Clinical Outcomes of Acute Renal Failure in Children

Öz

Amaç: Bu çalıflmanın amacı, hastaneye yatırılan çocuklarda akut böbrekyetmezliğinin ABY klinik progresyonu, tedavisini ve etyolojik faktörlerininarafltırılmasıdır. Gereç ve Yöntem: Uludağ Üniversitesi Tıp Fakültesi çocuk yoğun bakım ve hastanenin diğer yoğun bakım ünitelerinde Ocak 2005 ile Ağustos 2006 tarihleri arasındaABY tanısı konmufl 1 ay ile 18 yafl arasında 63 hastanın dosyaları retrospektif olarakincelendi. Bulgular: Çalıflmaya alınan hastaların 42’si erkek, 21’i kız olup, ortalama yafl5,4±5,3 yıl idi. Yoğun bakım ünitesine yatırılan hastaların %4,9’unda ABY saptanmıfltır. ABY’nin etyolojisinde sepsis %23,8 oranı ile en sık etyolojik faktör olaraksaptandı. Bunu sırasıyla, gastroenteritler %19,1 , tümör lisis sendromu %17,4 vekalp cerrahisi %15,9 sonrası geliflen ABY izlemifltir. Oligüri, sepsis, hiperpotasemi, asidoz ve diyaliz yapılması artmıfl mortalite oranı ile iliflkili bulundu p

Anahtar Kelimeler

• Akut böbrek yetmezliği,çocuk,diyaliz,prognoz

Clinical Outcomes of Acute Renal Failure in Children

Abstract

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 and18 years who were hospitalized at Uludag University, Department of Pediatrics or atvarious intensive care departments of the faculty and diagnosed with ARF betweenJanuary 2005 and August 2006 were retrospectively analyzed. Results: Forty two of study patients were male and 21 were female. Mean agewas 5.4±5.3 years. ARF was found in 4.9% of all hospitalized patients. Sepsis wasthe most frequent etiological factor with a ratio of 23.8%; which was followed bygastroenteritis 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

Keywords

• Acute renal failure,children,dialysis,prognosis

Kaynakça

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