Prevalence Survey of Renal Replacement Therapy Services: A Cross-Sectional Study

Abstract

Even though acute kidney injury (AKI) is now treated more frequently with renal replacement therapy (RRT), little is known about how critical care facilities are run in Thailand. This study examined the prevalence of the various RRT modalities that are currently availability and in use to manage patients with AKI in critical care units all around the country. In early 2022, the online survey was sent to nurses who worked in the intensive care unit (ICU) or another critical care unit across the country as part of a cross-sectional survey. The study got a total of 70 answers for the RRT modalities, which are currently available and representative of the capacity of treatment for individual institutions. In terms of modality, intermittent hemodialysis (IHD) and continuous renal replacement therapy (CRRT) are the most commonly available and used treatment for AKI in Thailand’s ICUs. These options are accessible for RRT in the acute setting in this survey, with a rate of as high as 71.43% and 61.43% available across the country, respectively. Additionally, the other options are also available, including either manual or automated peritoneal dialysis (PD), and sustained low efficiency dialysis (SLED).