Report concerning early discharge cases, after acute blood purification in invasive care unit

Abstract

There is a tendency to take long periods of hospitalization to treat with acute blood purification therapy in intensive care unit. We examined patients treated with acute blood purification therapy in intensive care unit and patients picked out hospitalization until 28 days without fatal cases, about characteristics and treatment progress. The number of patients is 38 cases, average age is 64.4±16.4 years old, average day of hospitalization is 16.6±7.0 days and average day of treatment in intensive care unit is 8.3±5.4 days. At the time of discharge 24 patients had got off dialysis. 20 patients underwent treatment changing location in intensive care unit to hemodialysis center. We adopt a policy that undergoing blood purification in hemodialysis center as soon as practicable without untransferable patient. It can speed up the patient’s discharge from the intensive care unit by eliminating the need for acute blood purification therapy in the intensive care unit. This may have led to prevention of post-intensive care syndrome (PICS) and discharge before ADL decline.