A study of 500 cases of acute renal failure (1978-1991)

Ren Fail. 1994;16(1):91-9. doi: 10.3109/08860229409044850.

Abstract

A retrospective study of 500 consecutive cases of acute renal failure (ARF) in a period covering 1978 through 1991 is presented. A total of 316 females and 182 males with an average age of 46.4 years (14 to 84) had a global survival rate of 68%. Oligoanuric ARF was present in 77% of the patients and, except in 13 cases, all were dialyzed with varied techniques. The treatment plan consisted of early and repetitive dialysis, rational use of antibiotics, and parenteral and/or oral nutritional support. The patients have been divided into three main categories according to etiology: gyneco-obstetric, medical, and postsurgical cases, the latter having the poorest survival rate. With regard to ARF post-septic abortion, we strongly believe that a hysterectomy should not be carried out except in the presence of gangrene or proven uterine perforation, as surgery increases the morbomortality rate in these septic patients.

MeSH terms

  • Abortion, Septic / complications
  • Acute Kidney Injury / epidemiology*
  • Acute Kidney Injury / etiology
  • Acute Kidney Injury / therapy
  • Argentina / epidemiology
  • Female
  • Graft Rejection
  • Humans
  • Kidney Transplantation / adverse effects
  • Male
  • Middle Aged
  • Postoperative Complications / epidemiology
  • Pregnancy
  • Pregnancy Complications / epidemiology
  • Renal Dialysis
  • Retrospective Studies