title: Acute kidney injury in critically ill A(H1N1)-infected patients: a study of the prognoses.
abstract: OBJECTIVE
  To identify factors correlated with poor outcome and factors correlated with acute kidney injury (AKI) onset in critically A(H1N1) infected patients.
  
  
  METHODS
  All patients admitted for respiratory distress due to a confirmed infection by A(H1N1) virus were included retrospectively.
  
  
  RESULTS
  Thirty-four patients were included. Mean age was 37.3 ± 20.8 years. Independent factors correlated to mortality in multivariate analysis were shock [OR = 32.52, CI95% (1.29-816.3); p = 0.034], AKI [OR = 31.12, CI95% (1.3-746.5); p = 0.034] and hyperglycaemia over than 5.7 mmol/l on admission [OR = 74, CI95% (1.01-5495); p = 0.049]. Only age over 30 years was identified as an independent factor correlated with the onset of AKI [OR = 18, CI95% (1.04-312.41); p = 0.047] in multivariate analysis.
  
  
  CONCLUSIONS
  AKI, as well as hypotension, is an independent factor correlated with mortality. Its onset is usually linked to multi-organ failure. Advanced age is an important risk factor for renal dysfunction in this group of patients.
authors.affiliation: Department of Intensive Care, Habib Bourguiba University Hospital, Sfax, Tunisia. anischaari2004@yahoo.fr
authors.forename: Anis
authors.initials: A
authors.lastname: Chaari
authors.forename: Hssan
authors.initials: H
authors.lastname: Dammak
authors.forename: Kamilia
authors.initials: K
authors.lastname: Chtara
authors.forename: Mabrouk
authors.initials: M
authors.lastname: Bahloul
authors.forename: Mounir
authors.initials: M
authors.lastname: Bouaziz
mesh_terms: D058186:Acute Kidney Injury / Q000209:etiology*; D000328:Adult; D016638:Critical Illness; D005260:Female; D006801:Humans; D053118:Influenza A Virus, H1N1 Subtype; D007251:Influenza, Human / Q000150:complications* / Q000821:virology; D008297:Male; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000209:etiology; D011379:Prognosis