Assessment of acute renal failure patients treated in our nephrology clinic between 1996 and 2002

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dc.contributor.authorAltıntepe, Lütfullah
dc.contributor.authorGuney, I
dc.contributor.authorTonbul, Z
dc.contributor.authorDemir, M
dc.contributor.authorTurk, S
dc.contributor.authorYeksan, M
dc.date.accessioned2020-03-26T16:47:52Z
dc.date.available2020-03-26T16:47:52Z
dc.date.issued2004
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractAcute renal failure (ARF) is a cause of high morbidity and mortality associated with long hospital stay, and expensive treatment. The initial approach to patients with ARF should be focused on preventing future injury to the kidney. Two hundred eighty-three ARF patients, treated from January 1996 to June 2002, were retrospectively investigated for their etiology, clinic features, and laboratory characteristics, as well as treatment results and mortality rate. The mean age was 52.3 +/- 18.7 years. Patients with hospital-acquired ARF comprised 38.8% of the sample. Renal causes (60%) were responsible for most ARF patients. They were medical (63.95%), surgical (23.67%), and obstetric (12.4%) causes. Twenty-five percent of patients with ARF had multiple etiologies. Hemolysis elevated liver enzymes low platelets (HELLP) syndrome was seen in the most of the obstetric-related ARF cases. Signs of hypervolemia were present in approximately 50% of the cases. Oliguric patients comprised 59.7% of the sample, and the mean time to oliguria was 5.2 +/- 4.1 days. The necessity of dialysis was greater in oliguric patients (42.6%) and the ratio of complete/partial improvement (82.2%) was greater among non-oligoanuric patients. However, there was no significant difference between mortality rates. Irreversible renal insufficiency did not develop in the non-oliguric cases. Also, 7.4% of ARF patients died, with the main causes being infection (31.8%) and cardiovascular events (27.2%). Medical problems are important in the etiology of ARF as well as obstetric cases. The mortality rate was low in our cases, a situation that may be explained by medical causes being of importance in the etiology. We are of the opinion that early refferral of patients to a nephrologist and following treatment in the nephrology clinic may positively affect the outcome.en_US
dc.identifier.doi10.1016/j.transproceed.2004.10.037en_US
dc.identifier.endpage3005en_US
dc.identifier.issn0041-1345en_US
dc.identifier.issue10en_US
dc.identifier.pmid15686681en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage3002en_US
dc.identifier.urihttps://dx.doi.org/10.1016/j.transproceed.2004.10.037
dc.identifier.urihttps://hdl.handle.net/20.500.12395/18949
dc.identifier.volume36en_US
dc.identifier.wosWOS:000226765800031en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherELSEVIER SCIENCE INCen_US
dc.relation.ispartofTRANSPLANTATION PROCEEDINGSen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.titleAssessment of acute renal failure patients treated in our nephrology clinic between 1996 and 2002en_US
dc.typeArticleen_US

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