Prognosis of acute renal failure: an evaluation of proposed consensus criteria
To validate the recently proposed criteria for acute renal injury (ARI), acute renal failure syndrome (ARFS) and severe acute renal failure syndrome (SARFS) and to evaluate the significance of other prognostic factors. Retrospective analysis of the Riyadh ICU Program database of patients admitted to...
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| Veröffentlicht in: | Intensive care medicine 2005-02, Vol.31 (2), p.250-256 |
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| description | To validate the recently proposed criteria for acute renal injury (ARI), acute renal failure syndrome (ARFS) and severe acute renal failure syndrome (SARFS) and to evaluate the significance of other prognostic factors.
Retrospective analysis of the Riyadh ICU Program database of patients admitted to 22 ICUs in UK and Germany between 1989 and 1998.
Included in the study were 41,972 patients, of whom 7,522 (17.9%) had ARI, 2,641 (6.3%) had ARFS and 1,747 (4.2%) had SARFS.
Patients with ARI, ARFS or SARFS had a hospital mortality of 29.5%, 49.2% or 63.0%, respectively, compared to 10.3% among patients without acute renal failure. In the presence of contemporaneous failure of any other organs on the day of acute renal failure, hospital mortality increased to 73.3%, 76.2%, 72.1% and 18%, respectively. Multivariate analysis showed that non-surgical admission, need for emergency surgery, development of acute renal failure during stay in ICU, need for mechanical ventilation and the number of other failed organ systems had a greater impact on prognosis than the need for renal replacement therapy.
The proposed criteria for ARI, ARFS and SARFS correlated with mortality, but other factors had a greater impact on prognosis. Renal replacement therapy did not increase the risk of hospital mortality among patients with acute renal failure. |
| doi_str_mv | 10.1007/s00134-004-2523-y |
| format | Article |
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Retrospective analysis of the Riyadh ICU Program database of patients admitted to 22 ICUs in UK and Germany between 1989 and 1998.
Included in the study were 41,972 patients, of whom 7,522 (17.9%) had ARI, 2,641 (6.3%) had ARFS and 1,747 (4.2%) had SARFS.
Patients with ARI, ARFS or SARFS had a hospital mortality of 29.5%, 49.2% or 63.0%, respectively, compared to 10.3% among patients without acute renal failure. In the presence of contemporaneous failure of any other organs on the day of acute renal failure, hospital mortality increased to 73.3%, 76.2%, 72.1% and 18%, respectively. Multivariate analysis showed that non-surgical admission, need for emergency surgery, development of acute renal failure during stay in ICU, need for mechanical ventilation and the number of other failed organ systems had a greater impact on prognosis than the need for renal replacement therapy.
The proposed criteria for ARI, ARFS and SARFS correlated with mortality, but other factors had a greater impact on prognosis. Renal replacement therapy did not increase the risk of hospital mortality among patients with acute renal failure.</description><identifier>ISSN: 0342-4642</identifier><identifier>EISSN: 1432-1238</identifier><identifier>DOI: 10.1007/s00134-004-2523-y</identifier><identifier>PMID: 15678317</identifier><identifier>CODEN: ICMED9</identifier><language>eng</language><publisher>Heidelberg: Springer</publisher><subject>Acute Kidney Injury - mortality ; Acute Kidney Injury - therapy ; Aged ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; APACHE ; Biological and medical sciences ; Cardiology. Vascular system ; Care and treatment ; Case studies ; Coronary heart disease ; Emergency and intensive respiratory care ; Female ; Germany - epidemiology ; Heart ; Hospital Mortality ; Humans ; Intensive care medicine ; Kidney failure ; Logistic Models ; Male ; Medical sciences ; Middle Aged ; Prognosis ; Renal Replacement Therapy ; Retrospective Studies ; ROC Curve ; Statistics ; United Kingdom - epidemiology</subject><ispartof>Intensive care medicine, 2005-02, Vol.31 (2), p.250-256</ispartof><rights>2005 INIST-CNRS</rights><rights>COPYRIGHT 2005 Springer</rights><rights>Springer-Verlag 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c527t-9d0868fc77df5f3a8a5641bec3a9a250681407f02e209bf5036b255ed4b851223</citedby><cites>FETCH-LOGICAL-c527t-9d0868fc77df5f3a8a5641bec3a9a250681407f02e209bf5036b255ed4b851223</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16541349$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15678317$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>OSTERMANN, M. E</creatorcontrib><creatorcontrib>CHANG, R. W. S</creatorcontrib><creatorcontrib>Riyadh ICU Program Users Group</creatorcontrib><creatorcontrib>for the Riyadh ICU Program Users Group</creatorcontrib><title>Prognosis of acute renal failure: an evaluation of proposed consensus criteria</title><title>Intensive care medicine</title><addtitle>Intensive Care Med</addtitle><description>To validate the recently proposed criteria for acute renal injury (ARI), acute renal failure syndrome (ARFS) and severe acute renal failure syndrome (SARFS) and to evaluate the significance of other prognostic factors.
