Mortalidade e prognóstico específico em pacientes com insuficiência renal aguda
Autor(a) principal: | |
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Data de Publicação: | 2005 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1590/S0104-42302005000600014 http://hdl.handle.net/11449/68474 |
Resumo: | A variety of systems of risk factor stratification have been studied to predict the outcome in acute renal failure (ARF). OBJECTIVES. Assess and compare mortality and the Acute Tubular Necrosis Individual Severity Score (ATN-ISS) in patients with AFR treated in a university hospital. METHODS. A prospective analysis was made of 103 patients with a diagnosis of intrinsic ARF admitted to the Hospital das Clinicas da Faculdade de Medicina de Botucatu, UNESP. Patients were followed up until recovery of renal function or death. The Score ATN-ISS was recorded during the first hours of the assessment by a nephrologist. Results were reported as median or mean ± SD, with statistical significance of p<0.05. RESULTS. Fifty-one percent of patients were male with a mean age of 58 ± 36 years. Forty-four percent died in the hospital. Mortality was higher in patients from the surgical wards (52.7%) and in patients who were treated with dialysis (63.8%). The score ATN-ISS showed a good confidence level, with high discriminatory power (area under the curve of 0.95) and good accuracy. CONCLUSIONS. Mortality in this study was comparable to that found in literature. The ATN-ISS was shown to be a prognostic index with a high confidence level that could be routinely applied by nephrologists to patients with AFR. |
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Mortalidade e prognóstico específico em pacientes com insuficiência renal agudaAssessment of mortality and specific index in acute renal failureAcute renal failureDialysisMortalityPrognostic indexRisk factorsacute kidney failureadolescentadultBrazilchildcomparative studyepidemiologyfemalehealth surveyhumanmalemiddle agedmortalityprognosissex differenceAdolescentAdultChildEpidemiologic MethodsFemaleHealth Status IndicatorsHumansKidney Failure, AcuteMaleMiddle AgedPrognosisSex FactorsA variety of systems of risk factor stratification have been studied to predict the outcome in acute renal failure (ARF). OBJECTIVES. Assess and compare mortality and the Acute Tubular Necrosis Individual Severity Score (ATN-ISS) in patients with AFR treated in a university hospital. METHODS. A prospective analysis was made of 103 patients with a diagnosis of intrinsic ARF admitted to the Hospital das Clinicas da Faculdade de Medicina de Botucatu, UNESP. Patients were followed up until recovery of renal function or death. The Score ATN-ISS was recorded during the first hours of the assessment by a nephrologist. Results were reported as median or mean ± SD, with statistical significance of p<0.05. RESULTS. Fifty-one percent of patients were male with a mean age of 58 ± 36 years. Forty-four percent died in the hospital. Mortality was higher in patients from the surgical wards (52.7%) and in patients who were treated with dialysis (63.8%). The score ATN-ISS showed a good confidence level, with high discriminatory power (area under the curve of 0.95) and good accuracy. CONCLUSIONS. Mortality in this study was comparable to that found in literature. The ATN-ISS was shown to be a prognostic index with a high confidence level that could be routinely applied by nephrologists to patients with AFR.Departamento de Clínica Médica Universidade Estadual Paulista - UNESP, Botucatu, SPDepto de Clínica Médica, Caixa Postal 584, Rubiao Junior, Botucatu, SP, Cep:18618-970Departamento de Clínica Médica Universidade Estadual Paulista - UNESP, Botucatu, SPUniversidade Estadual Paulista (Unesp)Depto de Clínica MédicaBalbi, André Luis [UNESP]Gabriel, Daniela Ponce [UNESP]Barsante, Renata Cristina [UNESP]Caramori, Jacqueline Socorro Costa Teixeira [UNESP]Martin, Luis Cuadrado [UNESP]Barretti, Pasqual [UNESP]2014-05-27T11:21:40Z2014-05-27T11:21:40Z2005-11-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article318-322application/pdfhttp://dx.doi.org/10.1590/S0104-42302005000600014Revista da Associacao Medica Brasileira, v. 51, n. 6, p. 318-322, 2005.0104-4230http://hdl.handle.net/11449/6847410.1590/S0104-42302005000600014S0104-423020050006000142-s2.0-337452833912-s2.0-33745283391.pdf5697804493071661549641198389347949232031684466150000-0003-4979-4836Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPporRevista da Associação Médica Brasileira0.7360,265info:eu-repo/semantics/openAccess2024-08-14T17:22:36Zoai:repositorio.unesp.br:11449/68474Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-14T17:22:36Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
Mortalidade e prognóstico específico em pacientes com insuficiência renal aguda Assessment of mortality and specific index in acute renal failure |
title |
Mortalidade e prognóstico específico em pacientes com insuficiência renal aguda |
spellingShingle |
