Abstract
Critically ill patients in the intensive care unit often cannot tolerate conventional hemodialysis because of their hemodynamic instability. Continuous hemofiltration (CHF) and continuous hemodialysis (CHD) have become widely used as renal replacement therapy for critically ill patients with acute renal failure. We report the outcome of 48 patients who were treated with CHF or CHD compared to that of 30 patients treated with hemodialysis or peritoneal dialysis. The overall mortality was not significantly different between two groups (41.6% vs 40.0%), however it was apparent that CHF and CHD treatment were effective on severer patients. Mean creatinine clearance (MCCr) of CHD was 12.1ml/min, and was significantly higher than that of CHF. Adequate fluid removal was also achieved during CHD as well as during CHF. Therefore, we conclude CHD is superior to CHF for the critically ill patients with acute renal failure.
