Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Long-term outcome after intensive care: can we protect the kidney? | Available online http content 11 4 147 Commentary Long-term outcome after intensive care can we protect the kidney Max Bell and Claes-Roland Martling Department of Anaesthesiology and Intensive Care Medicine Karolinska University Hospital Solna Sweden Corresponding author Max Bell Published 19 July 2007 This article is online at http content 11 4 147 2007 BioMed Central Ltd Critical Care 2007 11 147 doi cc5959 Abstract Long-term outcome - mortality morbidity and quality of life - is finally receiving attention in the field of intensive care research. A number of recent studies have focused on patient survival and kidney survival after acute renal failure. The present review focuses on the third publication from the Beginning and Ending Supportive Therapy for the Kidney Investigators Writing Committee. Their study took place in 54 intensive care units in 23 countries. The main findings of the Beginning and Ending Supportive Therapy study was that the choice of continuous renal replacement therapy as the initial therapy is not a predictor of hospital survival or of dialysis-free hospital survival but that it is an independent predictor of renal recovery among survivors. In conclusion the critical care research community needs to focus on long-term outcome. A number of recent studies of acute renal failure have done just that. The issues of long-term outcome - mortality morbidity and quality of life - are finally receiving attention in the field of intensive care research. This attention is paramount for the critical care community. We need to look above and beyond simple intensive care unit mortality. We owe it to our patients and to their relatives to learn as much as we can about what we as clinicians can do to improve long-term outcome. A recent study focused on an initial technique of renal replacement therapy and its effect on patient survival and kidney survival in critically ill patients with acute kidney
