Jennifer Kong
Ottawa Hospital Research Institute
Intensive care medicineRenal replacement therapyDialysisAcute kidney injuryMedicine
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Publications 4
#1Adesewa Oloko (U of O: University of Ottawa)
#2Hari Talreja (Middlemore Hospital)H-Index: 1
Last. Swapnil HiremathH-Index: 24
view all 8 authors...
BACKGROUND: It is important for medical practitioners to be aware of the effect of iodinated contrast media on the residual renal function (RRF) of dialysis patients who require diagnostic or therapeutic imaging procedures. Preservation of RRF is important given that it is a robust predictor of higher survival. However, the absence of any effect would allow for easier diagnostic or therapeutic imaging tests to be performed. OBJECTIVE: This systematic review with meta-analysis will quantify the e...
#1Carol Wang (U of O: University of Ottawa)H-Index: 1
#2Swapnil Hiremath (U of O: University of Ottawa)H-Index: 24
Last. Edward G. Clark (U of O: University of Ottawa)H-Index: 14
view all 6 authors...
Background Acute kidney injury requiring dialysis (AKI-D) during hospitalization is associated with both in-hospital and post-discharge mortality. Its incidence has risen over time in Canada and the USA. While the majority of AKI-D will recover to dialysis independence at the time of hospital discharge, 10–30% will transition to outpatient dialysis. The risk factors that determine dialysis independence after AKI-D and its optimal outpatient management remain unclear. Eliciting prognostic predict...
#1Adrianna Douvris (Ottawa Hospital Research Institute)H-Index: 3
#2Khalid Zeid (U of O: University of Ottawa)H-Index: 2
Last. Edward G. Clark (Ottawa Hospital Research Institute)H-Index: 14
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Hemodynamic instability related to renal replacement therapy (HIRRT) is a frequent complication of all renal replacement therapy (RRT) modalities commonly used in the intensive care unit. HIRRT is associated with increased mortality and may impair kidney recovery. Our current understanding of the physiologic basis for HIRRT comes primarily from studies of end-stage kidney disease patients on maintenance hemodialysis in whom HIRRT is referred to as ‘intradialytic hypotension’. Nonetheless, there ...
6 CitationsSource
#1Edward G. Clark (Ottawa Hospital)H-Index: 14
#2Lauralyn McIntyre (Ottawa Hospital)H-Index: 18
Last. Swapnil Hiremath (Ottawa Hospital)H-Index: 24
view all 12 authors...
Critically ill patients frequently develop acute kidney injury that necessitates renal replacement therapy (RRT). At some centers, critically ill patients who are hemodynamically unstable and require RRT are treated with slow low-efficiency dialysis (SLED). Unfortunately, hypotension is a frequent complication that occurs during SLED treatments and may limit the recovery of kidney function. Hypotension may also limit the amount of fluid that can be removed by ultrafiltration with SLED. Fluid ove...