tailieunhanh - Báo cáo y học: "Patients with ischaemic, mixed and nephrotoxic acute tubular necrosis in the intensive care unit – a homogeneous population"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care cung cấp cho các bạn kiến thức về ngành y đề tài: Patients with ischaemic, mixed and nephrotoxic acute tubular necrosis in the intensive care unit – a homogeneous population? | Available online http content 10 2 R68 Research Patients with ischaemic mixed and nephrotoxic acute tubular necrosis in the intensive care unit - a homogeneous population Wilson JQ Santos1 Dirce MT Zanetta2 Antonio C Pires3 Suzana MA Lobo1 Emerson Q Lima4 and Emmanuel A Burdmann4 Open Access intensive Care Unit Hospital de Base São José do Rio Preto Medical School São Paulo Brazil 2Epidemiology Division São José do Rio Preto Medical School São Paulo Brazil 3Endocrinology Division São José do Rio Preto Medical School São Paulo Brazil 4Nephrology Division São Jose do Rio Preto Medical School São Paulo Brazil Corresponding author Emmanuel A Burdmann burdmann@ Received 29 Dec 2005 Revisions requested 2 Feb 2006 Revisions received 18 Feb 2006 Accepted 23 Mar 2006 Published 28 Apr 2006 Critical Care 2006 10 R68 doi cc4904 This article is online at http content 10 2 R68 2006 Santos et al. licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Acute tubular necrosis ATN is usually studied as a single entity without distinguishing between ischaemic nephrotoxic and mixed aetiologies. In the present study we evaluated the characteristics and outcomes of patients with ATN by aetiological group. Method We conducted a retrospective comparison of clinical features mortality rates and risk factors for mortality for the three types of ATN in patients admitted to the general intensive care unit of a university hospital between 1997 and 2000. Results Of 593 patients with acute renal failure 524 88 were classified as having ATN. Their mean age was 58 years 68 were male and 52 were surgical patients. The overall mortality rate was 62 . A total of 265 patients 51 had ischaemic ATN 201 38 .

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