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Table 3 Risk factors of bleeding complications in children with CRRT

From: Complications of continuous renal replacement therapy in critically ill children: a prospective observational evaluation study

 

Bleeding

No bleeding

P

 

Mean

SD

Mean

SD

 

Age (months)

64.2

70.8

49.5

62.3

0.385

Weight (kg)

22.7

22.0

16.6

17.5

0.310

PRISM score

15.0

7.0

14.7

8.5

0.643

PIM score

-2.1

0.9

-2.0

1.5

0.929

PELOD score

18.1

9.2

17.5

8.1

0.402

Number of failed organs

3.3

1.1

2.9

1.1

0.189

Lactic acid (mmol/L)

4.3

5.4

2.9

3.4

0.530

Arterial pH

7.31

0.1

7.31

0.1

0.906

MAP (mmHg)

56.2

22.7

62.0

18.2

0.211

Dose of adrenaline (μg/kg/min)

0.5

0.6

0.5

1.2

0.409

Dose of dopamine (μg/kg/min)

10.9

8.2

8.8

6.3

0.295

Initial creatinine (mg/dL)

1.2

0.8

1.5

1.4

0.956

Initial urea (mg/dL)

93.8

68.9

82.9

59.0

0.475

ALT (UI/L)

174.7

171.0

209.5

776.3

0.355

Billirubine (mg/dL)

3.1

4.0

1.5

1.4

0.218

Initial platelet (inicial)

150.944

119.341

177.289

170.637

0.821

Platelet after 24 hours of CRRT

89.000

72.960

122.068

111.964

0.254

Platelet after 48 hours of CRRT

93.000

76.183

105.589

99.070

0.657

Maximum dose of heparin (UI/kg/h)

14.7

13.1

15.2

10.3

0.351

Ultrafiltration rate (mL/kg/h)

43.6

34.4

37.3

25.3

0.751

Circuit lifespan (h)

47.5

61.5

41.9

36.9

0.638

 

Bleeding Number %

Bleeding Number %

 

Age

<12 m

>12 m

 
 

9

11.8

9

9.4

0.600

Sex

Male

Female

 
 

9

8.7

9

13

0.366

Weight

<10 kg

>10 kg

 
 

9

10

9

11

0.835

Diagnoses

Cardiopathies

Rest of diagnoses

 
 

10

10.5

8

10.4

0.977

Mechanical ventilation

Yes

No

 
 

17

11.7

1

3.7

0.211

Vasoactive drugs

Yes

No

 
 

15

11

3

8.3

0.638

Initial MAP

< 55 mmHg

> 55 mmHg

 
 

11

17.5

7

6.6

0.034

Initial hypotension

No

 
 

10

14.3

8

8.3

0.241

Dose of adrenaline

>0.6 μg/kg/min

>0.6 μg/kg/min

 
 

5

14.7

13

11

0.561

Platelet

<50.000

>50.000

 
 

6

20

12

10.3

0.152

Platelet transfusion

No

 
 

14

18.9

4

4.1

0.002

CRRT technique

Hemofiltration

Hemodiafiltration

 
 

3

6.7

15

11.8

0.333

Filter surface

<0.3 m2

>0.3 m2

 
 

9

14.3

9

14.7

0.937

Maximum dose of heparin

>10 U/kg/h

<10 U/kg/h

 
 

7

8.4

11

12.4

0.401

Mortality

Yes

No

 
 

10

55.6%

8

33.8%

0.068

  1. ALT = alanine transferase; CRRT = continuous renal replacement therapy; MAP = mean arterial pressure; PELOD = pediatric logistic organ dysfunction; PIM = pediatric index of mortality; PRIMS = pediatric risk of mortality; SD = standard deviation.