Risk Factors and Prognostic Factors of Acute Renal Failure in Patients Admitted to an Intensive Care Unit, Tehran-Iran

Authors

  • A. M. Sabzghabaee
  • M. Mojtahedzadeh
  • M. R. Ganji
  • P. Razavi
Abstract:

Acute renal failure (ARF) is defined as a sudden and continuous decrease of glomerular function associated with azotemia, and may be followed by decreased urinary output. There is a high incidence of ARF in ICU patients with a high mortality rate. Many factors can promote ARF development or influence its outcome. This study was done to assess the incidence, risk factors, outcome and treatment of patients who develop ARF in ICU. One hundred seventy five patients admitted to general ICU were studied. The impact of some factors such as age, sex, hypertension, length of stay in ICU, sepsis, oliguria, surgery, consumption of nephrotoxic drugs such as aminoglycosides and underlying chronic renal failure on development and prognosis of ARF was evaluated. ARF developed in 42(24%) patients with the mortality rate of 59.5%. Among factors studied, only use of aminoglycosides was statistically significant in relation to ARF development (P= 0.041 ), and the factors found to be associated with increasing mortality were hypertension (P=0.015) and prolonged stay in the ICU (P=0.012). In conclusion, among the prognostic factors, two were associated with a worse outcome of patients with ARF: hypertension and prolonged stay in the ICU. Unfortunately, the rapidly-changing clinical status of critically ill patients prohibits the clinician to make a clear decision on the prognosis of patients.

Upgrade to premium to download articles

Sign up to access the full text

Already have an account?login

similar resources

risk factors and prognostic factors of acute renal failure in patients admitted to an intensive care unit, tehran-iran

acute renal failure (arf) is defined as a sudden and continuous decrease of glomerular function associated with azotemia, and may be followed by decreased urinary output. there is a high incidence of arf in icu patients with a high mortality rate. many factors can promote arf development or influence its outcome. this study was done to assess the incidence, risk factors, outcome and treatment o...

full text

Incidence, risk factors and prognostic factors of acute renal failure in patients admitted to an intensive care unit.

The objective of the present study was to assess the incidence, risk factors and outcome of patients who develop acute renal failure (ARF) in intensive care units. In this prospective observational study, 221 patients with a 48-h minimum stay, 18-year-old minimum age and absence of overt acute or chronic renal failure were included. Exclusion criteria were organ donors and renal transplantation...

full text

Effect of aminophylline on renal function of brain injury patients with acute renal failure admitted to the intensive care unit

Introdution: Acute renal failure is a common complication in the brain injury patients. Released adenosine in injury can reduce renal glomerular filtration. Aminophylline is an inhibitor of releasing adenosine. So, this study aimed to evaluate the effect of intravenous aminophylline in renal function of brain-injured patients with acute renal failure admitted to the intensive care unit. Method...

full text

Incidence and risk factors of upper gastrointestinal bleeding in pediatric intensive care unit admitted patients

Background and Objective: To assess the incidence and risk factors of upper gastrointestinal bleeding in children admitted to pediatric intensive care unit for more than 6 hrs. Methods: We prospectively collected medical records of children between 1 month and 18 years old admit-ted to our 10 bed PICU of a tertiary care university hospital between December 1, 2014 and May 30, 2015. De-mographi...

full text

Predictive factors of deep vein thrombosis in patients admitted to intensive care unit

Background: Because deep vein thrombosis (DVT) is one of the most common problems in the intensive care unit, it may lead to complecating the patient's general condition. This study aimed to investigate the predictive factors of DVT in patients admitted to the intensive care unit (ICU) of Amin hospital in Isfahan. Methods: In this retrospective study, all the records of patients admitted to th...

full text

Frequency and Risk Factors of Retinopathy of Prematurity in Newborns Admitted to Neonatal Intensive Care Unit in Hamadan

Background and Objective: Retinopathy of prematurity (ROP) is an evolutionary disorder in the retina of premature infants. Nowadays, the prevalence rate of retinopathy has increased due to the advancement of medical facilities and the increased survival of preterm infants. The aim of this study was to determine the prevalence rate of ROP and its related risk factors among infants admitted to an...

full text

My Resources

Save resource for easier access later

Save to my library Already added to my library

{@ msg_add @}


Journal title

volume 8  issue 2

pages  87- 0

publication date 2009-10

By following a journal you will be notified via email when a new issue of this journal is published.

Keywords

Hosted on Doprax cloud platform doprax.com

copyright © 2015-2023