Continuous Renal Replacement Therapy for Treatment of Severe Attacks of Inborn Errors of Metabolism


Yetimakman A. F. , Kesici S. , Tanyildiz M. , BAYRAKCİ B.

JOURNAL OF PEDIATRIC INTENSIVE CARE, cilt.8, ss.164-169, 2019 (ESCI İndekslerine Giren Dergi) identifier identifier

  • Cilt numarası: 8 Konu: 3
  • Basım Tarihi: 2019
  • Doi Numarası: 10.1055/s-0039-1683991
  • Dergi Adı: JOURNAL OF PEDIATRIC INTENSIVE CARE
  • Sayfa Sayıları: ss.164-169

Özet

Severe metabolic crises in children with inborn errors of metabolism can result in mortality or severe morbidities where continuous renal replacement therapy (CRRT) can be lifesaving. Clinical data, the pediatric risk of mortality (PRISM) scores calculated in the first 24 hours, and pediatric logistic organ dysfunction (PELOD) scores calculated in the last 24 hours before CRRT, were studied. Overall, CRRT was successful in restoring metabolic balance in 72% of patients. PELOD scores before CRRT were lower in survivors (p = 0.02). Despite numerous comorbid factors, CRRT can be used effectively in management of metabolic crises. Early intervention with this therapy before occurrence of complications must be targeted.