Author/Editor		Hojs, R; Sinkovič, A; Ekart, R
Title		Akutna ledvična odpoved v enoti internistične intenzivne medicine
Type		članek
Source		In: Lindič J, Kaplan-Pavlovčič S, editors. Zbornik prispevkov 1. slovenski nefrološki kongres z mednarodno udeležbo; 1996 okt 23-26; Portorož. Ljubljana: Klinični center, Nefrološka klinika,
Publication year		2000
Volume		str. 134-40
Language		slo
Abstract		Acute renal failure is a frequent complication in critically ill medical patients. It is associated with high mortality rate and depends on concomitant risk factors. We prospectively studied 73 critically ill medical patients with acute renal failure (increase in serum creatinine level over 160 micromol/L, or increase in serum creatinine level of 200 micromol/L in chronic renal failure). Included were 41 females and 32 males. Mean age was 69.6 +- 12.9 years, range 34-94 years. The possible influence of age, gender, prior chronic diseases (chronic renal failure included), infection, sepsis, oliguria, and multiorgan failure syndrome on mortality of critically ill medical patient was studied. 36 (49%) of 73 patients died. Mortality was unaffected by age, gender, prior chronic diseases, infection, sepsis, hepatic failure, gastrointestinal failure, or neurological failure. It was associated with the number of organ failures (p < 0.0001). Individual risk factors of mortality were: respiratory failure (p < 0.0001), oliguria (p < 0.0005), heart failure (p < 0.05) and hematological failure (p < 0.05). Mortality of critically ill medical patients with acute renal failure depends on risk factors. Most important risk of mortality is multiorgan failure syndrome. Most important individual independent risks of mortality are respiratory failure, oliguria and heart failure.
Descriptors		KIDNEY FAILURE, ACUTE INTENSIVE CARE UNITS CRITICAL ILLNESS TREATMENT OUTCOME FATAL OUTCOME