Implementation of RIFLE criteria and assessment of factors that affect the prognosis in patients with acute renal failure in intensive care
Objective: Acute renal failure (ARF) was seen in 5-20%of patients in intensive care unit (ICU). The disturbancesof metabolic and hormonal functions contribute to increasethe rate of mortality and morbidity in the patientswhose have ARF. In our study, firstly we separated thepatients, have ARF, into...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Dicle University Medical School
2013-12-01
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| Series: | Dicle Medical Journal |
| Subjects: | |
| Online Access: | http://www.diclemedj.org/upload/sayi/29/Dicle%20Med%20J-01762.pdf |
| Summary: | Objective: Acute renal failure (ARF) was seen in 5-20%of patients in intensive care unit (ICU). The disturbancesof metabolic and hormonal functions contribute to increasethe rate of mortality and morbidity in the patientswhose have ARF. In our study, firstly we separated thepatients, have ARF, into the groups as RIFLE classificationafter that we compared the collected data from clinicand laboratory, at the same time we evaluated the factorsmay effects the prognosis of patients.Methods: The fifty patients that have ARF in the intensivecare unit of Başkent Universty Hospital were included.The patients divided into three groups, which are calledrisk, injury and failure according to RIFLE classification.The grouped patients are compared as laboratory andclinical features. We planned that divide the patients intotwo groups as died and alive according to prospective followup, when we put diagnosis, we record the vital signsand laboratory values.Results: There is a considerable difference as statisticalbetween RIFLE groups about insulin resistance (HOMAIR).(p =0,034, p =0,004). When we compare the patientwhether they needs hemodialysis or not, during the patientbeing at intensive care unit, and mortality rate, wesaw considerable difference as statistical (p =0,017, p=0,010, p =0,001). Glucose, insulin level, and HOMA-IRobserved meaningful as statistical in the exitus groups. (p=0,040, p=0.048, p =0,001).Conclusion: We think that the close monitoring of bloodglucose and the controlled insulin treatment may be beneficialby taking into consideration of high mortality rate inthe patient with ARF accompanying hyperglycemia andinsulin resistance.Key words: ARF, RIFLE classification, hyperglycemia,prognosis |
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| ISSN: | 1300-2945 1308-9889 |