Abstract
Original language | English |
---|---|
Pages (from-to) | 781-5 |
Number of pages | 5 |
Journal | QJM |
Volume | 90 |
Issue number | 12 |
Publication status | Published - 1 Dec 1997 |
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Keywords
- Adolescent
- Adult
- Age Factors
- Aged
- Aged, 80 and over
- Child
- Child, Preschool
- Comorbidity
- Creatinine
- Female
- Humans
- Infant
- Kidney Failure, Acute
- Male
- Middle Aged
- Referral and Consultation
- Renal Dialysis
- Risk Factors
- Treatment Outcome
Cite this
Acute renal failure: factors influencing nephrology referral and outcome. / Khan, I H; Catto, G R; Edward, N; Macleod, A M.
In: QJM, Vol. 90, No. 12, 01.12.1997, p. 781-5.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Acute renal failure: factors influencing nephrology referral and outcome
AU - Khan, I H
AU - Catto, G R
AU - Edward, N
AU - Macleod, A M
PY - 1997/12/1
Y1 - 1997/12/1
N2 - We investigated the incidence, factors affecting referral and outcome of acute renal failure (ARF), in an unselected (predominantly Caucasian) population in the Grampian region of Scotland served by a single renal unit. Case-notes were examined for all patients with a serum creatinine > or = 300 mumol/l. ARF (311 patients) was defined as a temporary rise in serum creatinine > or = 300 mumol/l, or, if the patient died during the acute illness, clinical features indicating acute deterioration of previously normal renal function. Advanced ARF at presentation (51 of the 311 with ARF) was defined as a first recorded serum creatinine > or = 500 mumol/l. Patients were classified into low-, medium-, and high-risk groups according to presence of comorbidity and age. The annual incidence of ARF was 620/million population (pmp), that of advanced ARF 102 pmp. The age-related incidence of ARF ranged from 30 pmp in the age group (0-19 years) to 4266 pmp in the age group > 80 years. Overall, 22% were referred to a nephrologist (34% after excluding those with advanced cancer and age > 80 years). Referral of patients decreased from 100% in the age group 0-19 to 5% in those > 80 years. Referrals in the low-, medium- and high-risk groups were 75%, 30% and 14%, respectively. Patient survival at 2 years was 80%, 42% and 19% for low-, medium-, and high-risk groups, respectively (86%, 44% and 32% for referred patients). Referral and outcome in patients with ARF were significantly influenced by age and presence of comorbidity at presentation.
AB - We investigated the incidence, factors affecting referral and outcome of acute renal failure (ARF), in an unselected (predominantly Caucasian) population in the Grampian region of Scotland served by a single renal unit. Case-notes were examined for all patients with a serum creatinine > or = 300 mumol/l. ARF (311 patients) was defined as a temporary rise in serum creatinine > or = 300 mumol/l, or, if the patient died during the acute illness, clinical features indicating acute deterioration of previously normal renal function. Advanced ARF at presentation (51 of the 311 with ARF) was defined as a first recorded serum creatinine > or = 500 mumol/l. Patients were classified into low-, medium-, and high-risk groups according to presence of comorbidity and age. The annual incidence of ARF was 620/million population (pmp), that of advanced ARF 102 pmp. The age-related incidence of ARF ranged from 30 pmp in the age group (0-19 years) to 4266 pmp in the age group > 80 years. Overall, 22% were referred to a nephrologist (34% after excluding those with advanced cancer and age > 80 years). Referral of patients decreased from 100% in the age group 0-19 to 5% in those > 80 years. Referrals in the low-, medium- and high-risk groups were 75%, 30% and 14%, respectively. Patient survival at 2 years was 80%, 42% and 19% for low-, medium-, and high-risk groups, respectively (86%, 44% and 32% for referred patients). Referral and outcome in patients with ARF were significantly influenced by age and presence of comorbidity at presentation.
KW - Adolescent
KW - Adult
KW - Age Factors
KW - Aged
KW - Aged, 80 and over
KW - Child
KW - Child, Preschool
KW - Comorbidity
KW - Creatinine
KW - Female
KW - Humans
KW - Infant
KW - Kidney Failure, Acute
KW - Male
KW - Middle Aged
KW - Referral and Consultation
KW - Renal Dialysis
KW - Risk Factors
KW - Treatment Outcome
M3 - Article
VL - 90
SP - 781
EP - 785
JO - QJM
JF - QJM
SN - 1460-2725
IS - 12
ER -