Impact of specialized renal technologists on optimizing delivery of continuous kidney replacement therapy in critical care areas a retrospective study
Background Continuous renal replacement therapy (CKRT) is delivered to some of the most critically ill patients in hospitals. This therapy is expensive and requires coordination of multidisciplinary teams to ensure the prescribed dose is delivered. With increased demands on the critical care nursing...
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| Veröffentlicht in: | Hemodialysis international 2024-07, Vol.28 (3), p.304-312 |
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| creator | Khater, Noha Abou Sadeq, Ahmed Adel Al Absi, Dima Tareq Simsekler, Mecit Can Emre Khattab, Islam Mohamed Shalaby, Ehab Aboualazayem AbuKhater, Rawan Kashiwagi, Deanne Tomie Andras, Christian Molesi, Andrea Omar, Fahad Abbas, Mezher Pirayil, Mohammed Sifar Anwar, Siddiq |
| description | Background
Continuous renal replacement therapy (CKRT) is delivered to some of the most critically ill patients in hospitals. This therapy is expensive and requires coordination of multidisciplinary teams to ensure the prescribed dose is delivered. With increased demands on the critical care nursing staff and increased complexities of patients admitted to critical care units, we evaluated the role of specialized renal technologists in ensuring the prescribed dose is delivered. Therefore, the aim of this study is to investigate the impact of supporting intensive care unit nurses with specialized renal technologists on optimizing efficiency of CKRT sessions in the United Arab Emirates.
Methods
This is a retrospective study that compared critically ill patients on CKRT overseen by specialized renal technologists versus who are non‐covered in the year 2021.
Results
A total of 331 sessions on 158 patients were included in the study. The mean filter life was longer in specialized renal technologists—covered patients compared to the non‐covered group (66 vs. 59 h, p = 0.019). After adjustment by multiple regression analysis for risk factors (i.e., age, gender, mechanical ventilation, sepsis, mean arterial pressure, vasopressors, and SOFA) that may affect CKRT machines' filter life, presence of a specialized renal technologists resulted in significantly longer filter life (co‐efficient 0.129; CI 95% 1.080, 11.970; p‐value: 0.019).
Conclusion
Our study suggests that specialized renal technologists play a vital role in prolonging CKRT machine's filter life span and optimizing CKRT machine's efficiency. Further research should focus on other potential benefits of having specialized renal technologists performing CKRT sessions, and to confirm the finding of this study. Additionally, a cost–benefit analysis could be conducted to determine the economic impact of having specialized teams performing CKRT. |
| doi_str_mv | 10.1111/hdi.13167 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3073231373</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3073231373</sourcerecordid><originalsourceid>FETCH-LOGICAL-c2157-9158b6507a6c8c47153127000113df43934e9918b91dd3b1c5478f663833d4d83</originalsourceid><addsrcrecordid>eNp1kc9uFSEUh4nR2Fpd-AKGpS6m5QwwzCxN_dObNHGj6wkXzvSiDIzAaKYP4vPK9VZ3khDO4jsfHH6EvAR2CXVdHay7BA6dekTOQYq2EUr2j2sthrZRkssz8iznr4y1wFj3lJzxfuAKhDgnv3bzok2hcaJ5QeO0d_doacKgPS1oDiH6eOdyyTQGGpfiZnfvwh216N0PTNux08RQXFjjmuk3ZwNutX_x2uCModBywKSXjbpATXLFmWo2OiGtW2eqK1xSPN5eqpHmstrtOXkyaZ_xxcN5Qb58eP_5-qa5_fRxd_32tjEtSNUMIPt9J5nSnemNUCA5tIoxBsDtJPjABQ4D9PsBrOV7MFKofuo63nNuhe35BXl98i4pfl8xl3F22aD3OmAdZ-RM8ZYDV7yib06oqY_NCadxSW7WaRuBjccYxhrD-CeGyr560K77Ge0_8u-_V-DqBPx0Hrf_m8abd7uT8jdiPZPJ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3073231373</pqid></control><display><type>article</type><title>Impact of specialized renal technologists on optimizing delivery of continuous kidney replacement therapy in critical care areas a retrospective study</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><creator>Khater, Noha Abou ; Sadeq, Ahmed Adel ; Al Absi, Dima Tareq ; Simsekler, Mecit Can Emre ; Khattab, Islam Mohamed ; Shalaby, Ehab Aboualazayem ; AbuKhater, Rawan ; Kashiwagi, Deanne Tomie ; Andras, Christian ; Molesi, Andrea ; Omar, Fahad ; Abbas, Mezher ; Pirayil, Mohammed Sifar ; Anwar, Siddiq</creator><creatorcontrib>Khater, Noha Abou ; Sadeq, Ahmed Adel ; Al Absi, Dima Tareq ; Simsekler, Mecit Can Emre ; Khattab, Islam Mohamed ; Shalaby, Ehab Aboualazayem ; AbuKhater, Rawan ; Kashiwagi, Deanne Tomie ; Andras, Christian ; Molesi, Andrea ; Omar, Fahad ; Abbas, Mezher ; Pirayil, Mohammed Sifar ; Anwar, Siddiq</creatorcontrib><description>Background
Continuous renal replacement therapy (CKRT) is delivered to some of the most critically ill patients in hospitals. This therapy is expensive and requires coordination of multidisciplinary teams to ensure the prescribed dose is delivered. With increased demands on the critical care nursing staff and increased complexities of patients admitted to critical care units, we evaluated the role of specialized renal technologists in ensuring the prescribed dose is delivered. Therefore, the aim of this study is to investigate the impact of supporting intensive care unit nurses with specialized renal technologists on optimizing efficiency of CKRT sessions in the United Arab Emirates.
