STUDY OF ETIOLOGY, COMPLICATIONS AND RATE OF MORTALITY FOLLOWING ACUTE RENAL FAILURE

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SHAHBAZIAN H.; BAGHAEI SOLMAZ; SHAHBAZIAN N.

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Journal: Jundishapur Scientific Medical Journal Year:2007 | Volume:5 | Issue:4 (51) Page(s): 688-693

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Title

STUDY OF ETIOLOGY, COMPLICATIONS AND RATE OF MORTALITY FOLLOWING ACUTE RENAL FAILURE

Author(s)

SHAHBAZIAN H. | BAGHAEI SOLMAZ | SHAHBAZIAN N. | Issue Writer Certificate

Keywords

ARFQ3

ACUTE TUBULAR NECROSISQ3

OLIGURIAQ4

Abstract

Objective: Acute renal failure (ARF) is a clinical state characterized by a rapid (hours to weeks) decline in glomerular filtration rate (GFR) and retention of nitrogenous waste products. ARF is product of a host of diseases and for purposes of diagnosis and management are conveniently divided into three categories including pre-renal, renal and past-renal failure. In this syndrome produces a set of water and electrolyte and acid-base, hematologic, cardio vascular, pulmonary, gastrointestinal and neurologic disorders as well as predspioses to malnutrition and infections. The mortality rate of ARF has changed little over the past three decades. The aim of the study was to determine the causes, complication and mortality rate of ARF in patients admitted in Golestan hospital over a 30-month period (2001-2004).Subjects and Methods: All patients who referred to our centre during the period of study, with definite diagnosis of acute renal failure were studied. Diagnosis of ARF was made based on recent rise in BUN and creatinine or a set of clinical and laboratory evidences which included medical history, physical examination, laboratory, radiography, sonography and finally kidney biopsy.Results: Sixteen out of a total of eighty two patients with ARF had a super imposed chronic renal failure were excluded from the study. The types of ARF were pre-renal in 27.3%, post- renal in 7.6% and renal in65.2% of patients. OLIGURIA was found in 53%, gastro-intestinal disorders in 77%, numerous metabolic complications in 72%, cardiovascular and pulmonary complication in 53%, haematological complications in 51%, neurological complications in 48.5% and infections in 20% of patients were seen. Total mortality rate was 9.09%.Conclusion: Most common cause of ARF was renal type which contrasts other studies which reported the pre-renal type to be the most common. No significant differences were found in the rate of complications in this study with other studies. The mortality rate in this study was less than other studies which may be due to difficulties of referring of the very ill patients with ARF to our centre or death of patients in primary care centers.

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APA: Copy

SHAHBAZIAN, H., BAGHAEI, SOLMAZ, & SHAHBAZIAN, N.. (2007). STUDY OF ETIOLOGY, COMPLICATIONS AND RATE OF MORTALITY FOLLOWING ACUTE RENAL FAILURE. JUNDISHAPUR SCIENTIFIC MEDICAL JOURNAL, 5(4 (51)), 688-693. SID. https://sid.ir/paper/12568/en

Vancouver: Copy

SHAHBAZIAN H., BAGHAEI SOLMAZ, SHAHBAZIAN N.. STUDY OF ETIOLOGY, COMPLICATIONS AND RATE OF MORTALITY FOLLOWING ACUTE RENAL FAILURE. JUNDISHAPUR SCIENTIFIC MEDICAL JOURNAL[Internet]. 2007;5(4 (51)):688-693. Available from: https://sid.ir/paper/12568/en

IEEE: Copy

H. SHAHBAZIAN, SOLMAZ BAGHAEI, and N. SHAHBAZIAN, “STUDY OF ETIOLOGY, COMPLICATIONS AND RATE OF MORTALITY FOLLOWING ACUTE RENAL FAILURE,” JUNDISHAPUR SCIENTIFIC MEDICAL JOURNAL, vol. 5, no. 4 (51), pp. 688–693, 2007, [Online]. Available: https://sid.ir/paper/12568/en

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