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Vangala C, Shah M, Dave NN, et al. The landscape of renal replacement therapy in Veterans Affairs Medical Center intensive care units. Ren Fail. 2021;43(1):1146-1154doi: 10.1080/0886022X.2021.1949347.
Vangala, C., Shah, M., Dave, N. N., Attar, L. A., Navaneethan, S. D., Ramanathan, V., Crowley, S., & Winkelmayer, W. C. (2021). The landscape of renal replacement therapy in Veterans Affairs Medical Center intensive care units. Renal failure, 43(1), 1146-1154. https://doi.org/10.1080/0886022X.2021.1949347
Vangala, Chandan, et al. "The landscape of renal replacement therapy in Veterans Affairs Medical Center intensive care units." Renal failure vol. 43,1 (2021): 1146-1154. doi: https://doi.org/10.1080/0886022X.2021.1949347
Vangala C, Shah M, Dave NN, Attar LA, Navaneethan SD, Ramanathan V, Crowley S, Winkelmayer WC. The landscape of renal replacement therapy in Veterans Affairs Medical Center intensive care units. Ren Fail. 2021 Dec;43(1):1146-1154. doi: 10.1080/0886022X.2021.1949347. PMID: 34261420; PMCID: PMC8280999.
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Ren Fail. 2021 Dec;43(1):1146-1154. doi: 10.1080/0886022X.2021.1949347.

The landscape of renal replacement therapy in Veterans Affairs Medical Center intensive care units.

Renal failure

Chandan Vangala, Maulin Shah, Natasha N Dave, Layth Al Attar, Sankar D Navaneethan, Venkat Ramanathan, Susan Crowley, Wolfgang C Winkelmayer

Affiliations

  1. Baylor College of Medicine, Houston, TX, USA.
  2. Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA.
  3. Houston Center for Innovations in Quality, Effectiveness, and Safety (IQuESt), Houston, TX, USA.
  4. Yale School of Medicine, New Haven, CT, USA.
  5. Veterans Affairs Connecticut Healthcare System, West Haven, CT, USA.

PMID: 34261420 PMCID: PMC8280999 DOI: 10.1080/0886022X.2021.1949347

Abstract

RESULTS: Seventy-six centers completed the questionnaire, achieving a response rate of 87.4%. Fifty-five centers reported using PIRRT or CRRT in addition to intermittent hemodialysis. Of these centers, 42 reported being specifically CRRT-capable. Over half of respondents had the capabilities to perform PIRRT. Twelve centers (21.8%) were equipped to use slow low efficient dialysis (SLED) alone. Therapy was largely prescribed by nephrologists (94.4% of centers).

CONCLUSIONS: Within the VA system, ICU-related RRT practice is quite varied. Variation in processes of care, prescription authority, nursing care coordination, medication management, and safety practices present opportunities for developing cross-cutting measures of quality of intensive care RRT that are agnostic of modality choice.

Keywords: CRRT; Continuous renal replacement therapy; PIRRT; intensive care unit; prolonged intermittent renal replacement therapy; veterans affairs

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