Acute renal failure in renal allograft recipients and patients with native kidneys

Detalhes bibliográficos
Autor(a) principal: Carvalho, Maria Fernanda Cordeiro [UNESP]
Data de Publicação: 1997
Outros Autores: Barretti, Pasqual [UNESP], Inuzuka, Luciana Midori [UNESP], Sueto, Milena [UNESP], Nishimura, Marcia Regina [UNESP], Caramori, Jaqueline Costa Teixeira [UNESP], Balbi, André Luis [UNESP], Corrêa, Luiz Antonio [UNESP], Soares, Vitor Augusto [UNESP]
Tipo de documento: Artigo de conferência
Idioma: eng
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.3109/08860229709026286
http://hdl.handle.net/11449/65089
Resumo: In order to evaluate the role of underlying disease in the high mortality observed in acute renal failure (ARF) and risk factors related to the development of oliguric ARF in renal allograft recipients, two groups were selected: 34 patients with native kidneys, aged 16 and 57 years, and presenting ischemic ARF caused by cardiovascular collapse, with no signs of infection at the time of diagnosis; and 34 renal allograft recipients who developed ARF immediately after transplantation, without rejection. ARF was defined either as 30% increase of basal plasmatic creatinine in patients with native kidneys or non-normalization of plasmatic creatinine at day 5 after transplantation in renal allograft recipients; oliguria as diuresis ≤ 400 mL/24 h. There were no differences in age, male frequency, oliguria presence and duration, need for dialysis, and infection episodes for renal allograft recipients and patients with native kidneys. The development of sepsis (3% and 41%) and death rate (3% and 44%) were higher in patients with native kidneys (p < 0.01). The renal allograft recipients with both oliguric (n = 18) and nonoliguric (n = 16) ARF were evaluated and no difference was observed in the recipient's age, donor's age, cold ischemia time, time elapsed until plasmatic creatinine normalization, donor's plasmatic creatinine or urea, and mean arterial pressure. No differences were observed between the groups regarding frequency of infection episodes during ARF and frequency of death. In conclusion, renal allograft recipients presented a lower death rate and were less susceptible to sepsis. Cold ischemia time, age, and hemodynamic characteristics of the donor did not affect the development of oliguria.
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spelling Acute renal failure in renal allograft recipients and patients with native kidneyscreatinineacute kidney failureadolescentadultconference papercontrolled studydialysisfemalehumankidney allograftkidney ischemiakidney transplantationmajor clinical studymalemortalityoliguriapriority journalrecipientsepsisAdolescentAdultAge DistributionBrazilEvaluation StudiesFemaleGraft RejectionHumansIncidenceKidney Failure, AcuteKidney TransplantationMaleMiddle AgedRisk FactorsSex DistributionSurvival RateIn order to evaluate the role of underlying disease in the high mortality observed in acute renal failure (ARF) and risk factors related to the development of oliguric ARF in renal allograft recipients, two groups were selected: 34 patients with native kidneys, aged 16 and 57 years, and presenting ischemic ARF caused by cardiovascular collapse, with no signs of infection at the time of diagnosis; and 34 renal allograft recipients who developed ARF immediately after transplantation, without rejection. ARF was defined either as 30% increase of basal plasmatic creatinine in patients with native kidneys or non-normalization of plasmatic creatinine at day 5 after transplantation in renal allograft recipients; oliguria as diuresis ≤ 400 mL/24 h. There were no differences in age, male frequency, oliguria presence and duration, need for dialysis, and infection episodes for renal allograft recipients and patients with native kidneys. The development of sepsis (3% and 41%) and death rate (3% and 44%) were