Table 1. Demographic Characteristics and Organizational Aspects of European PICUs Performing CKRT.
Characteristic | Responses, No. (%) |
---|---|
Responder profession | |
No. | 161 |
Physician | 145 (90) |
Nurse | 16 (10) |
PICU dimensions, median (IQR) | |
Maximum bed capacity | 12 (8-16) |
No. of admissions per y | 500 (350-800) |
Presence of written policy for CKRT | 123 (77) |
No. | 159 |
Need for and type of consent for CKRT initiation | |
No. | 141 |
Verbal consent | 61 (43) |
Written consent | 35 (25) |
No consent needed | 45 (32) |
Minimum weight for starting KRT, median (IQR) | |
Peritoneal dialysis | 2 (1-3) |
CKRT | 3 (2-3.5) |
Intermittent hemodialysis | 6 (5-10) |
Person with primary responsibility for prescribing CKRT type or modality to be useda | |
Attending PICU consultant | 113 (70) |
Kidney team advice | 53 (33) |
Unit policy or guidelines | 35 (22) |
Only 1 KRT modality available | 3 (2) |
Person with primary responsibility for CKRT management | |
No. | 141 |
PICU team | 109 (77) |
Kidney team | 17 (12) |
Varies depending on CKRT modality | 9 (6) |
Combined ICU and kidney team | 5 (4) |
Technicians | 1 (1) |
Person with primary responsibility for CKRT setup (lining and priming) | |
No. | 157 |
PICU team | |
Nurse | 77 (49) |
Physician | 43 (27) |
Kidney team | |
Nurse | 28 (18) |
Physician | 5 (3) |
Perfusionist | 4 (3) |
Person with primary responsibility for CKRT bedside machine runninga | |
PICU team | |
Nurse | 107 (67) |
Physician | 58 (36) |
Kidney team | |
Nurse | 17 (11) |
Physician | 10 (6) |
Perfusionist | 2 (1) |
Staffing ratio when the patient is both on CKRT and MV | |
No. | 131 |
1 Staff member to 1 patient | 74 (56) |
1 Staff member to 2 patients | 32 (24) |
2 Staff members to 1 patient | 23 (18) |
Other ratio | 2 (2) |
Patients received CKRT follow-up as outpatients by nephrologists | 77 (63) |
No. | 122 |
Concern regarding the use of adult CKRT machines in children weighing <8 kg | 81 (60) |
No. | 136 |
Availability of CKRT equipment designed for neonates or infants (ie, CARPEDIEM or NIDUS) | 20 (15) |
No. | 135 |
Abbreviations: CARPEDIEM, Cardio-Renal Pediatric Dialysis Emergency Machine; CKRT, continuous kidney replacement therapy; ICU, intensive care unit; KRT, kidney replacement therapy; MV, mechanical ventilation; NIDUS, Newcastle Infant Dialysis and Ultrafiltration System; PICU, pediatric intensive care unit.
The sum of percentages is more than 100% because respondents could indicate more than 1 option.