insuffisance renale aigue isolee n'est pas associee a une surmortalite chez les malades de reanimation

ABSTRACT

This study assess the prognostic factors increasing mortality of patients with acute renal failure in intensive care units. The study included 923 patients admitted to the intensive care unite over a period of tow years. Acute renal failure was defined by the following criteria, a blood urea concentration of more than 30 mmol/l, a serum creatinine concentration of more than 180 micro mol/l or creatinine clearance less than 50 ml/min. patients were divided into two groups survivors [v] and dead patients [D]. 95 patients presented acute renal failure with a mortality rate of 57.9%. There was no difference between the two groups. There was no difference between the two groups. Patients in intensive care units with only acute renal failure doesn't have a worse prognosis, but the association to two or more other organ dysfunction's, mechanical ventilation of more that 12 days, sepsis or Glasgow coma scale less than 8 are predictive of mortality