Acute renal failure in renal allograft recipients and patients with native kidneys
Autor(a) principal: | |
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Data de Publicação: | 1997 |
Outros Autores: | , , , , , , , |
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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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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1808128217103466496 |