Assuntos
Transplante de Rim/estatística & dados numéricos , Doadores Vivos/provisão & distribuição , Doadores de Tecidos/provisão & distribuição , Obtenção de Tecidos e Órgãos/organização & administração , Criança , Países em Desenvolvimento , Família , Humanos , Rim , Preservação de Órgãos , FilipinasAssuntos
Ciclosporina/uso terapêutico , Cetoconazol/uso terapêutico , Transplante de Rim/fisiologia , Adulto , Custos e Análise de Custo , Feminino , Humanos , Transplante de Rim/economia , Transplante de Rim/imunologia , Masculino , Filipinas , Estudos Prospectivos , Estudos Retrospectivos , Resultado do TratamentoRESUMO
The records of 110 patients with acute renal failure (ARF) admitted to the Department of Medicine of the Philippine General Hospital during a 5-year period (1983-1988) were reviewed. The objectives were to evaluate the clinical profile of ARF patients and to determine what factors influenced mortality. Infection significantly influenced the causation and prognosis of ARF. Fifteen patients died, for an overall mortality rate of 14%. Forty-six clinical variables were analyzed in order to identify factors correlated with mortality. Four variables significantly increased the risk of death from ARF: older age, hyperkalemia, oliguria, and presence of sepsis on admission. These characteristics define a subset of patients for whom more aggressive treatment of ARF is warranted.
