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Table 1 Candidate definitions of intra-dialytic hypotension during the first intermittent renal replacement therapy (IRRT) session performed in the intensive care unit after discontinuation of continuous renal replacement therapy

From: Intra-dialytic hypotension following the transition from continuous to intermittent renal replacement therapy

 

Criteria (at least one)

Incidence within studied sample

IRRT interruption

Pharmacologic support

Systolic blood pressure

Diastolic blood pressure

Definition 1

Discontinuation of IRRT for instability

Initiation of new agent or ≥ 50% increase in VIS

  

28.6%

Definition 1A

Discontinuation of IRRT for instability

Initiation of new agent or ≥ 50% increase in VIS

Nadir of < 90 mmHg or, if starting sBP is < 90, a decrease of ≥ 10 mmHg

 

43.7%

Definition 1B

Discontinuation of IRRT for instability

Initiation of new agent or ≥ 50% increase in VIS

Nadir of < 90 mmHg or, if starting sBP is < 90, a decrease of ≥ 10 mmHg

Nadir of < 40 mmHg or, if starting dBP is < 40 mmHg. a decrease of ≥ 5 mmHg

46.8%

Definition 2

Discontinuation of IRRT for instability

Initiation of new agent or any increase in VIS

  

38.1%

Definition 2A

Discontinuation of IRRT for instability

Initiation of new agent or any increase in VIS

Nadir of < 90 mmHg or, if starting sBP is < 90, a decrease of ≥ 10 mmHg

 

50.2%

Definition 2B

Discontinuation of IRRT for instability

Initiation of new agent or any increase in VIS

Nadir of < 90 mmHg or, if starting sBP is < 90, a decrease of ≥ 10 mmHg

Nadir of < 40 mmHg or, if starting dBP is < 40 mmHg. a decrease of ≥ 5 mmHg

52.8%

  1. dBP diastolic arterial blood pressure, sBP systolic arterial blood pressure, VIS vasoactive-inotropic score