[Acute renal failure in critically ill elderly patients--a reason to dispense with therapy?].
846 patients on a surgical intensive care unit (436 patients over 70 years old = group I, 410 patients up to 70 years old = group II) were included in a prospective study of incidence, mortality and reversibility of acute renal failure (ARV). APACHE II-Score showed no differences (17.5 in group I and 15 in group II), but a preexisting renal insufficiency was seen in 18.1% in group I and in 7% in group II (p < 0.05). Incidence of acute renal failure (group I 7.3%, group II 8.3%) and mortality of patients with ARV (group I 18.7%, group II 17.6%) was comparable in both groups.
Muhl
E
E
Klinik für Chirurgie, Medizinische Universität zu Lübeck.
Hansen
M
M
Bruch
H P
HP
D018806:APACHE; D058186:Acute Kidney Injury / Q000401:mortality / Q000628:therapy*; D000368:Aged; D002423:Cause of Death; D003422:Critical Care; D005260:Female; D015577:Geriatric Assessment; D005858:Germany; D006801:Humans; D008297:Male; D018447:Medical Futility; D011183:Postoperative Complications / Q000401:mortality / Q000628:therapy*; D011446:Prospective Studies; D016019:Survival Analysis
Akutes Nierenversagen beim kritisch-kranken alten Menschen--ein Anlass zum Therapieverzicht?