 1: MAP < 67.3 mmHg; Quartile 2: 67.3 ≤ MAP < 76.7 mmHg; Quartile 3: 76.7 ≤ MAP < 86.3 mmHg; Quartile 4: MAP ≥ 86.3 mmHg), and 28- and 90-day mortality rates were compared.
our results demonstrate that 204 (72.1%), 187 (63.4%), 174 (62.6%), and 145 (50.3%) deaths occurred in quartiles 1, 2, 3, and 4 within 28 days, respectively (p < 0.001). This trend also exists in 90-day mortality (Quartile 1: 81.3%; Quartile 2: 72.5%; Quartile 3: 72.3%; Quartile 4: 61.1%, p < 0.001). The Kaplan-Meier results indicate that higher MAP is associated with a reduction in 28- and 90-day mortality (both p < 0.001). After adjusting for potential confounders using Cox proportional hazard regression analysis, higher MAP was still associated with a decline in 28 - and 90-day mortality (both p < 0.001).
MAP is a valuable parameter for predicting mortality in AKI patients who are receiving CRRT.]]></abstract><cop>England</cop><pub>Taylor & Francis</pub><pmid>37482910</pmid><doi>10.1080/0886022X.2023.2238828</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Acute Kidney Injury Arterial Pressure Blood pressure Continuous Renal Replacement Therapy Humans Kidneys Mean arterial pressure Mortality Renal Replacement Therapy Retrospective Studies |
| title | Elevated mean arterial pressure is associated with a lower risk of mortality in acute kidney injury patients receiving continuous renal replacement therapy |
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