Severity Scores and Outcomes with Acute Renal Failure in the ICU Setting

2001 ◽  
pp. 181-195 ◽  
Author(s):  
E.P. Paganini ◽  
B. Larive ◽  
N.S. Kanagasundaram
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Severity Scores

Comparison of 2 Acute Renal Failure Severity Scores to General Scoring Systems in the Critically Ill

2006 ◽  
Vol 48 (2) ◽  
pp. 262-268 ◽  
Author(s):  
Annika Åhlström ◽  
Anne Kuitunen ◽  
Seija Peltonen ◽  
Marja Hynninen ◽  
Minna Tallgren ◽  
...  
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Critically Ill ◽  
Scoring Systems ◽  
Severity Scores ◽  
Failure Severity

Acute Renal Failure: The Tip of the Iceberg?

1985 ◽  
Vol 30 (1) ◽  
pp. 19-22
Author(s):  
D. A. Power ◽  
J. Haughney ◽  
A. J. Nicholls ◽  
S. K. Asfar ◽  
J. Engeset ◽  
...  
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Severe Disease ◽  
Survival Rates ◽  
Disease Process ◽  
Clinical Severity ◽  
Renal Unit ◽  
Severity Scores ◽  
Stage Renal Disease ◽  
End Stage

This study reports the experience, during a six-year period, of the Aberdeen Renal Unit in the treatment of patients with acute renal failure. The combination of a relatively stable population base and a single regional dialysis centre has allowed the incidence of acute renal failure to be assessed. Approximately 30 patients per million population were dialysed annually for acute renal failure; 69 per cent of these patients (20.5 per million population per year) were dialysed for acute reversible intrinsic renal failure (ARIRF) and mortality in this group was 44 per cent. Patients with more severe disease at the time of presentation to the renal unit, as defined by a clinical severity score, had significantly reduced survival rates. However, it was not possible to predict the outcome in individual cases; ten of 24 patients with clinical severity scores which indicated a poor prognosis survived the period of oliguria and were discharged from hospital. The fact that other renal units dialyse fewer patients per million population per year for ARIRF probably reflects a reluctance to refer patients whose general condition appears poor. As the overall mortality rate reported in this study does not differ significantly from rates reported previously from centres treating a smaller proportion of patients, such decisions may not be correct. It is well known that facilities in Britain for treating patients with end-stage renal disease are inadequate; it now appears likely that some patients who might benefit from acute dialysis are being denied treatment for a potentially reversible disease process.

Pathophysiology of acute renal failure

1973 ◽  
Vol 131 (6) ◽  
pp. 911-928 ◽  
Author(s):  
W. Flamenbaum
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure
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