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AKUT BÖBREK YETERSİZLİĞİNDE KOMPLİKASYONLAR VE MORTALİTE

COMPLICATIONS AND MORTALITY RATE IN ACUTE RENAL FAILURE

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Abstract (2. Language): 
In this retrospective study we evaluated 64 patients with acute renalfailure (ARF) for age, sex, etiology, renal failure index (RFI), fractional excretion of sodium (FENa), blood urea nitrogen (BUN)\ creatinine, the highest BUN value, rate of daily BUN increase in the pretreatment period; total protein, albumin levels in the pre and 15 th day of posttreatment period; du¬ration of oliguria and polyuria, complications, need for dialysis and mortality rate. The complications we¬re observed in 37 patients (50 %). Mortality rate was found to be 17.2 % In comparison of living and died groups, the mean age, RFI, FENa, rate of daily BUN increase, the mean duration of oliguria and need for dialysis in the group of the died patients were higher than that of the group of the living patients, whe.reas total protein and albumin levels (15th. posttreatment day), the mean duration of polyuria were lower. It was concluded that the factors which affect on the mortality rate include etiology, age, RFI, FENa, the rate of daily BUN increase, durations of oliguria and polyuria, if positive nitrogen balance ensures or not, and complications
Abstract (Original Language): 
Bu retrospektif çalışmada, akut böbrek yetersizliği (ABY) olan 64 hasta yaş, cins, etyoloji, tedavi öncesi renal yetersizlik indeksi (RYİ), fraksiyone sodyum eks-kresyonu (FENa), kan üre azotu (BUN), kreatinin, en yüksek BUN değeri, günlük BUN yükselme hızı, total protein, albumin; tedavinin 15. günü total protein, al¬bumin değerleri; oligüri ve poliüri süresi, komplikas-yon, diyaliz ihtiyacı ve mortalite hızı açısından de¬ğerlendirildi. Toplam 37 hastada (% 50) komplikas-yon görüldü. Mortalite hızı % 17.2 idi. Yaşayan ve ölen hasta grupları karşılaştırıldığında ölen hasta grubunda yaşayan hasta grubuna göre yaş ortalama-ası, RYİ, FENa, günlük BUN artışı, ortalama oligüri süresi ve diyaliz ihtiyacının anlamlı olarak daha yük¬sek olduğu, tedavinin 15. günü serum total protein al¬bumin seviyeleri, ortalama poliüri süresinin ise daha düşük olduğu saptandı. Sonuç olarak mortalite üzeri¬ne etkili faktörlerin etyoloji, yaş, RYİ, FENa, günlük BUN artış hızı, oligüri ve poliüri süresi, diyaliz ihti¬yacı, pozitif nitrojen dengesinin temin edilip edilmedi¬ği ve komplikasyonlar olduğu sonucuna varıldı.
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