title: [Acute kidney injury in elderly patient: Diagnostic and therapeutic aspects].
abstract: Acute renal failure in elderly patient is a public health problem. It is worsen by physiological status and anatomical changes associated with age, polymedication and chronic diseases. The etiologies of acute renal failure in the elderly are the same as in adults. Their distribution is specific with a large proportion of obstructive acute renal failure. The diagnostic and therapeutic strategies are the same as for young adults; the injection of iodinated-contrast should be avoided. Therapeutic strategies are discussed in terms of quality of life pre-morbid. Age is not considered a determinant of intensive treatment decisions. Renal replacement therapy in the elderly is not associated with excess mortality. Prevention of acute renal failure should be a permanent concern.
authors.affiliation: Hôpital Tenon, service d'urgences néphrologiques et transplantation rénale, 75020 Paris, France. Electronic address: commereucmorgane@gmail.com.
authors.forename: Morgane
authors.initials: M
authors.lastname: Commereuc
authors.affiliation: Hôpital Tenon, service d'urgences néphrologiques et transplantation rénale, 75020 Paris, France.
authors.forename: Eric
authors.initials: E
authors.lastname: Rondeau
authors.affiliation: Hôpital Tenon, service d'urgences néphrologiques et transplantation rénale, 75020 Paris, France.
authors.forename: Christophe
authors.initials: C
authors.lastname: Ridel
mesh_terms: D000203:Activities of Daily Living / Q000145:classification; D058186:Acute Kidney Injury / Q000175:diagnosis* / Q000209:etiology / Q000401:mortality / Q000628:therapy*; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001707:Biopsy, Needle; D002423:Cause of Death; D003430:Cross-Sectional Studies; D005260:Female; D005602:France; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D007668:Kidney / Q000473:pathology; D007677:Kidney Function Tests; D008297:Male; D011157:Population Dynamics; D011379:Prognosis; D017582:Renal Replacement Therapy; D012151:Resuscitation / Q000706:statistics & numerical data; D012307:Risk Factors; D016019:Survival Analysis
vernacular_title: Insuffisance rénale aiguë chez la personne âgée : aspects diagnostiques et thérapeutiques.