higher in patients with native kidneys (p < 0.01). The renal allograft recipients with both oliguric (n = 18) and nonoliguric (n = 16) ARF were evaluated and no difference was observed in the recipient's age, donor's age, cold ischemia time, time elapsed until plasmatic creatinine normalization, donor's plasmatic creatinine or urea, and mean arterial pressure. No differences were observed between the groups regarding frequency of infection episodes during ARF and frequency of death. In conclusion, renal allograft recipients presented a lower death rate and were less susceptible to sepsis. Cold ischemia time, age, and hemodynamic characteristics of the donor did not affect the development of oliguria.Department of Internal Medicine Botucatu Medical School, São PauloDepartment of Internal Medicine Botucatu Medical School, PO Box 584, 18618-970, São PauloDepartment of Internal Medicine Botucatu Medical School, São PauloDepartment of Internal Medicine Botucatu Medical School, PO Box 584, 18618-970, São PauloUniversidade Estadual Paulista (Unesp)Carvalho, Maria Fernanda Cordeiro [UNESP]Barretti, Pasqual [UNESP]Inuzuka, Luciana Midori [UNESP]Sueto, Milena [UNESP]Nishimura, Marcia Regina [UNESP]Caramori, Jaqueline Costa Teixeira [UNESP]Balbi, André Luis [UNESP]Corrêa, Luiz Antonio [UNESP]Soares, Vitor Augusto [UNESP]2014-05-27T11:18:13Z2014-05-27T11:18:13Z1997-04-15info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/conferenceObject259-265http://dx.doi.org/10.3109/08860229709026286Renal Failure, v. 19, n. 2, p. 259-265, 1997.0886-022Xhttp://hdl.handle.net/11449/6508910.3109/088602297090262862-s2.0-0030909487549641198389347956978044930716610000-0003-4979-4836Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengRenal Failure1.440info:eu-repo/semantics/openAccess2024-08-14T17:37:47Zoai:repositorio.unesp.br:11449/65089Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-14T17:37:47Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Acute renal failure in renal allograft recipients and patients with native kidneys
title Acute renal failure in renal allograft recipients and patients with native kidneys
spellingShingle Acute renal failure in renal allograft recipients and patients with native kidneys
Carvalho, Maria Fernanda Cordeiro [UNESP]
creatinine
acute kidney failure
adolescent
adult
conference paper
controlled study
dialysis
female
human
kidney allograft
kidney ischemia
kidney transplantation
major clinical study
male
mortality
oliguria
priority journal
recipient
sepsis
Adolescent
Adult
Age Distribution
Brazil
Evaluation Studies
Female
Graft Rejection
Humans
Incidence
Kidney Failure, Acute
Kidney Transplantation
Male
Middle Aged
Risk Factors
Sex Distribution
Survival Rate
title_short Acute renal failure in renal allograft recipients and patients with native kidneys
title_full Acute renal failure in renal allograft recipients and patients with native kidneys
title_fullStr Acute renal failure in renal allograft recipients and patients with native kidneys
title_full_unstemmed Acute renal failure in renal allograft recipients and patients with native kidneys
title_sort Acute renal failure in renal allograft recipients and patients with native kidneys
author Carvalho, Maria Fernanda Cordeiro [UNESP]
author_facet Carvalho, Maria Fernanda Cordeiro [UNESP]
Barretti, Pasqual [UNESP]
Inuzuka, Luciana Midori [UNESP]
Sueto, Milena [UNESP]
Nishimura, Marcia Regina [UNESP]
Caramori, Jaqueline Costa Teixeira [UNESP]
Balbi, André Luis [UNESP]
Corrêa, Luiz Antonio [UNESP]
Soares, Vitor Augusto [UNESP]
author_role author
author2 Barretti, Pasqual [UNESP]
Inuzuka, Luciana Midori [UNESP]
Sueto, Milena [UNESP]
Nishimura, Marcia Regina [UNESP]
Caramori, Jaqueline Costa Teixeira [UNESP]
Balbi, André Luis [UNESP]
Corrêa, Luiz Antonio [UNESP]
Soares, Vitor Augusto [UNESP]
author2_role author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade Estadual Paulista (Unesp)
