CRRT Project

this is not live yet, Target Start date: March 1.2016. --Trish Ostryzniuk 17:24, 2016 February 4 (CST)

CRRT is going to be a permanent "temporary project" to collect reasons why patients receive CRRT([1]) treatment.

Status

Template:Discussion Julie mentioned that Nephrology is working on a FORM for the chart that the Nephrology ATTENDING must fill. This will be the form where Collectors will get there information from for reason for CRRT See list below. Collectors, any comment with List below?Trish Ostryzniuk 17:24, 2016 February 4 (CST)

List of Reason for CRRT (updated Feb 4.16)

1. AKI due to pre-renal/hypovolemia
2. AKI due to sepsis/distributive shock
3. Hepatorenal syndrome
4. AKI due to cardiorenal syndrome
5. AKI-contrast-induced
6. AKI Drug-induced(Ibuprofin,Genta/Vanco)
7. AKI due to endogenous toxin (myoglobin(rabdo)/hemoglobin/paraprotein)
8. AKI due to exogenous toxin exposure
9. AKI postop, NOS Template:Discussion what does NOS stand for?
10. AKI due to thromotic microangiopathy/vascular event
11. AKI due to acute glomerulonephritis
12. AKI due to acute interstitial nephritis
13. AKI due to urinary obstruction
14. ESRD-on CRRT
15. ESRD-on IHD
16. Drug OD -no AKI (removal of drug only)
17. Fluid reduction WITHOUT AKI or ESRD

Purpose

<who wants to know, why>

Data Collection Instructions

for which patients to code

<detail>

how to code

<detail>

Discussion - AKI post-op

1. 9 listed: AKI-post op

I would like to suggest using AKI: Fluid Volume Management...Pre-or Post-op

One of major reasons for CRRT in Non-Renal failure population at all sites having this renal replacement therapy(RRT) option often rises from the severe burn and trauma victim group.

Their need for fluids(crystalloid/colloid, blood products and nutritional support[TNA]) over a 24hour period can often exceed 20 liters in the first several days of ICU care...the severe burns with skin losses require significant volume replacement throughout their acute injury and debridement stages. CRRT allows for this excessive volume administration as diuretics cannot maintain a stable balance and further renal compromise is almost a certain outcome as well as progressive respiratory issues/failure in the ventilated patient. Allowing room for early nutritional replacement is a significant benefit and aids in improved outcomes. CRRT can remove up to 2L per hour-where and when necessary over a 24 hour period.

How to determine?

<detail>

Start/End Dates

• Start: <when?> Potential: March 1.16
• End: there is no planned end date

Template:CCMDB Data Integrity Checks

None yet

SAS Program

<needs detail when available>

See also

• <any related articles?>