Acute Poisoning with Rhabdomyolysis in the Intensive Care Unit: Risk Factors for Acute Kidney Injury and Renal Replacement Therapy Requirement.

acute kidney injury poisoning predictive factor renal replacement therapy rhabdomyolysis

Journal

Toxics
ISSN: 2305-6304
Titre abrégé: Toxics
Pays: Switzerland
ID NLM: 101639637

Informations de publication

Date de publication:
28 Sep 2020
Historique:
received: 22 08 2020
revised: 21 09 2020
accepted: 25 09 2020
entrez: 1 10 2020
pubmed: 2 10 2020
medline: 2 10 2020
Statut: epublish

Résumé

Acute kidney injury (AKI) is the major complication of rhabdomyolysis. We aimed to identify the predictive factors for AKI and renal replacement therapy (RRT) requirement in poisoning-associated rhabdomyolysis. We conducted a cohort study including 273 successive poisoned patients (median age, 41 years) who developed rhabdomyolysis defined as creatine kinase (CK) >1000 IU/L. Factors associated with AKI and RRT requirement were identified using multivariate analyses. Poisonings mainly involved psychotropic drugs. AKI occurred in 88 patients (37%) including 43 patients (49%) who required RRT. Peak serum creatinine and CK were weakly correlated (

Identifiants

pubmed: 32998294
pii: toxics8040079
doi: 10.3390/toxics8040079
pmc: PMC7711436
pii:
doi:

Types de publication

Journal Article

Langues

eng

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Auteurs

Pierre-François Rogliano (PF)

Department of Medical and Toxicological Critical Care, Federation of Toxicology APHP, Lariboisière Hospital, University of Paris, 75010 Paris, France.
Inserm UMRS 1144, University of Paris, 75010 Paris, France.

Sebastian Voicu (S)

Department of Medical and Toxicological Critical Care, Federation of Toxicology APHP, Lariboisière Hospital, University of Paris, 75010 Paris, France.
Inserm UMRS 1144, University of Paris, 75010 Paris, France.

Laurence Labat (L)

Inserm UMRS 1144, University of Paris, 75010 Paris, France.
Laboratory of Toxicology, Federation of Toxicology APHP, Lariboisière Hospital, University of Paris, 75010 Paris, France.

Nicolas Deye (N)

Department of Medical and Toxicological Critical Care, Federation of Toxicology APHP, Lariboisière Hospital, University of Paris, 75010 Paris, France.

Isabelle Malissin (I)

Department of Medical and Toxicological Critical Care, Federation of Toxicology APHP, Lariboisière Hospital, University of Paris, 75010 Paris, France.
Inserm UMRS 1144, University of Paris, 75010 Paris, France.

Jean-Louis Laplanche (JL)

Inserm UMRS 1144, University of Paris, 75010 Paris, France.
Laboratory of Biochemistry, Federation of Toxicology APHP, Lariboisière Hospital, University of Paris, 75010 Paris, France.

Dominique Vodovar (D)

Department of Medical and Toxicological Critical Care, Federation of Toxicology APHP, Lariboisière Hospital, University of Paris, 75010 Paris, France.
Inserm UMRS 1144, University of Paris, 75010 Paris, France.

Bruno Mégarbane (B)

Department of Medical and Toxicological Critical Care, Federation of Toxicology APHP, Lariboisière Hospital, University of Paris, 75010 Paris, France.
Inserm UMRS 1144, University of Paris, 75010 Paris, France.

Classifications MeSH