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Association between systemic hemodynamics and septic acute kidney injury in critically ill patients: a retrospective observational study

Critical Care · 2013 · Vol. 17(6) · pp. R278–R278

Matthieu Legrand✉(Délégation Paris 7)Claire Dupuis(Hôpital Lariboisière)Christelle Simon(Assistance Publique – Hôpitaux de Paris)Étienne Gayat(Assistance Publique – Hôpitaux de Paris)Joaquim Matéo(Hôpital Lariboisière)Anne-Claire Lukaszewicz(Hôpital Lariboisière)Didier Payen(Université Paris Cité)

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Abstract

We observed no association between most systemic hemodynamic parameters and AKI in septic patients. Association between elevated CVP and AKI suggests a role of venous congestion in the development of AKI. The paradigm that targeting high CVP may reduce occurrence of AKI should probably be revised. Furthermore, DAP should be considered as a potential important hemodynamic target for the kidney.

Sepsis Diagnosis and Treatment Hemodynamic Monitoring and Therapy Acute Kidney Injury ResearchMedicineAcute kidney injuryCentral venous pressureSepsisHemodynamicsMean arterial pressureRetrospective cohort studyInternal medicineCardiologyBlood pressure

MeSH terms

AgedAged, 80 and overFemaleHemodynamicsHumansIntensive Care UnitsLength of StayMaleMiddle AgedRetrospective StudiesShock, SepticSurvival RateSepsisAcute Kidney Injury

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474

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17.10

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