Therapeutic Apheresis and Dialysis最新文献_第3页

The addition of Cytosorb in patients on VA-ECMO improves urinary output and ICU survival. 在使用 VA-ECMO 的患者中添加 Cytosorb，可提高尿量和重症监护室存活率。

IF 1.9 4区医学

Therapeutic Apheresis and Dialysis Pub Date : 2024-02-01 Epub Date: 2023-09-11 DOI: 10.1111/1744-9987.14064

Daniel Lovrić, Marijan Pašalić, Stefan Križanac, Karla Kovačić, Boško Skorić, Hrvoje Jurin, Davor Miličić, Vedran Premužić

{"title":"The addition of Cytosorb in patients on VA-ECMO improves urinary output and ICU survival.","authors":"Daniel Lovrić, Marijan Pašalić, Stefan Križanac, Karla Kovačić, Boško Skorić, Hrvoje Jurin, Davor Miličić, Vedran Premužić","doi":"10.1111/1744-9987.14064","DOIUrl":"10.1111/1744-9987.14064","url":null,"abstract":"Introduction: The aim of this study was to analyze the efficiency of CytoSorb adsorber in patients presenting with cardiogenic shock and treated with venoarterial extracorporeal membrane oxygenation (VA-ECMO).Methods: Sixteen patients put on VA ECMO due to cardiogenic shock were included, stratified according to the use of Cytosorb adsorber in the first 24 h and compared across different clinical outcomes.Results: Significantly lower vasopressor doses were required among patients treated with Cytosorb at the initiation and before weaning from ECMO. Furthermore, these patients showed significantly higher urine output before weaning and lower lactate levels during the extracorporeal support. Finally, the mortality rate was lower among the Cytosorb therapy group (22.2% vs 57.1%).Conclusion: While a decrease in vasopressor doses was already associated with CytoSorb use, this is the first study showing an increase in urinary output and a trend towards better survival among patients on VA ECMO treated with CytoSorb.","PeriodicalId":23021,"journal":{"name":"Therapeutic Apheresis and Dialysis","volume":" ","pages":"103-111"},"PeriodicalIF":1.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10580410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The relationship between dietary inflammatory index and bone mineral density in CKD patients. 慢性肾脏病患者饮食炎症指数与骨矿物质密度之间的关系。

IF 1.9 4区医学

Therapeutic Apheresis and Dialysis Pub Date : 2024-02-01 Epub Date: 2023-09-10 DOI: 10.1111/1744-9987.14063

Wenhui Wu, Xiurong Li, Jia Di, Hua Zhou, Hongyan Niu, Lu Chen, Qi Sha, Min Yang

引用次数: 0

Comparative outcomes of hemodialysis patients facing pre-Omicron and Omicron COVID-19 epidemics. 面临前欧米克龙和欧米克龙 COVID-19 流行病的血液透析患者的疗效比较。

IF 1.9 4区医学

Therapeutic Apheresis and Dialysis Pub Date : 2024-02-01 Epub Date: 2023-09-19 DOI: 10.1111/1744-9987.14067

Hiroko Beppu, Tatsuya Fukuda, Naoya Otsubo, Taro Akihisa, Tomoko Kawanishi, Toshie Ogawa, Yasutomo Abe, Mariko Endo, Tomohide Hanawa, Chise Sugita, Yoshiaki Kikkawa, Tetsuya Yamada, Sachiko Wakai

{"title":"Comparative outcomes of hemodialysis patients facing pre-Omicron and Omicron COVID-19 epidemics.","authors":"Hiroko Beppu, Tatsuya Fukuda, Naoya Otsubo, Taro Akihisa, Tomoko Kawanishi, Toshie Ogawa, Yasutomo Abe, Mariko Endo, Tomohide Hanawa, Chise Sugita, Yoshiaki Kikkawa, Tetsuya Yamada, Sachiko Wakai","doi":"10.1111/1744-9987.14067","DOIUrl":"10.1111/1744-9987.14067","url":null,"abstract":"Introduction: This study elucidates factors affecting the severity and mortality in pre-Omicron and Omicron strains of SARS-CoV-2 and vaccination impact.Methods: This single-center retrospective observational study included 1598 hospitalized COVID-19 patients. Patients were grouped into \"pre-Omicron\" and \"Omicron\" periods. The endpoint was severe COVID-19 (oxygen saturation [SpO2 ] < 94%). Logistic regression examined associations between clinical factors, including hemodialysis (HD), and the endpoint.Results: The HD patient mortality rate dropped from 16% pre-Omicron to 4% during the Omicron epidemic. HD was significantly associated with the study endpoint in both epidemics. Unvaccinated patients had a greater risk of reaching the study endpoint among patients receiving HD.Conclusion: These findings suggest that the Omicron variant, alongside vaccination and healthcare innovations, led to improved prognoses for HD patients with COVID-19. However, HD patients remain at a greater risk for severe COVID-19. Increased vaccination rates and optimized healthcare resources can improve this vulnerable population's prognoses.","PeriodicalId":23021,"journal":{"name":"Therapeutic Apheresis and Dialysis","volume":" ","pages":"51-60"},"PeriodicalIF":1.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10658339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Phosphate kinetic modeling as an estimate of daily ingested phosphate in hemodialysis patients with or without residual kidney function. 建立磷酸盐动力学模型，估算有或无残余肾功能的血液透析患者每天摄入的磷酸盐量。

