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Critical Care
Published in: Critical Care 1/2017

Open Access 01-12-2017 | Letter

Renal replacement therapy after cardiac surgery: do not ask “When”, ask “Why”

Authors: Stéphane Gaudry, David Hajage, Didier Dreyfuss

Published in: Critical Care | Issue 1/2017

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Excerpt

We read with interest the article published by Zou et al. [1] regarding the timing of renal replacement therapy (RRT) initiation in patients with acute kidney injury (AKI) post-cardiac surgery. The authors claim that their meta-analysis shows that early RRT initiation decreases 28-day mortality in this context. …
Literature
1.
Zou H, Hong Q, Xu G. Early versus late initiation of renal replacement therapy impacts mortality in patients with acute kidney injury post cardiac surgery: a meta-analysis. Crit Care Lond Engl. 2017;21:150.CrossRef
2.
Gaudry S, Ricard J-D, Leclaire C, Rafat C, Messika J, Bedet A, Regard L, Hajage D, Dreyfuss D. Acute kidney injury in critical care: experience of a conservative strategy. J Crit Care. 2014;29(6):1022–7.CrossRefPubMed
3.
Liu KD, Palevsky PM. RRT in AKI: Start early or wait? Clin J Am Soc Nephrol CJASN. 2016;11(10):1867–71.CrossRefPubMed
4.
Gaudry S, Hajage D, Schortgen F, Martin-Lefevre L, Pons B, Boulet E, Boyer A, Chevrel G, Lerolle N, Carpentier D, de Prost N, Lautrette A, Bretagnol A, Mayaux J, Nseir S, Megarbane B, Thirion M, Forel J-M, Maizel J, Yonis H, Markowicz P, Thiery G, Tubach F, Ricard J-D, Dreyfuss D, AKIKI Study Group. Initiation strategies for renal-replacement therapy in the intensive care unit. N Engl J Med. 2016;375(2):122–33.CrossRefPubMed
5.
Combes A, Bréchot N, Amour J, Cozic N, Lebreton G, Guidon C, Zogheib E, Thiranos J-C, Rigal J-C, Bastien O, Benhaoua H, Abry B, Ouattara A, Trouillet J-L, Mallet A, Chastre J, Leprince P, Luyt C-E. Early high-volume hemofiltration versus standard care for post-cardiac surgery shock. The HEROICS study. Am J Respir Crit Care Med. 2015;192:1179–90.CrossRefPubMed
Metadata
Title
Renal replacement therapy after cardiac surgery: do not ask “When”, ask “Why”
Authors
Stéphane Gaudry
David Hajage
Didier Dreyfuss
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Critical Care / Issue 1/2017
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/s13054-017-1818-7

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