Ann Acad Med Singap
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Ann Acad Med Singap
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Ann Acad Med Singap · Aug 2023
Multicenter Study Observational StudyAssociation of anticoagulation use during continuous kidney replacement therapy and 90-day outcomes: A multicentre study.
Anticoagulation is recommended during continuous kidney replacement therapy (CKRT) to prolong the filter lifespan for optimal filter performance. We aimed to evaluate the effect of anticoagulation during CKRT on dialysis dependence and mortality within 90 days of intensive care unit (ICU) admission. ⋯ Among critically ill patients with AKI, anticoagulation use during CKRT was associated with reduced dialysis or death at 90 days post-ICU admission, which was statistically significant for regional citrate anticoagulation and trended in the same direction of benefit for systemic heparin anticoagulation. Anticoagulation during CKRT should be considered whenever possible.