Systemic citrate load during continuous renal replacement therapy is not negligible and can be predicted using indirect methods
2011

Estimating Citrate Load During Kidney Treatment

Sample size: 58 publication Evidence: moderate

Author Information

Author(s): Zakharchenko M, Balik M, Otahal M, Hruby J, Vavrova J, Jabor A

Primary Institution: First Faculty of Medicine Charles University and General University Hospital, Prague, Czech Republic

Hypothesis

The systemic gain of citrate during continuous renal replacement therapy can be predicted using indirect methods.

Conclusion

Indirect methods can accurately estimate the systemic load of citrate during continuous renal replacement therapy.

Supporting Evidence

  • There were no significant differences in citrate levels between the two treatment groups.
  • The correlation between citrate concentration and blood flow ratio was strong.
  • Indirect methods provided reasonable accuracy for estimating citrate load.

Takeaway

Doctors can figure out how much citrate is in a patient's body during kidney treatment without needing to measure it directly.

Methodology

A prospective controlled observational study comparing patients on acid-citrate-dextrose with controls on unfractioned heparin in a general ICU.

Participant Demographics

Patients included 41 on acid-citrate-dextrose and 17 on unfractioned heparin.

Statistical Information

P-Value

0.5

Statistical Significance

p>0.05

Digital Object Identifier (DOI)

10.1186/cc9549

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication