Details

Autor(en) / Beteiligte

• Penaud, Victor
• Duburcq, Thibault
• Bureau, Côme
• Salmon Gandonnière, Charlotte
• Arrestier, Romain
• Henri, Samuel
• Dres, Martin
• Jacquier, Sophie
• Prost, Nicolas De
• Giraud, Raphael
• Ricard, Jean-Damien
• Roux, Damien
• Uhel, Fabrice
• Legouis, David
• Verney, Charles

Titel

Kidney Increase Natriuresis but Not Glomerular Filtration Under Veno-venous ECMO, a Retrospective Study

Ist Teil von

• Journal of intensive care medicine, 2024-02, Vol.39 (2), p.146-152

Ort / Verlag

Los Angeles, CA: SAGE Publications

Erscheinungsjahr

2024

Quelle

Alma/SFX Local Collection

Beschreibungen/Notizen

• Purpose Acute kidney injury is a frequent complication of acute respiratory distress syndrome (ARDS). We aim to study the evolution of kidney function in patients presenting severe ARDS and requiring veno-venous extracorporeal membrane oxygenation (VV ECMO). Methods We conducted a multicenter retrospective study, including adult patients requiring VV ECMO for ARDS. The primary outcome was the evolution of the serum creatinine level after VV ECMO initiation. Secondary outcomes were change in urine output, and urine biochemical parameters after VV ECMO initiation. Results One hundred and two patients were included. VV ECMO was initiated after a median of 6 days of mechanical ventilation, mainly for ARDS caused by COVID-19 (73%). Serum creatinine level did not significantly differ after VV ECMO initiation (P = .20). VV ECMO was associated with a significant increase in daily urine output (+6.6 mL/kg/day, [3.8;9.3] P < .001), even after adjustment for potential confounding factors; with an increase in natriuresis. The increase in urine output under VV ECMO was associated with a reduced risk of receiving kidney replacement therapy (OR 0.4 [0.2;0.8], P = .026). Conclusions VV ECMO initiation in severe ARDS is associated with an increase in daily urine output and natriuresis, without change in glomerular filtration rate.