Acute Hemodialysis in Patients with Acute Renal Failure in Surin Hospital
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Abstract
Background: In patients with acute renal failure. If conservative treatment fail, renal replacement therapy is the way to treat these patients. In Surin Hospital, acute peritoneal dialysis is the only way that has been used until November 2000 where upon, the Hemodialysis Unit was established and acute hemodialysis is the other choice of treatment.
Objective: To study and analyze the etiologies of acute renal failure, indications of renal replacement therapy and outcomes of acute renal failure patients receiving acute hemodialysis in Surin Hospital
Patients and Methods: All patients diagnosed with acute renal failure who received acute
Results: hemodialysis in Surin Hospital from 14th November 2000 to 13th November 2003 were studied and analyzed retrospectively. There were 105 patients, 72 men and 33 women. The age ranged from 15 to 89 years. The mean age was 50 years. The common etiologies of patients with acute renal failure receiving acute hemodialysis were severe leptospirosis, ischemic acute tubular necrosis (ATN) and acute ontop chronic renal failure (CRF). The common indications of renal replacement therapy were blood urea nitrogen (BUN) > 80 mg%, serum creatinine (Cr) > 8 mg% and oliguria. In patients without pre-existing CRF, 77.5% of patients achieved complete recovery and 13.5% of patients died. The most common cause of death is sepsis.
Conclusion: Acute hemodialysis is the other choice of renal replacement therapy in acute renal failure patients. Most of the patients have favorable outcome except the patients with sepsis have shown to have high mortality rate.
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References
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