Arulkumaran Nishkantha, Eastwood John B, Banerjee Debasish
Renal and Transplantation Unit, St George's Hospital, Blackshaw Road, Tooting, London SW17 0QT, UK.
Crit Care. 2007;11(3):133. doi: 10.1186/cc5914.
Hutchison and colleagues report a 10-year experience of dialysis patients admitted to intensive care units (ICUs) in the UK excluding Scotland. Their study is the largest published so far and raises issues of interest to both ICU physicians and nephrologists. Overall, the dialysis patients, although sicker on admission and having pre-existing co-morbidities, do as well as other ICU patients. Their clinical progress after leaving the ICU, however, is less good than for other ICU patients, raising the possibility that the patients might be leaving too early, or perhaps that dialysis patients should be discharged to a high-dependency unit rather than go direct to a renal ward. All in all, the paper by Hutchison and colleagues provides a useful foundation for planning the critical care management of dialysis patients in the UK and elsewhere.
哈钦森及其同事报告了英国（不包括苏格兰）重症监护病房（ICU）收治的透析患者的10年经验。他们的研究是迄今为止发表的规模最大的研究，提出了ICU医生和肾病学家都感兴趣的问题。总体而言，透析患者虽然入院时病情更重且有既往合并症，但与其他ICU患者表现相当。然而，他们离开ICU后的临床进展不如其他ICU患者，这增加了患者可能过早出院的可能性，或者也许透析患者应被转至高依赖病房而非直接回到肾脏科病房。总而言之，哈钦森及其同事的论文为英国及其他地区规划透析患者的重症监护管理提供了有益的基础。