IF 1.9 4区医学

Therapeutic Apheresis and Dialysis Pub Date : 2024-02-01 Epub Date: 2023-08-28 DOI: 10.1111/1744-9987.14061

Emad Samaan, Mohammed Nagah, Ghada El Said

引用次数: 0

Plasma exchange in neurology patients-experience from single center in Montenegro. 神经内科患者的血浆置换--黑山单个中心的经验。

IF 1.9 4区医学

Therapeutic Apheresis and Dialysis Pub Date : 2024-02-01 Epub Date: 2023-08-28 DOI: 10.1111/1744-9987.14062

Milovan Roganovic, Jevto Erakovic, Ljiljana Radulovic, Slavisa Perunicic, Dragica Milikic, Balsa Vujovic, Zilha Idrizovic, Sandra Vujovic, Mladen Debeljevic, Sanja Gluscevic

{"title":"Plasma exchange in neurology patients-experience from single center in Montenegro.","authors":"Milovan Roganovic, Jevto Erakovic, Ljiljana Radulovic, Slavisa Perunicic, Dragica Milikic, Balsa Vujovic, Zilha Idrizovic, Sandra Vujovic, Mladen Debeljevic, Sanja Gluscevic","doi":"10.1111/1744-9987.14062","DOIUrl":"10.1111/1744-9987.14062","url":null,"abstract":"Introduction: Plasma exchange (PE) is widely used in many immune-based neurological diseases. Our aim is to analyze characteristics of PE in neurological patients at the Clinical Center of Montenegro.Methods: Our study involved neurological patients treated with PE between January 2020 and April 2022.Results: In total, 246 PEs were performed in 43 patients. We divided patients into 4 groups according to indications. In 8/9 multiple sclerosis (MS) patients a decrease of Expanded Dysability Status Scale at least 0.5 was verified. In 14/20 Guillain Barre syndrome patients reduction of Hughes was observed. Four patients with myasthenia gravis (MG) were treated with PE. The most heterogeneous group (4) consisted of patients in whom the mechanism of disease development is assumed to be immune system dysregulation. Fourteen patients had any adverse event.Conclusion: Our results show that PE is widely used and safe in the treatment of neurological diseases.","PeriodicalId":23021,"journal":{"name":"Therapeutic Apheresis and Dialysis","volume":" ","pages":"125-130"},"PeriodicalIF":1.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10110897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An increase in fibrinogen levels despite plasma exchange in a myasthenia gravis patient; a case report. 一名重症肌无力患者尽管进行了血浆置换，但纤维蛋白原水平仍然升高；病例报告。

IF 1.9 4区医学

Therapeutic Apheresis and Dialysis Pub Date : 2024-02-01 Epub Date: 2023-07-28 DOI: 10.1111/1744-9987.14041

Mohadese Golsorkhi, Sayna Norouzi, Amir Abdipour

引用次数: 0

Glasgow prognostic score as an outcome predictor for patients initiating hemodialysis. 将格拉斯哥预后评分作为开始血液透析患者的预后预测指标。

IF 1.9 4区医学

Therapeutic Apheresis and Dialysis Pub Date : 2024-02-01 Epub Date: 2023-08-19 DOI: 10.1111/1744-9987.14057

Gabriel Ștefan, Adrian Zugravu, Simona Stancu

{"title":"Glasgow prognostic score as an outcome predictor for patients initiating hemodialysis.","authors":"Gabriel Ștefan, Adrian Zugravu, Simona Stancu","doi":"10.1111/1744-9987.14057","DOIUrl":"10.1111/1744-9987.14057","url":null,"abstract":"Introduction: This retrospective study examined the relationship between the Glasgow Prognostic Score (GPS) at hemodialysis (HD) initiation and overall/cardiovascular mortality.Methods: A total of 264 patients starting HD between 2014 and 2015 at a single center were studied. Follow-up persisted until therapy change, death, or study end (December 31, 2021), with a median of 6.8 years.Results: Patients with a higher GPS more frequently had emergent HD initiation and showed increased eGFR at initiation. During follow-up, 60% of patients died, with cardiovascular disease being the leading cause. Univariate analysis revealed a significant difference in median survival time across GPS classes. Cox proportional hazard models confirmed a significant association between GPS and mortality.Conclusions: We report a significant association between GPS at HD initiation and mortality. GPS may prove useful as a prognostic tool for identifying high-risk patients, underscoring the need for future research to validate these findings and explore the potential of GPS-based interventions.","PeriodicalId":23021,"journal":{"name":"Therapeutic Apheresis and Dialysis","volume":" ","pages":"34-41"},"PeriodicalIF":1.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10023564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The role of plasmapheresis in severe acute disseminated encephalomyelitis with clinical findings of transverse myelitis. 血浆置换在临床表现为横贯性脊髓炎的严重急性播散性脑脊髓炎中的作用。

