tailieunhanh - Báo cáo khoa học: " An assessment of the RIFLE criteria for acute renal failure in critically ill HIV-infected patients"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: An assessment of the RIFLE criteria for acute renal failure in critically ill HIV-infected patients. | Available online http content 11 1 401 Letter An assessment of the RIFLE criteria for acute renal failure in critically ill HIV-infected patients José António Lopes1 Joana Fernandes2 Sofia Jorge1 José Neves2 Francisco Antunes2 and Mateus Martins Prata1 1 Department of Nephrology and Renal Transplantation Hospital de Santa Maria Lisbon Portugal 2Department of Infectious Diseases Hospital de Santa Maria Lisbon Portugal Corresponding author José António Lopes jalopes93@ Published 9 January 2007 This article is online at http content 11 1 401 2007 BioMed Central Ltd Critical Care 2007 11 401 doi cc5121 Acute renal failure is common among hospitalized patients with HIV infection particularly in the intensive care unit ICU setting and increases mortality. Recently the Acute Dialysis and Quality Initiative ADQI group 1 formulated a new classification for acute renal failure - the Risk Injury Failure Loss and End-stage kidney disease RIFLE classification -that defines three grades of severity - class R risk class F failure and class I injury - and two outcome classes - loss and end-stage kidney disease. Some studies 2 3 have applied the RIFLE criteria in hospitalized patients particularly in ICU patients but the clinical ability of these criteria to predict outcome of ICU HIV-infected patients has not yet been assessed. We sought to evaluate retrospectively the ability of the RIFLE criteria Table 1 to predict outcome of the HIV-infected patients admitted to the Infectious Diseases ICU of our Hospital Hospital de Santa Maria Lisbon Portugal between January 2002 and June 2006. Chronic kidney disease patients receiving dialysis were excluded from the analysis. Mortality was assessed at day 60 1 . We evaluated 97 HIV-infected patients mean age years 77 male 69 Caucasian . According to RIFLE 46 patients mean age years P not significant 39 male P not significant 28 Caucasian P not significant had some degree of

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