Clinical outcomes of acute renal failure in children

Amaç: Bu çalışmanın amacı, hastaneye yatırılan çocuklarda akut böbrek yetmezliğinin (ABY) klinik progresyonu, tedavisini ve etyolojik faktörlerinin araştırılmasıdır.Gereç ve Yöntem: Uludağ Üniversitesi Tıp Fakültesi çocuk yoğun bakım ve hastanenin diğer yoğun bakım ünitelerinde Ocak 2005 ile Ağustos 2006 tarihleri arasında ABY tanısı konmuş 1 ay ile 18 yaş arasında 63 hastanın dosyaları retrospektif olarak incelendi.Bulgular: Çalışmaya alınan hastaların 42’si erkek, 21’i kız olup, ortalama yaş 5,4±5,3 yıl idi. Yoğun bakım ünitesine yatırılan hastaların %4,9’unda ABY saptanmıştır. ABY’nin etyolojisinde sepsis %23,8 oranı ile en sık etyolojik faktör olarak saptandı. Bunu sırasıyla, gastroenteritler (%19,1), tümör lisis sendromu (%17,4) ve kalp cerrahisi (%15,9) sonrası gelişen ABY izlemiştir. Oligüri, sepsis, hiperpotasemi, asidoz ve diyaliz yapılması artmış mortalite oranı ile ilişkili bulundu (p

Çocuklarda akut böbrek yetmezliğinin klinik sonuçları

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

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