Methods
This is a retrospective study that compared critically ill patients on CKRT overseen by specialized renal technologists versus who are non‐covered in the year 2021.
Results
A total of 331 sessions on 158 patients were included in the study. The mean filter life was longer in specialized renal technologists—covered patients compared to the non‐covered group (66 vs. 59 h, p = 0.019). After adjustment by multiple regression analysis for risk factors (i.e., age, gender, mechanical ventilation, sepsis, mean arterial pressure, vasopressors, and SOFA) that may affect CKRT machines' filter life, presence of a specialized renal technologists resulted in significantly longer filter life (co‐efficient 0.129; CI 95% 1.080, 11.970; p‐value: 0.019).
Conclusion
Our study suggests that specialized renal technologists play a vital role in prolonging CKRT machine's filter life span and optimizing CKRT machine's efficiency. Further research should focus on other potential benefits of having specialized renal technologists performing CKRT sessions, and to confirm the finding of this study. Additionally, a cost–benefit analysis could be conducted to determine the economic impact of having specialized teams performing CKRT.</description><identifier>ISSN: 1492-7535</identifier><identifier>ISSN: 1542-4758</identifier><identifier>EISSN: 1542-4758</identifier><identifier>DOI: 10.1111/hdi.13167</identifier><identifier>PMID: 38937144</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>acute kidney injury ; Adult ; Aged ; CKRT ; Continuous Renal Replacement Therapy - methods ; Critical Care - methods ; efficiency ; Female ; filter life ; Humans ; intensive care ; Male ; Middle Aged ; Retrospective Studies ; United Arab Emirates</subject><ispartof>Hemodialysis international, 2024-07, Vol.28 (3), p.304-312</ispartof><rights>2024 International Society for Hemodialysis.</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2157-9158b6507a6c8c47153127000113df43934e9918b91dd3b1c5478f663833d4d83</cites><orcidid>0000-0001-7906-9016 ; 0000-0002-6945-3732 ; 0000-0002-1555-5012</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fhdi.13167$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fhdi.13167$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,781,785,1418,27929,27930,45579,45580</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38937144$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Khater, Noha Abou</creatorcontrib><creatorcontrib>Sadeq, Ahmed Adel</creatorcontrib><creatorcontrib>Al Absi, Dima Tareq</creatorcontrib><creatorcontrib>Simsekler, Mecit Can Emre</creatorcontrib><creatorcontrib>Khattab, Islam Mohamed</creatorcontrib><creatorcontrib>Shalaby, Ehab Aboualazayem</creatorcontrib><creatorcontrib>AbuKhater, Rawan</creatorcontrib><creatorcontrib>Kashiwagi, Deanne Tomie</creatorcontrib><creatorcontrib>Andras, Christian</creatorcontrib><creatorcontrib>Molesi, Andrea</creatorcontrib><creatorcontrib>Omar, Fahad</creatorcontrib><creatorcontrib>Abbas, Mezher</creatorcontrib><creatorcontrib>Pirayil, Mohammed Sifar</creatorcontrib><creatorcontrib>Anwar, Siddiq</creatorcontrib><title>Impact of specialized renal technologists on optimizing delivery of continuous kidney replacement therapy in critical care areas a retrospective study</title><title>Hemodialysis international</title><addtitle>Hemodial Int</addtitle><description>Background
Continuous renal replacement therapy (CKRT) is delivered to some of the most critically ill patients in hospitals. This therapy is expensive and requires coordination of multidisciplinary teams to ensure the prescribed dose is delivered. With increased demands on the critical care nursing staff and increased complexities of patients admitted to critical care units, we evaluated the role of specialized renal technologists in ensuring the prescribed dose is delivered. Therefore, the aim of this study is to investigate the impact of supporting intensive care unit nurses with specialized renal technologists on optimizing efficiency of CKRT sessions in the United Arab Emirates.
