What is already known about this
subject:
The indications for hemodialysis in lithium poisoned patients are not
established based on randomized controlled trials. The EXTRIP and Paris
recommendations provide clinically useful guidance but differ in some
aspects. Neither have been externally validated.
What this study adds:
- When Paris and EXTRIP criteria both support hemodialysis,
outcomes were similar in dialyzed patients
- When Paris and EXTRIP criteria both oppose hemodialysis,
outcomes were similar in non-dialyzed patients
- When hemodialysis was supported by EXTRIP criteria but not
Paris criteria and patients were not dialyzed , outcomeswere worse, including one death