Chinese Journal of Blood Purification ›› 2025, Vol. 24 ›› Issue (05): 410-413.doi: 10.3969/j.issn.1671-4091.2025.05.011

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Risk factors for hypotension during continuous renal replacement therapy

MAO Ren-li, YANG Ying-ying, ZHANG Ling   

  1. Department of Nephrology, Kidney Research Institute, West China Hospital of Sichuan University, Chengdu 610041, China; 2Department of Nephrology, Guang’an People’s Hospital, Guang’an 638000, Sichuan, China
  • Received:2024-09-30 Revised:2025-02-07 Online:2025-05-12 Published:2025-05-12
  • Contact: 610041 成都,1四川大学华西医院肾脏内科/四川大学华西肾脏病研究所 E-mail:zhangling_crrt@163.com
  • About author:Deputy Chief Physician of the Department of Nephrology, Guang'an People's Hospital
    Master's degree student at West China Clinical Medicine College, Sichuan University
    Member of the Nephrology Professional Committee of Guang'an Medical Association
    Member of Nephrology Branch of Sichuan Bioinformatics Society
    Member of the Ethnic Medical and Health Standards Professional Committee of the China Ethnic Health Association

Abstract: Continuous renal replacement therapy (CRRT) is a slow and continuous bedside blood purification therapy method that has the advantage of more stable hemodynamics compared to conventional hemodialysis. However, many studies have shown that hypotension is still one of the common complications of CRRT. It has been reported that the incidence of hypotension within the first hour of CRRT is as high as 43~64.6%, and is independently associated with in-hospital mortality. However, the risk factors affecting the occurrence of hypotension during CRRT have not been further studied. This article mainly elaborates on the risk factors for hypotension during CRRT, aiming to further guide clinical practice to effectively prevent the occurrence of hypotension and improve the prognosis of the patients.

Key words: Continuous renal replacement therapy, Hypotension, Hemodynamics, Risk factor

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