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Akutes Nierenversagen beim kritisch-kranken alten Menschen — ein Anlaß zum Therapieverzicht?

  • E. Muhl
  • M. Hansen
  • H.-P. Bruch
Conference paper
Part of the Langenbecks Archiv für Chirurgie book series (DTGESCHIR, volume 1996)

Acute Renal Failure in Critically Ill Elderly Patients: A Reason to Dispense with Therapy?

Summary

846 patients on a surgical intensive care unit (436 patients over 70 years old = group I, 410 patients up to 70 years old = group II) were included in a prospective study of incidence, mortality and reversibility of acute renal failure (ARV). APACHE II-Score showed no diffences (17.5 in group I and 15 in group II), but a preexisting renal insufficiency was seen in 18.1% in group I and in 7% in group II (p < 0.05). Incidence of acute renal failure (group I 7.3%, group II 8.3%) and mortality of patients with ARV (group I 18.7%, group II 17.6%) was comparable in both groups.

Literatur

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    Deutsche Gesellschaft für Chirurgie (1996). Mitteilungen 25, 2: 85–86Google Scholar
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    Nemes C, Niemer M (Hrsg) (1992) Akutes Nierenversagen, Datenbuch Intensivmedizin. Gustav Fischer Verlag Stuttgart 742–769Google Scholar
  3. 3.
    Groeneveld ABJ, Tran DD, van der Meulen J, Nauta JJP, Thijs JG (1991) Acute renal failure in the medical intensive care unit: predisposing, complicating factors and outcome. Nephron, 59:602–610PubMedCrossRefGoogle Scholar
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    Bellomo R, Ronco C (Eds) (1995) Acute renal failure in the critically ill. Springer-Verlag, Berlin, 147–159Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1996

Authors and Affiliations

  • E. Muhl
    • 1
  • M. Hansen
    • 1
  • H.-P. Bruch
    • 1
  1. 1.Klinik für ChirurgieMedizinische Universität zu LübeckLübeckDeutschland

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