[Prognosis for patients admitted to intensive care units with acute renal failure requiring dialysis].
The mortality of critically ill patients who develop acute renal failure (ARF) is persistingly high. We reviewed all patients who developed ARF that required dialysis in a single intensive care unit (n = 167) during the period 1977 to 1989, in order to identify variables with possible influence on outcome. Overall mortality within hospital was 75%. Age above 60 (p < 0.02), requirement for mechanical ventilation (p < 0.0005), requirement for inotropic drugs (p < 0.0005) and increased levels of P-bilirubin (p < 0.005) had negative impacts on survival. Mortality increased significantly from 63% in the early period (1977-1985) to 84% in the late period (1986-1989) (p < 0.001), a rise that could not be explained by a single variable. The patients in the later period were, though, characterized by a higher morbidity with a higher frequency of additional organ failure.
Jensen
M B
MB
Nefrologisk afdeling, Amtssygehuset i Herlev.
Ejlersen
E
E
Eliasen
K R
KR
Løkkegaard
H
H
D058186:Acute Kidney Injury / Q000175:diagnosis / Q000401:mortality* / Q000628:therapy; D000293:Adolescent; D000328:Adult; D000368:Aged; D003325:Coronary Care Units; D003718:Denmark / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009102:Multiple Organ Failure; D010343:Patient Admission; D011379:Prognosis; D006435:Renal Dialysis; D012189:Retrospective Studies
Prognosen for patienter indlagt på intensiv afdeling med dialysekraevende akut nyresvigt.