| Citrate (n = 66) | Heparin (n = 73) | P-value |
---|---|---|---|
Safety, discontinuation of study anticoagulant | |||
Within 72 h | 2 (3) | 9 (12) | 0.06 |
Bleeding episode | 0 | 2 (22) | Â |
HIT | 0 | 2 (22) | Â |
Frequent filter failure | 0 | 3 (33) | Â |
Citrate accumulation | 2 (100) | 0 | Â |
Miscellaneous | 0 | 2 (22) | Â |
Within 28 days | 5 (8) | 24 (33) | <0.001 |
Bleeding episode | 0 | 8 (33) | Â |
HIT | 0 | 6 (25) | Â |
Frequent filter failure | 0 | 7 (29) | Â |
Citrate accumulation | 4 (80) | 0 | Â |
Miscellaneous | 1 (20) | 3 (13) | Â |
Bleeding episode within 28 days | 3 (5) | 10 (14) | 0.08 |
Requirement of >2 packed cells | 2 (3) | 4 (6) | 0.68 |
Metabolic derangements, during first 72 hours of therapy | |||
pH >7.50 | 1 (2) | 0 | 1.00 |
Sodium >150 mmol/L | 4 (7) | 3 (5) | 0.71 |
Magnesium <0.7 mmol/L | 8 (15) | 6 (9) | 0.40 |
Efficacy, intention to treat | |||
Survival time first filter, h | 46 (1 to 138) | 32 (1 to 72) | 0.02 |
Number of filters used within 72 h | 1 (1 to 5) | 2 (1 to 9) | 0.002 |
Off-time within 72 h, h | 1 (0 to 12) | 3 (0 to 31) | 0.002 |
Reason for circuit disconnection | Â | Â | 0.01 |
Circuit clotting | 16 (24) | 35 (51) | Â |
Elective filter change (72 h) | 20 (30) | 6 (9) | Â |
Catheter dysfunction | 4 (6) | 8 (12) | Â |
Termination of CVVH1 | 10 (15) | 10 (12) | Â |
Transport | 4 (6) | 1 (1) | Â |
Technical problems | 8 (12) | 5 (7) | Â |
Therapy change2 | 2 (3) | 3 (4) | Â |
Miscellaneous | 2 (3) | 1 (1) | Â |
Total duration of CVVH, h | 123 (4 to 999) | 73 (5 to 672) | 0.18 |
Efficacy, per protocol | n = 61 | n = 49 | Â |
Number of filters used within 72 h | 1 (1 to 5) | 2 (1 to 9) | 0.04 |
Off-time within 72 h, h | 2 (0 to 12 ) | 0 (0 to 31) | 0.01 |
Total duration of CVVH, h | 117 (4 to 999) | 70 (5 to 672) | 0.04 |
Costs | |||
Total cost of first 72 h of CVVH | 553 (436 to 872) | 663 (320 to 1,319) | <0.001 |
Replacement fluid | 316 (225 to 366) | 429 (119 to 736) | <0.001 |
Wage nursing staff for filter change | 19 (19 to 95) | 38 (19 to 171) | 0.02 |
Filter sets | 85 (85 to 425) | 170 (85 to 765) | 0.02 |
Heparin | 0 | 6.46 (3.84 to 6.74) | <0.001 |
Calcium glubionate | 82 (70 to 84) | 0 | <0.001 |