Retrospective analysis of the Riyadh ICU Program database of patients admitted to 22 ICUs in UK and Germany between 1989 and 1998.
Included in the study were 41,972 patients, of whom 7,522 (17.9%) had ARI, 2,641 (6.3%) had ARFS and 1,747 (4.2%) had SARFS.
Patients with ARI, ARFS or SARFS had a hospital mortality of 29.5%, 49.2% or 63.0%, respectively, compared to 10.3% among patients without acute renal failure. In the presence of contemporaneous failure of any other organs on the day of acute renal failure, hospital mortality increased to 73.3%, 76.2%, 72.1% and 18%, respectively. Multivariate analysis showed that non-surgical admission, need for emergency surgery, development of acute renal failure during stay in ICU, need for mechanical ventilation and the number of other failed organ systems had a greater impact on prognosis than the need for renal replacement therapy.
The proposed criteria for ARI, ARFS and SARFS correlated with mortality, but other factors had a greater impact on prognosis. Renal replacement therapy did not increase the risk of hospital mortality among patients with acute renal failure.</description><subject>Acute Kidney Injury - mortality</subject><subject>Acute Kidney Injury - therapy</subject><subject>Aged</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>APACHE</subject><subject>Biological and medical sciences</subject><subject>Cardiology. Vascular system</subject><subject>Care and treatment</subject><subject>Case studies</subject><subject>Coronary heart disease</subject><subject>Emergency and intensive respiratory care</subject><subject>Female</subject><subject>Germany - epidemiology</subject><subject>Heart</subject><subject>Hospital Mortality</subject><subject>Humans</subject><subject>Intensive care medicine</subject><subject>Kidney failure</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Prognosis</subject><subject>Renal Replacement Therapy</subject><subject>Retrospective Studies</subject><subject>ROC Curve</subject><subject>Statistics</subject><subject>United Kingdom - epidemiology</subject><issn>0342-4642</issn><issn>1432-1238</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpt0V1rFDEUBuAgit1Wf4A3Mih6NzXfmfGuFGsLxfZCr8OZzMmSMpusyYyw_94su1CUJReB8LyHHF5C3jF6ySg1XwqlTMiWUtlyxUW7e0FWTAreMi66l2RFheSt1JKfkfNSnqo2WrHX5IwpbTrBzIr8eMxpHVMJpUm-AbfM2GSMMDUewrRk_NpAbPAPTAvMIcW92ua0TQXHxqVYMJalNC6HGXOAN-SVh6ng2-N9QX7dfPt5fdveP3y_u766b53iZm77kXa6886Y0SsvoAOlJRvQCeiBK6o7JqnxlCOn_eAVFXrgSuEoh04xzsUF-XyYW__ye8Ey200oDqcJIqalWG0k5z1XFX74Dz6lJdf9iuVMcya57Cv6eEBrmNCG6NOcwe0n2iumWCcN011V7Qm1xogZphTRh_r8j7884esZcRPcyQA7BFxOpWT0dpvDBvLOMmr3hdtD4bYWbveF213NvD_utwwbHJ8Tx4Yr-HQEUBxMPkN0oTw7rWQd2Yu_yp2wMQ</recordid><startdate>20050201</startdate><enddate>20050201</enddate><creator>OSTERMANN, M. 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Vascular system</topic><topic>Care and treatment</topic><topic>Case studies</topic><topic>Coronary heart disease</topic><topic>Emergency and intensive respiratory care</topic><topic>Female</topic><topic>Germany - epidemiology</topic><topic>Heart</topic><topic>Hospital Mortality</topic><topic>Humans</topic><topic>Intensive care medicine</topic><topic>Kidney failure</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Prognosis</topic><topic>Renal Replacement Therapy</topic><topic>Retrospective Studies</topic><topic>ROC Curve</topic><topic>Statistics</topic><topic>United Kingdom - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>OSTERMANN, M. E</creatorcontrib><creatorcontrib>CHANG, R. W. 