Incidence, risk factors and prognostic factors of acute renal failure in patients admitted to trauma care unit
Journal Title: MedPulse -International Medical Journal - Year 2016, Vol 3, Issue 8
Abstract
Background: Acute renal failure (ARF) is a frequent and fatal complication after trauma. A better comprehension of the clinical spectrum of a disease is needed to identify potential areas of intervention. The aim of the present study was to analyze the risk and prognostic factors and final outcome of ARF in patients admitted to trauma care unit. Material and Methods: This prospective study involved patients admitted to trauma ward presented with clinical signs of acute renal failure. Post trauma ARF was evaluated for risk factors for outcome like age, sex, refractory hypotension, exposure to nephrotoxic drugs, and exposure to intravenous contrast, time lag, surgical interventions and injury severity score. All patients were followed daily until improved or died. Results: Among 4660 patients admitted during the study period to the trauma ward, ARF developed in 40 patients (34 males and 6 females) with an incidence of 0.85%. Average trauma score was 17.4. Thirty three were survived and seven patients expired. Thirteen patients received dialysis and remaining 27 received conservative management. Refractory hypotension, higher time lag, higher trauma score in expired patients was higher compared to survived patients. Discussion: Renal hypo-perfusion was the most common cause of post trauma ARF. Monitoring and prompt careful management of patients with decreased renal perfusion may reduce the mortality rate.
Authors and Affiliations
Neelam N Redkar, Gajanan B Chavan
Keywords
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