Use of vasopressors in patients with acute kidney injury on continuous kidney replacement therapy

• Published in: PloS one Vol. 19; no. 12; p. e0315643
• Main Authors: Ramesh, Ambika, Doddi, Akshith, Abbasi, Aisha, Al-Mamun, Mohammad A., Sakhuja, Ankit, Shawwa, Khaled
• Format: Journal Article
• Language: English
• Published: United States Public Library of Science 19.12.2024; Public Library of Science (PLoS)
• Subjects: Acute Kidney Injury - drug therapy; Acute Kidney Injury - mortality; Acute Kidney Injury - therapy; Aged; Biology and Life Sciences; Care and treatment; Chronic kidney failure; Complications and side effects; Continuous Renal Replacement Therapy - methods; Diagnosis; Dopamine; Dosage and administration; Female; Hospital Mortality; Hospitals; Humans; Kidney diseases; Kidneys; Lactic acid; Male; Medicine and Health Sciences; Middle Aged; Mortality; Norepinephrine; Norepinephrine - therapeutic use; Patients; Physical Sciences; Proportional Hazards Models; Renal Replacement Therapy; Retrospective Studies; Sepsis; Statistical models; Variables; Vasoconstrictor Agents - therapeutic use; Vasoconstrictors; Vasopressin; Vasopressins - therapeutic use; United States; West Virginia; United States > US
• ISSN: 1932-6203; 1932-6203
• DOI: 10.1371/journal.pone.0315643

To investigate whether the use of a specific vasopressor was associated with increased mortality or adverse outcomes in patients with acute kidney injury (AKI) receiving continuous kidney replacement therapy (CKRT). Patients with AKI who underwent CKRT between 1/1/2012-1/1/2021 at a tertiary academic hospital were included. Cox proportional hazard model was used to assess the relationship between time-dependent vasopressor dose and in-hospital mortality. There were 641 patients with AKI that required CKRT. In-hospital mortality occurred in 318 (49.6%) patients. Those who died were older (63 vs 57 years), had higher SOFA score (10.6 vs 9) and lactate (6 vs 3.3 mmol/L). In multivariable model, increasing doses of norepinephrine [HR 4.4 (95% CI: 2.3-7, p<0.001)] per 0.02 mcg/min/kg and vasopressin [HR 2.6 (95% CI: 1.9-3.2, p = 0.01)] per 0.02 unit/min during CKRT were associated with in-hospital mortality. The model was adjusted for vasopressor doses and fluid balance, SOFA score, lactate and other markers of severity of illness. Baseline vasopressor doses were not associated with mortality. Most vasopressors were associated with positive daily fluid balance. Among survivors at day 30, mean values of vasopressors were not associated with persistent kidney dysfunction. The associations between norepinephrine and vasopressin with in-hospital mortality could be related to their common use in this cohort.