Document Detail

Outcome of acute kidney injury with different treatment options: long-term follow-up.
MedLine Citation:
PMID:  20634328     Owner:  NLM     Status:  MEDLINE    
BACKGROUND AND OBJECTIVES: The multicenter Stuivenberg Hospital Acute Renal Failure 4 study investigated outcome in patients with acute kidney injury (AKI) stratified according to disease severity by the Stuivenberg Hospital Acute Renal Failure score. Patients in need of renal replacement therapy (RRT) received intermittent RRT or continuous RRT. This study investigated long-term mortality, renal function, comorbidity, and quality of life.
DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: All AKI hospital survivors were included. Mortality at 1 and 2 years of follow-up was traced for all patients. Between 1 and 2 years after hospital discharge, survivors were visited at home to determine morbidity (renal function), comorbidity (Charlson comorbidity index [CCI]), and quality of life (Medical Outcome Survey SF-36).
RESULTS: The baseline population consisted of 595 AKI patients. Mortality rates were 23.0 and 7.6%, respectively, during the first and second year after discharge. Total mortality increased from 50.7% at discharge to 65.7% 2 years after AKI and was not related to disease severity or treatment modality offered during hospitalization. Two hundred four survivors could be visited at home. Mean serum creatinine did not differ between discharge and follow-up. CCI was only related with age. SF-36 scores were negatively correlated with CCI, age, and body mass index, but not with disease severity, renal function, or dialysis modality.
CONCLUSIONS: Long-term outcome of AKI consists of a high additional mortality unrelated to treatment modality offered during hospitalization, varying evolution of renal recovery, and many comorbidities, but a mental health at the same level as the general population.
An M Van Berendoncks; Monique M Elseviers; Robert L Lins;
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Publication Detail:
Type:  Comparative Study; Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't     Date:  2010-07-15
Journal Detail:
Title:  Clinical journal of the American Society of Nephrology : CJASN     Volume:  5     ISSN:  1555-905X     ISO Abbreviation:  Clin J Am Soc Nephrol     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-10-08     Completed Date:  2011-01-21     Revised Date:  2012-04-27    
Medline Journal Info:
Nlm Unique ID:  101271570     Medline TA:  Clin J Am Soc Nephrol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1755-62     Citation Subset:  IM    
Department of Medicine, University of Antwerp, Antwerp, Belgium.
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MeSH Terms
Acute Kidney Injury / mortality,  physiopathology,  therapy*
Aged, 80 and over
Biological Markers / blood
Chi-Square Distribution
Creatinine / blood
Follow-Up Studies
Hospital Mortality
Hospitalization* / statistics & numerical data
Life Tables
Logistic Models
Middle Aged
Prospective Studies
Quality of Life
Randomized Controlled Trials as Topic
Renal Replacement Therapy / adverse effects,  methods*,  mortality
Risk Assessment
Risk Factors
Severity of Illness Index
Survivors* / statistics & numerical data
Time Factors
Treatment Outcome
Young Adult
Reg. No./Substance:
0/Biological Markers; 60-27-5/Creatinine

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