[Acute renal insufficiency in children. Retrospective study of 89 cases].
Between 1982 and 1992, 89 patients aged six months to 15 years were treated for acute renal failure at the Ibn Rochd Teaching Hospital. There were 51 males (57%) and 38 females (43%). All patients received conservative treatment. Fifty-eight patients (65%) required dialysis at the acute phase. The dialysis technique used was peritoneal dialysis in 22 cases (25%) and hemodialysis in 36 (40%). Twenty-nine patients received emergency dialysis for severe sodium and water overload and/or severe hyperkalemia. In the other cases, dialysis was initiated because of high blood urea and creatinine levels; before dialysis, blood urea exceeded 33 mmol/l (2 g/l) in every case and mean urea level was 51 mmol/l. Causes of acute renal failure included glomerulonephritis (n = 46), hemolytic uremic syndrome (n = 12), acute interstitial nephritis (n = 9), urinary tract obstruction (n = 5), and renal hypoperfusion (n = 11); in six cases, no cause was identified. Mortality rate was 17%. Recovery rate was higher in the subgroup of patients without anuria. Outcome was favorable in 65.5% of patients with glomerular disease. Most patients in this study did not require intensive care and none had post-cardiac surgery or neonatal acute renal failure which are known to carry a poor prognosis.
Bourquia
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Hôpital d'Enfants, CHU Ibn Rochd, Casablanca, Maroc.
Zaid
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D
D058186:Acute Kidney Injury / Q000097:blood / Q000453:epidemiology / Q000209:etiology / Q000628:therapy*; D000293:Adolescent; D001806:Blood Urea Nitrogen; D015984:Causality; D002648:Child; D002675:Child, Preschool; D003404:Creatinine / Q000097:blood; D004630:Emergencies; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D010530:Peritoneal Dialysis / Q000706:statistics & numerical data; D011379:Prognosis; D006435:Renal Dialysis / Q000706:statistics & numerical data; D012189:Retrospective Studies; D015996:Survival Rate; D016896:Treatment Outcome
D003404:Creatinine
L'insuffisance rénale aiguë chez l'enfant. Etude rétrospective de quatre-vingt-neuf cas.