scholarly journals Long-Term Outcome of Patients Followed by Nephrologists after an Acute Tubular Necrosis Episode

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
G. A. Brito ◽  
A. L. Balbi ◽  
J. M. G. Abrão ◽  
D. Ponce

Aims of our study were to describe the long-term survival in patients surviving an acute tubular necrosis (ATN) episode and determine factors associated with late mortality. We performed a prospective cohort study that evaluated the long-term outcome of 212 patients surviving an ATN episode. Mortality at the end of followup was 24.5%, and the probability of these patients being alive 5 years after discharge was 55%. During the followup, 4.7% of patients needed chronic dialysis. Univariate analysis showed that previous CKD (), cardiovascular disease (), age greater than 60 years (), and higher SCr baseline (), after 12 months () and 36 months (), were predictors of long-term mortality. In multivariate analysis, older age (HR = 6.4, CI 95% = 1.2–34.5, ) and higher SCr after 12 months (HR = 2.1, 95% CI 95% = 1.14–4.1, ) were identified as risk factors associated with late mortality. In conclusion, 55% of patients surviving an ATN episode were still alive, and less than 5% required chronic dialysis 60 months later; older age and increased Scr after 12 months were identified as risk factors associated with late death.

2007 ◽  
Vol 71 (7) ◽  
pp. 679-686 ◽  
Author(s):  
F. Liaño ◽  
C. Felipe ◽  
M.-T. Tenorio ◽  
M. Rivera ◽  
V. Abraira ◽  
...  

2019 ◽  
Vol 254 (9) ◽  
pp. 1086-1093
Author(s):  
Janet A. Grimes ◽  
Anastacia M. Davis ◽  
Mandy L. Wallace ◽  
Allyson A. Sterman ◽  
Kelley M. Thieman-Mankin ◽  
...  

2021 ◽  
Vol 25 ◽  
pp. 187-192
Author(s):  
Ioannis Baltas ◽  
Thomas Stockdale ◽  
Matija Tausan ◽  
Areeba Kashif ◽  
Javeria Anwar ◽  
...  

2007 ◽  
Vol 31 ◽  
pp. S120-S121
Author(s):  
A.A.N. Giagounidis ◽  
S. Haase ◽  
V. Lohrbacher ◽  
M. Heinsch ◽  
B. Schuran ◽  
...  

1996 ◽  
Vol 27 (2) ◽  
pp. 361 ◽  
Author(s):  
David R. Holmes ◽  
Katherine Detre ◽  
Wan Lin Weh ◽  
Spencer King ◽  
Sheryl Kelsey

2009 ◽  
Vol 98 (3) ◽  
pp. 164-168 ◽  
Author(s):  
J. Virkkunen ◽  
M. Venermo ◽  
J. Saarinen ◽  
J. Salenius

Background and Aims: The ability to predict post-operative mortality reliably will be of assistance in making decisions concerning the treatment of an individual patient. The aim of this study was to test the GAS score as a predictor of post-operative mortality in vascular surgical patients. Material and Methods: A total of 157 consecutive patients who underwent an elective vascular surgical procedure were included in the study. The Cox proportional hazards model was used in analyzing the importance of various preoperative risk factors for the postoperative outcome. ASA and GAS were tested in predicting the short and long-term outcome. On the basis of the GAS cut-off value 77, patients were selected into low-risk (GAS low: GAS < 77) and high-risk (GAS high: GAS > = 77) groups, and the examined risk factors were analyzed to determine which of them had predictive value for the prognosis. Results: None of the patients in the GAS low group died, and mortality in the GAS high group was 4.8% (p = 0.03) at 30 days' follow-up. The 12-month survival rates were 98.6% and 78.6% (p = 0.0001), respectively, with the respective 5-year survival rates of 76.7% and 44.0% (p = 0.0001). The only independent risk factor for 30-day mortality was the renal risk factor (OR 20.2). The combination of all three GAS variables(chronic renal failure, cardiac disease and cerebrovascular disease), excluding age, was associated with a 100% two-year mortality. Conclusions: Mortality is low for patients with GAS<77. For the high-risk patients (GAS> = 77), due to its low predictive value for death, GAS yields limited value in clinical practice. In cases of patients with all three risk factors (renal, cardiac and cerebrovascular), vascular surgery should be considered very carefully.


Medicine ◽  
2021 ◽  
Vol 100 (45) ◽  
pp. e27827
Author(s):  
Jong Seok Joo ◽  
Jae Ho Park ◽  
Ju Seok Kim ◽  
Sun Hyung Kang ◽  
Hee Seok Moon ◽  
...  

1998 ◽  
Vol 43 ◽  
pp. 135-135
Author(s):  
Ronen Loebstein ◽  
Gordana Atanackovic ◽  
Raafat Bishai ◽  
Sohail Khattak ◽  
Sylvian Baruchel ◽  
...  

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