dc.contributor.author.fl_str_mv Carvalho, Maria Fernanda Cordeiro [UNESP]
Barretti, Pasqual [UNESP]
Inuzuka, Luciana Midori [UNESP]
Sueto, Milena [UNESP]
Nishimura, Marcia Regina [UNESP]
Caramori, Jaqueline Costa Teixeira [UNESP]
Balbi, André Luis [UNESP]
Corrêa, Luiz Antonio [UNESP]
Soares, Vitor Augusto [UNESP]
dc.subject.por.fl_str_mv creatinine
acute kidney failure
adolescent
adult
conference paper
controlled study
dialysis
female
human
kidney allograft
kidney ischemia
kidney transplantation
major clinical study
male
mortality
oliguria
priority journal
recipient
sepsis
Adolescent
Adult
Age Distribution
Brazil
Evaluation Studies
Female
Graft Rejection
Humans
Incidence
Kidney Failure, Acute
Kidney Transplantation
Male
Middle Aged
Risk Factors
Sex Distribution
Survival Rate
topic creatinine
acute kidney failure
adolescent
adult
conference paper
controlled study
dialysis
female
human
kidney allograft
kidney ischemia
kidney transplantation
major clinical study
male
mortality
oliguria
priority journal
recipient
sepsis
Adolescent
Adult
Age Distribution
Brazil
Evaluation Studies
Female
Graft Rejection
Humans
Incidence
Kidney Failure, Acute
Kidney Transplantation
Male
Middle Aged
Risk Factors
Sex Distribution
Survival Rate
description In order to evaluate the role of underlying disease in the high mortality observed in acute renal failure (ARF) and risk factors related to the development of oliguric ARF in renal allograft recipients, two groups were selected: 34 patients with native kidneys, aged 16 and 57 years, and presenting ischemic ARF caused by cardiovascular collapse, with no signs of infection at the time of diagnosis; and 34 renal allograft recipients who developed ARF immediately after transplantation, without rejection. ARF was defined either as 30% increase of basal plasmatic creatinine in patients with native kidneys or non-normalization of plasmatic creatinine at day 5 after transplantation in renal allograft recipients; oliguria as diuresis ≤ 400 mL/24 h. There were no differences in age, male frequency, oliguria presence and duration, need for dialysis, and infection episodes for renal allograft recipients and patients with native kidneys. The development of sepsis (3% and 41%) and death rate (3% and 44%) were higher in patients with native kidneys (p < 0.01). The renal allograft recipients with both oliguric (n = 18) and nonoliguric (n = 16) ARF were evaluated and no difference was observed in the recipient's age, donor's age, cold ischemia time, time elapsed until plasmatic creatinine normalization, donor's plasmatic creatinine or urea, and mean arterial pressure. No differences were observed between the groups regarding frequency of infection episodes during ARF and frequency of death. In conclusion, renal allograft recipients presented a lower death rate and were less susceptible to sepsis. Cold ischemia time, age, and hemodynamic characteristics of the donor did not affect the development of oliguria.
publishDate 1997
dc.date.none.fl_str_mv 1997-04-15
2014-05-27T11:18:13Z
2014-05-27T11:18:13Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/conferenceObject
format conferenceObject
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.3109/08860229709026286
Renal Failure, v. 19, n. 2, p. 259-265, 1997.
0886-022X
http://hdl.handle.net/11449/65089
10.3109/08860229709026286
2-s2.0-0030909487
5496411983893479
5697804493071661
0000-0003-4979-4836
url http://dx.doi.org/10.3109/08860229709026286
http://hdl.handle.net/11449/65089
identifier_str_mv Renal Failure, v. 19, n. 2, p. 259-265, 1997.
0886-022X
10.3109/08860229709026286
2-s2.0-0030909487
5496411983893479
5697804493071661
0000-0003-4979-4836
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Renal Failure
1.440
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 259-265
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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