https://scholars.lib.ntu.edu.tw/handle/123456789/566222
標題: | Twelve years experience of acute renal failure in taiwan | 作者: | KUAN-YU HUNG Shyu R.-S. Chen Wan Yu |
公開日期: | 1997 | 出版社: | Blackwell Publishing | 卷: | 3 | 期: | 5 | 起(迄)頁: | 373-376 | 來源出版物: | Nephrology | 摘要: | A retrospective analysis of the records of 287 patients diagnosed with acute renal failure (ARF) who were admitted between 1 January 1983 and 30 November 1994 to the emergency Service Department of the National Taiwan University Hospital, Taiwan was conducted. A total of 176 men (61.3%) and 111 women (38.7%) were surveyed. The classification of ARF by year revealed a progressive increase in case numbers. The majority (57.5%) of the patients were elderly, particularly in the years 1987-88 and 1993-94, the differences (aged compared with the young) being statistically significant. There were 176 patients (61.3%) in the pre-renal group (with evident intravascular volume depletion, haemodynamic instability or sepsis, with a urine excretion of sodium (FE(Na)<1%), 43 (15%) in the renal group (urine analysis revealing proteinuria, granular casts or/and tubular epithelial casts and without response to treatment of volume repletion), and 27 (9.4%) in the postrenal group (diagnosed when there were supporting image studies). Overall mortality was 63% and the pre-renal ARF patients had the poorest survival rate (25.6%). The classification of mortality rates by diagnostic category and year revealed a persistently high mortality rate. We conclude that: there are increasing patients with ARF each year; aged patients comprise the majority of cases; and the mortality rate remains high because of the high mortality rate of the pre-renal group, which was due to the presence of complicating underlying diseases and concomitant organ failure. The effects of having an ageing population were also apparent. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-0030759157&doi=10.1111%2fj.1440-1797.1997.tb00257.x&partnerID=40&md5=883d0378c05d4d79d6adfaddab24ff67 https://scholars.lib.ntu.edu.tw/handle/123456789/566222 |
ISSN: | 1320-5358 | DOI: | 10.1111/j.1440-1797.1997.tb00257.x | SDG/關鍵字: | acute kidney failure; adult; aged; article; disease classification; human; major clinical study; mortality; priority journal; proteinuria; retrospective study; survival; Taiwan; urinalysis |
顯示於: | 醫學院附設醫院 (臺大醫院) |
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