A national survey of renal replacement therapy prescribing practice for acute kidney injury in Malaysian intensive care units

Objectives: To describe renal replacement therapy (RRT) prescribing practices in Malaysian intensive care units (ICU), and compare this with previously published data from other regions. Method: A survey was sent to physicians responsible for prescribing RRT in major ICU throughout Malaysia. The que...

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Main Authors:	Jamal, Janatltul Ain, Mat Nor, Mohd Basri, Mohamad Nor, Fariz Safhan, Udy, Andrew A Udy, Lipman, Jeffrey, Roberts, Jason A.
Format:	Article
Language:	English
Published:	Asian Pacific Society of Nephrology 2014
Subjects:	R Medicine (General)
Online Access:	http://irep.iium.edu.my/38295/ http://irep.iium.edu.my/38295/ http://irep.iium.edu.my/38295/1/RRT_in_Malaysia_%281%29.pdf

id	iium-38295
recordtype	eprints
spelling	iium-382952017-04-06T08:16:34Z http://irep.iium.edu.my/38295/ A national survey of renal replacement therapy prescribing practice for acute kidney injury in Malaysian intensive care units Jamal, Janatltul Ain Mat Nor, Mohd Basri Mohamad Nor, Fariz Safhan Udy, Andrew A Udy Lipman, Jeffrey Roberts, Jason A. R Medicine (General) Objectives: To describe renal replacement therapy (RRT) prescribing practices in Malaysian intensive care units (ICU), and compare this with previously published data from other regions. Method: A survey was sent to physicians responsible for prescribing RRT in major ICU throughout Malaysia. The questionnaire sought information on the physicians' background, and detailed information regarding RRT settings. Results: Nineteen physicians from 24 sites throughout Malaysia responded to the survey (response rate 79.2%). Sixteen respondents were intensivists (84%), 2 were anaesthetists (11%) and one was a nephrologist (5%). The majority (58%) used continuous venovenous haemofiltration (CVVH) as the treatment of choice for acute kidney injury (AKI) in critically ill patients. RRT prescription was predominantly practitioner-dependent (63%), while 37% reported use of a dedicated protocol. The mean blood flow rate and effluent flow rate used for continuous RRT (CRRT) were 188.9 ± 28.9 mL/min and 30.6 ± 4.7 mL/kg/h respectively. Replacement fluid solutions containing both lactate and bicarbonate were commonly used during CRRT, applied both pre- and post-dilution. Conclusion: CRRT was the first-choice modality used to treat AKI in critically ill patients. CVVH was the most common CRRT technique used, while other RRT modalities were used less frequently. Overall, RRT practices were similar to those observed in other regions, although the modality and settings used were slightly different, likely due to local availability. Asian Pacific Society of Nephrology 2014-08-01 Article PeerReviewed application/pdf en http://irep.iium.edu.my/38295/1/RRT_in_Malaysia_%281%29.pdf Jamal, Janatltul Ain and Mat Nor, Mohd Basri and Mohamad Nor, Fariz Safhan and Udy, Andrew A Udy and Lipman, Jeffrey and Roberts, Jason A. (2014) A national survey of renal replacement therapy prescribing practice for acute kidney injury in Malaysian intensive care units. Nephrology, 19. pp. 507-512. ISSN 1440-1797 10.1111/nep.12276
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	R Medicine (General)
spellingShingle	R Medicine (General) Jamal, Janatltul Ain Mat Nor, Mohd Basri Mohamad Nor, Fariz Safhan Udy, Andrew A Udy Lipman, Jeffrey Roberts, Jason A. A national survey of renal replacement therapy prescribing practice for acute kidney injury in Malaysian intensive care units
description	Objectives: To describe renal replacement therapy (RRT) prescribing practices in Malaysian intensive care units (ICU), and compare this with previously published data from other regions. Method: A survey was sent to physicians responsible for prescribing RRT in major ICU throughout Malaysia. The questionnaire sought information on the physicians' background, and detailed information regarding RRT settings. Results: Nineteen physicians from 24 sites throughout Malaysia responded to the survey (response rate 79.2%). Sixteen respondents were intensivists (84%), 2 were anaesthetists (11%) and one was a nephrologist (5%). The majority (58%) used continuous venovenous haemofiltration (CVVH) as the treatment of choice for acute kidney injury (AKI) in critically ill patients. RRT prescription was predominantly practitioner-dependent (63%), while 37% reported use of a dedicated protocol. The mean blood flow rate and effluent flow rate used for continuous RRT (CRRT) were 188.9 ± 28.9 mL/min and 30.6 ± 4.7 mL/kg/h respectively. Replacement fluid solutions containing both lactate and bicarbonate were commonly used during CRRT, applied both pre- and post-dilution. Conclusion: CRRT was the first-choice modality used to treat AKI in critically ill patients. CVVH was the most common CRRT technique used, while other RRT modalities were used less frequently. Overall, RRT practices were similar to those observed in other regions, although the modality and settings used were slightly different, likely due to local availability.
format	Article
author	Jamal, Janatltul Ain Mat Nor, Mohd Basri Mohamad Nor, Fariz Safhan Udy, Andrew A Udy Lipman, Jeffrey Roberts, Jason A.
author_facet	Jamal, Janatltul Ain Mat Nor, Mohd Basri Mohamad Nor, Fariz Safhan Udy, Andrew A Udy Lipman, Jeffrey Roberts, Jason A.
author_sort	Jamal, Janatltul Ain
title	A national survey of renal replacement therapy prescribing practice for acute kidney injury in Malaysian intensive care units
title_short	A national survey of renal replacement therapy prescribing practice for acute kidney injury in Malaysian intensive care units
title_full	A national survey of renal replacement therapy prescribing practice for acute kidney injury in Malaysian intensive care units
title_fullStr	A national survey of renal replacement therapy prescribing practice for acute kidney injury in Malaysian intensive care units
title_full_unstemmed	A national survey of renal replacement therapy prescribing practice for acute kidney injury in Malaysian intensive care units
title_sort	national survey of renal replacement therapy prescribing practice for acute kidney injury in malaysian intensive care units
publisher	Asian Pacific Society of Nephrology
publishDate	2014
url	http://irep.iium.edu.my/38295/ http://irep.iium.edu.my/38295/ http://irep.iium.edu.my/38295/1/RRT_in_Malaysia_%281%29.pdf
first_indexed	2023-09-18T20:55:00Z
last_indexed	2023-09-18T20:55:00Z
_version_	1777410245203591168

A national survey of renal replacement therapy prescribing practice for acute kidney injury in Malaysian intensive care units

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