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. 2012 Mar;22(2):121-4.
doi: 10.4103/0971-4065.97130.

Modality of choice for renal replacement therapy for children with acute kidney injury: Results of a survey

A Vasudevan  1 , A Iyengar, K Phadke
Affiliations

Modality of choice for renal replacement therapy for children with acute kidney injury: Results of a survey

A Vasudevan et al. Indian J Nephrol. 2012 Mar.

Abstract

Information on current practices in India for management of renal replacement therapy (RRT) in acute kidney injury (AKI) is lacking. We mailed a questionnaire to 26 pediatric nephrology centers across India to obtain information on the current choice of dialysis modality for management of AKI in children. Acute intermittent peritoneal dialysis was available at all centers surveyed, whereas intermittent hemodialysis and continuous RRT were available in 86% and 17% centers, respectively. Peritoneal dialysis was the predominant modality (accounting for more than 80% of all dialysis) in 14 of the 22 centers, while 4 centers used hemodialysis more commonly. The most important factors influencing the modality choice were patient size, hemodynamic stability, and duration of AKI. These results provide insight into the choice of modality and factors influencing their selection in the management of pediatric AKI in our country.

Keywords: Acute kidney injury; India; renal replacement therapy; survey.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Appendix
Appendix
Figure 1
Figure 1
Patient age and preferential use of acute peritoneal dialysis and hemodialysis by participating centers. (PD - Peritoneal dialysis; HD - Hemodialysis)
Figure 2
Figure 2
Numbers of centers rating each of the clinical factors as very important or important
See this image and copyright information in PMC

References

    1. Bagga A, Bakkaloglu, Devarajan P, Mehta RL, Kellum JA, Shah SV, et al. Improving outcomes from acute kidney injury: Report of an initiative. Pediatr Nephrol. 2007;22:1655–8. - PubMed
    1. Walters S, Porter C, Brophy PD. Dialysis and pediatric acute kidney injury: Choice of renal support Modality. Pediatr Nephrol. 2009;24:37–48. - PMC - PubMed
    1. Cerda J, Bagga A, Kher V, Chakravarthi RM. The contrasting characetristics of acute kidney injury in developed and developing countries. Nat Clin Pract Nephrol. 2008;4:138–53. - PubMed
    1. Maxvold NJ, Smoyer WE, Gardner JJ, Bunchman TE. Management of acute renal failure in the pediatric patient: Hemofiltration versus hemodialysis. Am J Kid Dis. 1997;5:S84–8. - PubMed
    1. Abi Antoun T, Palevsky PM. Selection of modality of renal replacement therapy. Semin Dial. 2009;22:108–13. - PubMed