Clinical Outcomes of Acute Renal Failure in Children

Aim: The aim of this study was to investigate the etiological factors, clinical progression and management of acute renal failure (ARF) in hospitalized children. Materials and Method: Medical records of 63 patients aged between 1 month and 18 years who were hospitalized at Uludag University, Depart...

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Main Authors: Osman Dönmez, Oğuzhan Durmaz
Format: Article
Language:English
Published: Galenos Publishing House 2009-09-01
Series:Güncel Pediatri
Subjects:
Online Access:http://www.guncelpediatri.com/yazilar.asp?yaziid=893&sayiid=
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author Osman Dönmez
Oğuzhan Durmaz
author_facet Osman Dönmez
Oğuzhan Durmaz
author_sort Osman Dönmez
collection DOAJ
description Aim: The aim of this study was to investigate the etiological factors, clinical progression and management of acute renal failure (ARF) in hospitalized children. Materials and Method: Medical records of 63 patients aged between 1 month and 18 years who were hospitalized at Uludag University, Department of Pediatrics or at various intensive care departments of the faculty and diagnosed with ARF between January 2005 and August 2006 were retrospectively analyzed. Results: Forty two of study patients were male and 21 were female. Mean age was 5.4±5.3 years. ARF was found in 4.9% of all hospitalized patients. Sepsis was the most frequent etiological factor with a ratio of 23.8%; which was followed by gastroenteritis (19.1%), tumor lysis syndrome (17.4%) and cardiac surgery (15.9%). Oliguria, sepsis, hyperkalemia, acidosis and dialysis were found to be associated with increased mortality (p<0.05). The mortality rate in the study population was 49.2%.Conclusion: Dialysis and mechanical ventilation was found to be associated with a poor outcome in our patients. (Journal of Current Pediatrics 2009; 7: 57-61)
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spelling doaj-art-2d4d6a66c2ca4475be8e2cb2a32cf52b2025-01-02T03:26:44ZengGalenos Publishing HouseGüncel Pediatri1304-90542009-09-01725761Clinical Outcomes of Acute Renal Failure in ChildrenOsman DönmezOğuzhan DurmazAim: The aim of this study was to investigate the etiological factors, clinical progression and management of acute renal failure (ARF) in hospitalized children. Materials and Method: Medical records of 63 patients aged between 1 month and 18 years who were hospitalized at Uludag University, Department of Pediatrics or at various intensive care departments of the faculty and diagnosed with ARF between January 2005 and August 2006 were retrospectively analyzed. Results: Forty two of study patients were male and 21 were female. Mean age was 5.4±5.3 years. ARF was found in 4.9% of all hospitalized patients. Sepsis was the most frequent etiological factor with a ratio of 23.8%; which was followed by gastroenteritis (19.1%), tumor lysis syndrome (17.4%) and cardiac surgery (15.9%). Oliguria, sepsis, hyperkalemia, acidosis and dialysis were found to be associated with increased mortality (p<0.05). The mortality rate in the study population was 49.2%.Conclusion: Dialysis and mechanical ventilation was found to be associated with a poor outcome in our patients. (Journal of Current Pediatrics 2009; 7: 57-61)http://www.guncelpediatri.com/yazilar.asp?yaziid=893&sayiid=Acute renal failurechildrendialysisprognosis
spellingShingle Osman Dönmez
Oğuzhan Durmaz
Clinical Outcomes of Acute Renal Failure in Children
Güncel Pediatri
Acute renal failure
children
dialysis
prognosis
title Clinical Outcomes of Acute Renal Failure in Children
title_full Clinical Outcomes of Acute Renal Failure in Children
title_fullStr Clinical Outcomes of Acute Renal Failure in Children
title_full_unstemmed Clinical Outcomes of Acute Renal Failure in Children
title_short Clinical Outcomes of Acute Renal Failure in Children
title_sort clinical outcomes of acute renal failure in children
topic Acute renal failure
children
dialysis
prognosis
url http://www.guncelpediatri.com/yazilar.asp?yaziid=893&sayiid=
work_keys_str_mv AT osmandonmez clinicaloutcomesofacuterenalfailureinchildren
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