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E</au><au>CHANG, R. W. S</au><aucorp>Riyadh ICU Program Users Group</aucorp><aucorp>for the Riyadh ICU Program Users Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prognosis of acute renal failure: an evaluation of proposed consensus criteria</atitle><jtitle>Intensive care medicine</jtitle><addtitle>Intensive Care Med</addtitle><date>2005-02-01</date><risdate>2005</risdate><volume>31</volume><issue>2</issue><spage>250</spage><epage>256</epage><pages>250-256</pages><issn>0342-4642</issn><eissn>1432-1238</eissn><coden>ICMED9</coden><abstract>To validate the recently proposed criteria for acute renal injury (ARI), acute renal failure syndrome (ARFS) and severe acute renal failure syndrome (SARFS) and to evaluate the significance of other prognostic factors.
Retrospective analysis of the Riyadh ICU Program database of patients admitted to 22 ICUs in UK and Germany between 1989 and 1998.
Included in the study were 41,972 patients, of whom 7,522 (17.9%) had ARI, 2,641 (6.3%) had ARFS and 1,747 (4.2%) had SARFS.
Patients with ARI, ARFS or SARFS had a hospital mortality of 29.5%, 49.2% or 63.0%, respectively, compared to 10.3% among patients without acute renal failure. In the presence of contemporaneous failure of any other organs on the day of acute renal failure, hospital mortality increased to 73.3%, 76.2%, 72.1% and 18%, respectively. Multivariate analysis showed that non-surgical admission, need for emergency surgery, development of acute renal failure during stay in ICU, need for mechanical ventilation and the number of other failed organ systems had a greater impact on prognosis than the need for renal replacement therapy.
The proposed criteria for ARI, ARFS and SARFS correlated with mortality, but other factors had a greater impact on prognosis. Renal replacement therapy did not increase the risk of hospital mortality among patients with acute renal failure.</abstract><cop>Heidelberg</cop><cop>Berlin</cop><pub>Springer</pub><pmid>15678317</pmid><doi>10.1007/s00134-004-2523-y</doi><tpages>7</tpages></addata></record> |
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| identifier | ISSN: 0342-4642 |
| ispartof | Intensive care medicine, 2005-02, Vol.31 (2), p.250-256 |
| issn | 0342-4642 1432-1238 |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Acute Kidney Injury - mortality Acute Kidney Injury - therapy Aged Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy APACHE Biological and medical sciences Cardiology. Vascular system Care and treatment Case studies Coronary heart disease Emergency and intensive respiratory care Female Germany - epidemiology Heart Hospital Mortality Humans Intensive care medicine Kidney failure Logistic Models Male Medical sciences Middle Aged Prognosis Renal Replacement Therapy Retrospective Studies ROC Curve Statistics United Kingdom - epidemiology |
| title | Prognosis of acute renal failure: an evaluation of proposed consensus criteria |
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