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Cites:

1

Information Journal Paper

Title

PROGNOSTIC INDICATORS OF ADVERSE RENAL OUTCOME AND DEATH IN ACUTE KIDNEY INJURY HOSPITAL SURVIVORS

Pages

  61-68

Abstract

 Introduction: Data regarding PROGNOSTIC FACTORS of POST-DISCHARGE MORTALITY and adverse renal function outcome in ACUTE KIDNEY INJURY (AKI) hospital survivors are scarce and controversial.Objectives: We aimed to identify predictors of POST-DISCHARGE MORTALITY and adverse renal function outcome in AKI hospital survivors.Patients and Methods: The study group consisted of 84 AKI hospital survivors admitted to the tertiary medical center during 2-year period. Baseline clinical parameters, with renal outcome 3 months after discharge and 6-month mortality were evaluated. According survival and renal function outcome, patients were divided into two groups.Results: Patients who did not recover renal function were statistically significantly older (P<0.007) with higher Charlson comorbidity index (CCI) score (P<0.000) and more likely to have anuria and oliguria (P=0.008) compared to those with recovery. Deceased AKI patients were statistically significantly older (P<0.000), with higher CCI score (P<0.000), greater prevalence of sepsis (P=0.004), higher levels of C-reactive protein (CRP) (P<0.017) and ferritin (P<0.051) and lower concentrations of albumin (P<0.01) compared to survivors. By multivariate analysis, independent predictors of ADVERSE RENAL OUTCOME were female gender (P=0.033), increasing CCI (P=0.000), presence of pre-existing chronic kidney disease (P=0.000) and diabetes mellitus (P=0.019) as well as acute decompensated heart failure (ADHF) (P=0.032), while protective factor for renal function outcome was higher urine output (P=0.009). Independent predictors of POST-DISCHARGE MORTALITY were female gender (P=0.04), higher CCI score (P=0.001) and sepsis (P=0.034).Conclusion: Female AKI hospital survivors with increasing burden of comorbidities, diagnosis of sepsis and ADHF seem to be at high-risk for poor post-discharge outcome.

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    APA: Copy

    HAMZIC MEHMEDBASIC, AIDA, RASIC, SENIJA, BALAVAC, MERIMA, REBIC, DAMIR, DELIC SARAC, MARINA, & DURAK NALBANTIC, AZRA. (2016). PROGNOSTIC INDICATORS OF ADVERSE RENAL OUTCOME AND DEATH IN ACUTE KIDNEY INJURY HOSPITAL SURVIVORS. JOURNAL OF RENAL INJURY PREVENTION, 5(2), 61-68. SID. https://sid.ir/paper/341027/en

    Vancouver: Copy

    HAMZIC MEHMEDBASIC AIDA, RASIC SENIJA, BALAVAC MERIMA, REBIC DAMIR, DELIC SARAC MARINA, DURAK NALBANTIC AZRA. PROGNOSTIC INDICATORS OF ADVERSE RENAL OUTCOME AND DEATH IN ACUTE KIDNEY INJURY HOSPITAL SURVIVORS. JOURNAL OF RENAL INJURY PREVENTION[Internet]. 2016;5(2):61-68. Available from: https://sid.ir/paper/341027/en

    IEEE: Copy

    AIDA HAMZIC MEHMEDBASIC, SENIJA RASIC, MERIMA BALAVAC, DAMIR REBIC, MARINA DELIC SARAC, and AZRA DURAK NALBANTIC, “PROGNOSTIC INDICATORS OF ADVERSE RENAL OUTCOME AND DEATH IN ACUTE KIDNEY INJURY HOSPITAL SURVIVORS,” JOURNAL OF RENAL INJURY PREVENTION, vol. 5, no. 2, pp. 61–68, 2016, [Online]. Available: https://sid.ir/paper/341027/en

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