Methods
This is a retrospective study that compared critically ill patients on CKRT overseen by specialized renal technologists versus who are non‐covered in the year 2021.
Results
A total of 331 sessions on 158 patients were included in the study. The mean filter life was longer in specialized renal technologists—covered patients compared to the non‐covered group (66 vs. 59 h, p = 0.019). After adjustment by multiple regression analysis for risk factors (i.e., age, gender, mechanical ventilation, sepsis, mean arterial pressure, vasopressors, and SOFA) that may affect CKRT machines' filter life, presence of a specialized renal technologists resulted in significantly longer filter life (co‐efficient 0.129; CI 95% 1.080, 11.970; p‐value: 0.019).
Conclusion
Our study suggests that specialized renal technologists play a vital role in prolonging CKRT machine's filter life span and optimizing CKRT machine's efficiency. Further research should focus on other potential benefits of having specialized renal technologists performing CKRT sessions, and to confirm the finding of this study. Additionally, a cost–benefit analysis could be conducted to determine the economic impact of having specialized teams performing CKRT.</description><subject>acute kidney injury</subject><subject>Adult</subject><subject>Aged</subject><subject>CKRT</subject><subject>Continuous Renal Replacement Therapy - methods</subject><subject>Critical Care - methods</subject><subject>efficiency</subject><subject>Female</subject><subject>filter life</subject><subject>Humans</subject><subject>intensive care</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><subject>United Arab Emirates</subject><issn>1492-7535</issn><issn>1542-4758</issn><issn>1542-4758</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc9uFSEUh4nR2Fpd-AKGpS6m5QwwzCxN_dObNHGj6wkXzvSiDIzAaKYP4vPK9VZ3khDO4jsfHH6EvAR2CXVdHay7BA6dekTOQYq2EUr2j2sthrZRkssz8iznr4y1wFj3lJzxfuAKhDgnv3bzok2hcaJ5QeO0d_doacKgPS1oDiH6eOdyyTQGGpfiZnfvwh216N0PTNux08RQXFjjmuk3ZwNutX_x2uCModBywKSXjbpATXLFmWo2OiGtW2eqK1xSPN5eqpHmstrtOXkyaZ_xxcN5Qb58eP_5-qa5_fRxd_32tjEtSNUMIPt9J5nSnemNUCA5tIoxBsDtJPjABQ4D9PsBrOV7MFKofuo63nNuhe35BXl98i4pfl8xl3F22aD3OmAdZ-RM8ZYDV7yib06oqY_NCadxSW7WaRuBjccYxhrD-CeGyr560K77Ge0_8u-_V-DqBPx0Hrf_m8abd7uT8jdiPZPJ</recordid><startdate>202407</startdate><enddate>202407</enddate><creator>Khater, Noha Abou</creator><creator>Sadeq, Ahmed Adel</creator><creator>Al Absi, Dima Tareq</creator><creator>Simsekler, Mecit Can Emre</creator><creator>Khattab, Islam Mohamed</creator><creator>Shalaby, Ehab Aboualazayem</creator><creator>AbuKhater, Rawan</creator><creator>Kashiwagi, Deanne Tomie</creator><creator>Andras, Christian</creator><creator>Molesi, Andrea</creator><creator>Omar, Fahad</creator><creator>Abbas, Mezher</creator><creator>Pirayil, Mohammed Sifar</creator><creator>Anwar, Siddiq</creator><general>John Wiley & Sons, Inc</general><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>7X8</scope><orcidid>https://orcid.org/0000-0001-7906-9016</orcidid><orcidid>https://orcid.org/0000-0002-6945-3732</orcidid><orcidid>https://orcid.org/0000-0002-1555-5012</orcidid></search><sort><creationdate>202407</creationdate><title>Impact of specialized renal technologists on optimizing delivery of continuous kidney replacement therapy in critical care areas a retrospective study</title><author>Khater, Noha Abou ; Sadeq, Ahmed Adel ; Al Absi, Dima Tareq ; Simsekler, Mecit Can Emre ; Khattab, Islam Mohamed ; Shalaby, Ehab Aboualazayem ; AbuKhater, Rawan ; Kashiwagi, Deanne Tomie ; Andras, Christian ; Molesi, Andrea ; Omar, Fahad ; Abbas, Mezher ; Pirayil, Mohammed Sifar ; Anwar, Siddiq</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2157-9158b6507a6c8c47153127000113df43934e9918b91dd3b1c5478f663833d4d83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>acute kidney injury</topic><topic>Adult</topic><topic>Aged</topic><topic>CKRT</topic><topic>Continuous Renal Replacement Therapy - methods</topic><topic>Critical Care - methods</topic><topic>efficiency</topic><topic>Female</topic><topic>filter life</topic><topic>Humans</topic><topic>intensive care</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Retrospective Studies</topic><topic>United Arab Emirates</topic><toplevel>online_resources</toplevel><creatorcontrib>Khater, Noha Abou</creatorcontrib><creatorcontrib>Sadeq, Ahmed Adel</creatorcontrib><creatorcontrib>Al Absi, Dima Tareq</creatorcontrib><creatorcontrib>Simsekler, Mecit