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Table 1 Summary of selected factors potentially influencing the decision to initiate renal replacement therapy in critically ill patients

From: A proposed algorithm for initiation of renal replacement therapy in adult critically ill patients

 

Factors

Patient-specific

Kidney function/reserve

 

Co-morbid disease and physiologic reserve

 

Primary diagnosis: severity of illness and trajectory

 

Acute kidney injury: severity and trend

Clinician-specific

Goals of therapy

 

Relative indications and clinician threshold for initiation

 

Local practice patterns

 

Prescribing service

Organizational

Country/institution

 

ICU type

 

Machine and nursing availability

 

Health costs