Insuficiência renal aguda. Estudo do quadro clínico e prognóstico.

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dc.contributor.authorBarretti, Pasqual [UNESP]
dc.contributor.authorSoares, V. A.
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.date.accessioned2014-05-27T11:18:05Z
dc.date.available2014-05-27T11:18:05Z
dc.date.issued1996-04-01
dc.description.abstractAcute renal failure (ARF) is a frequent complication in hospitalized patients, and is strongly related to increase of mortality. PURPOSE: To analyze the clinical outcome and the prognostic factors in hospital acquired AFR. METHOD: A prospective study was performed. Data from 200 patients with established ARF admitted during the period of January, 1987 and July, 1990 were collected. RESULTS: The incidence of ARF was 4.9/1000 admissions. Renal ischemia (50%) and nephrotoxic drugs (21%) were the main etiologic factors. The histologic study done in 43 patients showed: acute tubular necrosis (53%), tubular hydrophic degeneration (16%), glomerulopathies (16%) and other lesions (15%). Dialysis therapy was performed in 101 patients and the main indications were: uremia (67%), hypervolemia (22%) and hyperkalemia (9%). The mortality rate was 46.5% and the most important causes of death were: sepsis (38%), respiratory failure (19%) and multiple organs failure (11%). Treatment withdraw was the cause of death in 2 patients. Higher mortality was observed in oliguric patients (62.9%) than non-oliguric (34.5%) (p < 0.05) and in ischemic renal failure (56.7%) when compared to nephrotoxic renal failure (14.7%) (p < 0.05). This difference was maintained when the comparison was done only between dialyzed patients. CONCLUSION: As primary cause of death was not associated to the acute renal failure, we conclude that acute renal failure is an important marker of the gravity of the underlying disease and not the cause of death.en
dc.format.extent67-72
dc.identifier.citationRevista da Associação Médica Brasileira (1992), v. 42, n. 2, p. 67-72, 1996.
dc.identifier.issn0104-4230
dc.identifier.lattes5496411983893479
dc.identifier.orcid0000-0003-4979-4836
dc.identifier.scopus2-s2.0-0030112461
dc.identifier.urihttp://hdl.handle.net/11449/64773
dc.language.isopor
dc.relation.ispartofRevista da Associação Médica Brasileira (1992)
dc.relation.ispartofjcr0.736
dc.relation.ispartofsjr0,265
dc.rights.accessRightsAcesso restrito
dc.sourceScopus
dc.subjectacute kidney failure
dc.subjectadult
dc.subjectaged
dc.subjectfemale
dc.subjecthuman
dc.subjectmale
dc.subjectmiddle aged
dc.subjectmortality
dc.subjectprognosis
dc.subjectprospective study
dc.subjectrenal replacement therapy
dc.subjectAdult
dc.subjectAged
dc.subjectFemale
dc.subjectHumans
dc.subjectKidney Failure, Acute
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectPrognosis
dc.subjectProspective Studies
dc.subjectRenal Dialysis
dc.titleInsuficiência renal aguda. Estudo do quadro clínico e prognóstico.pt
dc.title.alternativeAcute renal failure. Clinical picture and prognosisen
dc.typeArtigo
unesp.author.lattes5496411983893479[1]
unesp.author.orcid0000-0003-4979-4836[1]
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatupt

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Artigos - Clínica Médica - FMB