Can Emre</creatorcontrib><creatorcontrib>Khattab, Islam Mohamed</creatorcontrib><creatorcontrib>Shalaby, Ehab Aboualazayem</creatorcontrib><creatorcontrib>AbuKhater, Rawan</creatorcontrib><creatorcontrib>Kashiwagi, Deanne Tomie</creatorcontrib><creatorcontrib>Andras, Christian</creatorcontrib><creatorcontrib>Molesi, Andrea</creatorcontrib><creatorcontrib>Omar, Fahad</creatorcontrib><creatorcontrib>Abbas, Mezher</creatorcontrib><creatorcontrib>Pirayil, Mohammed Sifar</creatorcontrib><creatorcontrib>Anwar, Siddiq</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Hemodialysis international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Khater, Noha Abou</au><au>Sadeq, Ahmed Adel</au><au>Al Absi, Dima Tareq</au><au>Simsekler, Mecit Can Emre</au><au>Khattab, Islam Mohamed</au><au>Shalaby, Ehab Aboualazayem</au><au>AbuKhater, Rawan</au><au>Kashiwagi, Deanne Tomie</au><au>Andras, Christian</au><au>Molesi, Andrea</au><au>Omar, Fahad</au><au>Abbas, Mezher</au><au>Pirayil, Mohammed Sifar</au><au>Anwar, Siddiq</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of specialized renal technologists on optimizing delivery of continuous kidney replacement therapy in critical care areas a retrospective study</atitle><jtitle>Hemodialysis international</jtitle><addtitle>Hemodial Int</addtitle><date>2024-07</date><risdate>2024</risdate><volume>28</volume><issue>3</issue><spage>304</spage><epage>312</epage><pages>304-312</pages><issn>1492-7535</issn><issn>1542-4758</issn><eissn>1542-4758</eissn><abstract>Background
Continuous renal replacement therapy (CKRT) is delivered to some of the most critically ill patients in hospitals. This therapy is expensive and requires coordination of multidisciplinary teams to ensure the prescribed dose is delivered. With increased demands on the critical care nursing staff and increased complexities of patients admitted to critical care units, we evaluated the role of specialized renal technologists in ensuring the prescribed dose is delivered. Therefore, the aim of this study is to investigate the impact of supporting intensive care unit nurses with specialized renal technologists on optimizing efficiency of CKRT sessions in the United Arab Emirates.
Methods
This is a retrospective study that compared critically ill patients on CKRT overseen by specialized renal technologists versus who are non‐covered in the year 2021.
Results
A total of 331 sessions on 158 patients were included in the study. The mean filter life was longer in specialized renal technologists—covered patients compared to the non‐covered group (66 vs. 59 h, p = 0.019). After adjustment by multiple regression analysis for risk factors (i.e., age, gender, mechanical ventilation, sepsis, mean arterial pressure, vasopressors, and SOFA) that may affect CKRT machines' filter life, presence of a specialized renal technologists resulted in significantly longer filter life (co‐efficient 0.129; CI 95% 1.080, 11.970; p‐value: 0.019).
Conclusion
Our study suggests that specialized renal technologists play a vital role in prolonging CKRT machine's filter life span and optimizing CKRT machine's efficiency. Further research should focus on other potential benefits of having specialized renal technologists performing CKRT sessions, and to confirm the finding of this study. Additionally, a cost–benefit analysis could be conducted to determine the economic impact of having specialized teams performing CKRT.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>38937144</pmid><doi>10.1111/hdi.13167</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-7906-9016</orcidid><orcidid>https://orcid.org/0000-0002-6945-3732</orcidid><orcidid>https://orcid.org/0000-0002-1555-5012</orcidid></addata></record> |
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| ispartof | Hemodialysis international, 2024-07, Vol.28 (3), p.304-312 |
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| source | MEDLINE; Access via Wiley Online Library |
| subjects | acute kidney injury Adult Aged CKRT Continuous Renal Replacement Therapy - methods Critical Care - methods efficiency Female filter life Humans intensive care Male Middle Aged Retrospective Studies United Arab Emirates |
| title | Impact of specialized renal technologists on optimizing delivery of continuous kidney replacement therapy in critical care areas a retrospective study |
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