Mortalidade e prognóstico específico em pacientes com insuficiência renal aguda Balbi, André Luis [UNESP] Acute renal failure Dialysis Mortality Prognostic index Risk factors acute kidney failure adolescent adult Brazil child comparative study epidemiology female health survey human male middle aged mortality prognosis sex difference Adolescent Adult Child Epidemiologic Methods Female Health Status Indicators Humans Kidney Failure, Acute Male Middle Aged Prognosis Sex Factors |
title_short |
Mortalidade e prognóstico específico em pacientes com insuficiência renal aguda |
title_full |
Mortalidade e prognóstico específico em pacientes com insuficiência renal aguda |
title_fullStr |
Mortalidade e prognóstico específico em pacientes com insuficiência renal aguda |
title_full_unstemmed |
Mortalidade e prognóstico específico em pacientes com insuficiência renal aguda |
title_sort |
Mortalidade e prognóstico específico em pacientes com insuficiência renal aguda |
author |
Balbi, André Luis [UNESP] |
author_facet |
Balbi, André Luis [UNESP] Gabriel, Daniela Ponce [UNESP] Barsante, Renata Cristina [UNESP] Caramori, Jacqueline Socorro Costa Teixeira [UNESP] Martin, Luis Cuadrado [UNESP] Barretti, Pasqual [UNESP] |
author_role |
author |
author2 |
Gabriel, Daniela Ponce [UNESP] Barsante, Renata Cristina [UNESP] Caramori, Jacqueline Socorro Costa Teixeira [UNESP] Martin, Luis Cuadrado [UNESP] Barretti, Pasqual [UNESP] |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (Unesp) Depto de Clínica Médica |
dc.contributor.author.fl_str_mv |
Balbi, André Luis [UNESP] Gabriel, Daniela Ponce [UNESP] Barsante, Renata Cristina [UNESP] Caramori, Jacqueline Socorro Costa Teixeira [UNESP] Martin, Luis Cuadrado [UNESP] Barretti, Pasqual [UNESP] |
dc.subject.por.fl_str_mv |
Acute renal failure Dialysis Mortality Prognostic index Risk factors acute kidney failure adolescent adult Brazil child comparative study epidemiology female health survey human male middle aged mortality prognosis sex difference Adolescent Adult Child Epidemiologic Methods Female Health Status Indicators Humans Kidney Failure, Acute Male Middle Aged Prognosis Sex Factors |
topic |
Acute renal failure Dialysis Mortality Prognostic index Risk factors acute kidney failure adolescent adult Brazil child comparative study epidemiology female health survey human male middle aged mortality prognosis sex difference Adolescent Adult Child Epidemiologic Methods Female Health Status Indicators Humans Kidney Failure, Acute Male Middle Aged Prognosis Sex Factors |
description |
A variety of systems of risk factor stratification have been studied to predict the outcome in acute renal failure (ARF). OBJECTIVES. Assess and compare mortality and the Acute Tubular Necrosis Individual Severity Score (ATN-ISS) in patients with AFR treated in a university hospital. METHODS. A prospective analysis was made of 103 patients with a diagnosis of intrinsic ARF admitted to the Hospital das Clinicas da Faculdade de Medicina de Botucatu, UNESP. Patients were followed up until recovery of renal function or death. The Score ATN-ISS was recorded during the first hours of the assessment by a nephrologist. Results were reported as median or mean ± SD, with statistical significance of p<0.05. RESULTS. Fifty-one percent of patients were male with a mean age of 58 ± 36 years. Forty-four percent died in the hospital. Mortality was higher in patients from the surgical wards (52.7%) and in patients who were treated with dialysis (63.8%). The score ATN-ISS showed a good confidence level, with high discriminatory power (area under the curve of 0.95) and good accuracy. CONCLUSIONS. Mortality in this study was comparable to that found in literature. The ATN-ISS was shown to be a prognostic index with a high confidence level that could be routinely applied by nephrologists to patients with AFR. |
publishDate |
2005 |
dc.date.none.fl_str_mv |
2005-11-01 2014-05-27T11:21:40Z 2014-05-27T11:21:40Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1590/S0104-42302005000600014 Revista da Associacao Medica Brasileira, v. 51, n. 6, p. 318-322, 2005. 0104-4230 http://hdl.handle.net/11449/68474 10.1590/S0104-42302005000600014 S0104-42302005000600014 2-s2.0-33745283391 2-s2.0-33745283391.pdf 5697804493071661 5496411983893479 4923203168446615 0000-0003-4979-4836 |
url |
http://dx.doi.org/10.1590/S0104-42302005000600014 http://hdl.handle.net/11449/68474 |
identifier_str_mv |
Revista da Associacao Medica Brasileira, v. 51, n. 6, p. 318-322, 2005. 0104-4230 10.1590/S0104-42302005000600014 S0104-42302005000600014 2-s2.0-33745283391 2-s2.0-33745283391.pdf 5697804493071661 5496411983893479 4923203168446615 0000-0003-4979-4836 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
Revista da Associação Médica Brasileira 0.736 0,265 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
318-322 application/pdf |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
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1808128128804978688 |