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Review
. 2020 Mar;35(2):284-294.
doi: 10.3904/kjim.2019.431. Epub 2020 Feb 28.

Continuous renal replacement therapy in elderly with acute kidney injury

Kristianne Rachel P Medina-Liabres  1 , Sejoong Kim  1
Affiliations
Review

Continuous renal replacement therapy in elderly with acute kidney injury

Kristianne Rachel P Medina-Liabres et al. Korean J Intern Med. 2020 Mar.

Erratum in

Abstract

The objective of this article is to raise awareness among physicians of the increasing incidence of acute kidney injury in the elderly population and the utility of continuous renal replacement therapy (CRRT) in its management. While CRRT is frequently applied in younger patients, its use in elderly patients is less frequent, for various reasons, including resistance to such an aggressive intervention from the family and the healthcare team. However, predictors of prognosis have been identified and some studies have concluded that advanced age is not associated with poor outcomes. Decisions regarding management are more complex when dealing with the elderly but like very other patient, the approach should be patient- centered.

Keywords: Acute kidney injury; Aged; Continuous renal replacement therapy; Critical illness.

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Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Figure 1.
Figure 1.
Risk factors for acute kidney injury in the elderly. eGFR, estimated glomerular filtration rate.
Figure 2.
Figure 2.
Continuous renal replacement therapy effluent dose recommendations. ATN, acute tubular necrosis; RENAL, Randomized Evaluation of Normal versus Augmented Level; KDIGO, Kidney Disease Improving Global Outcomes; IVOIRE, hIgh VOlume in Intensive Care.
Figure 3.
Figure 3.
Predictors of mortality in the elderly.
See this image and copyright information in PMC

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