IF 1.9 4区医学

Therapeutic Apheresis and Dialysis Pub Date : 2024-02-01 Epub Date: 2023-08-30 DOI: 10.1111/1744-9987.14059

Olivia W Fjellbirkeland, Wladimir M Szpirt, Malene L Børresen

{"title":"The role of plasmapheresis in severe acute disseminated encephalomyelitis with clinical findings of transverse myelitis.","authors":"Olivia W Fjellbirkeland, Wladimir M Szpirt, Malene L Børresen","doi":"10.1111/1744-9987.14059","DOIUrl":"10.1111/1744-9987.14059","url":null,"abstract":"Introduction: Acute disseminated encephalomyelitis is a rare acute demyelinating disease of the central nervous system (CNS). The pathogenesis remains unclear but is suspected to be autoimmune. High doses of methylprednisolone (HDMP) are currently considered standard of treatment. Plasmapheresis (PE) is typically given in steroid refractory cases. There is currently limited evidence supporting its use in ADEM.Materials and methods: We report a 16-year-old girl with ADEM who improved rapidly after initiating PE.Results: The patient presented with acute onset of multifocal CNS symptoms, including encephalopathy, requiring intensive care unit management. Despite HDMP administration, her clinical condition continued to deteriorate. PE was therefore initiated on the same day as HDMP. Her clinical condition improved significantly following the first session. She was extubated and discharged from the intensive care unit the following day.Conclusion: HDMP combined with PE may be an effective first-line treatment in patients with fulminant ADEM.","PeriodicalId":23021,"journal":{"name":"Therapeutic Apheresis and Dialysis","volume":" ","pages":"119-124"},"PeriodicalIF":1.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10115740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Association between serum sodium and 28-day mortality in sepsis patients: A secondary data analysis from three large critical illness cohorts. 败血症患者血清钠与 28 天死亡率之间的关系：来自三个大型危重病队列的二次数据分析。

IF 1.9 4区医学

Therapeutic Apheresis and Dialysis Pub Date : 2024-02-01 Epub Date: 2023-09-13 DOI: 10.1111/1744-9987.14066

Wei Li, Shuwen Li, Jia Yuan, Xianjun Chen, Qimin Chen, Chuan Xiao, Qing Li, Lu Li, Ying Liu, Juan He, Lu Chen, Feng Shen

{"title":"Association between serum sodium and 28-day mortality in sepsis patients: A secondary data analysis from three large critical illness cohorts.","authors":"Wei Li, Shuwen Li, Jia Yuan, Xianjun Chen, Qimin Chen, Chuan Xiao, Qing Li, Lu Li, Ying Liu, Juan He, Lu Chen, Feng Shen","doi":"10.1111/1744-9987.14066","DOIUrl":"10.1111/1744-9987.14066","url":null,"abstract":"Objective: The present study was designed to explore the association between serum sodium and mortality in patients with sepsis by using a large sample, multicenter MIMIC-IV database.Methods: We extracted the data of 34 925 sepsis patients from the retrospective cohort mimicIV database. After adjusting the confounders, we explored the independent effects of serum sodium on 28-day mortality.Results: A nonlinear relationship existed between serum sodium and 28-day mortality, of which a negative association was found between serum sodium and 28-day mortality (odds ratio: 0.95, 95% CI: 0.94, 0.96, p = 0.0001) when serum sodium was in 102 mmol/L to 138 mmol/L, but a positive correlation appeared when sodium climbed to the range of 140-179 mmol/L (odds ratio: 1.04, 95% CI: 1.03-1.06, p = 0.0001).Conclusions: Both lower and higher serum sodium levels are associated with an increased risk of death in sepsis patients.","PeriodicalId":23021,"journal":{"name":"Therapeutic Apheresis and Dialysis","volume":" ","pages":"96-102"},"PeriodicalIF":1.9,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10285715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Therapeutic Apheresis and Dialysis Forthcoming Events February 2024 治疗性血液透析 2024 年 2 月即将举行的活动

IF 1.9 4区医学

Therapeutic Apheresis and Dialysis Pub Date : 2024-01-02 DOI: 10.1111/1744-9987.14006

引用次数: 0