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ISSN 2448-8909 (Print)

1999, Number 5

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Med Crit 1999; 13 (5)

Renal function in the critically ill patient with renal failure according the level of creatinine clearance

Cruz ME, Hernández-Rojas ME, Molinar RF

Language: Spanish
References: 12
Page: 155-159
PDF size: 132.08 Kb.


ABSTRACT

Objective: To analyze the clinical features of acute renal (ARF) of ICU patient according the levels of creatinine clearance (Ccr).
Design: Retrospective and transversal study.
Setting: ICU of a tertiary care hospital of Mexico City.
Patients: Seventy eight ARF patients divided in two groups according Ccr: Ccr ‹ 10 mL/min and Ccr 11-20 mL/min.
Measurements and main results: Although the causes of ARF varied, sepsis occurred more frequently in both groups. As compared to patients with Ccr ‹ 10 mL/min with patients with Ccr 11-20 mL/min, had significantly higher serum creatinine (p ‹ 0.001) and lower urinary volumen (p ‹ 0.001), urinary osmolarity (p = 0.002), free water clearance (p = 0.046) and fractional excretion of water (p < 0.001), had more organic failures (p = 0.04), required dyalisis more frequently (p = 0.001), and had a higher mortality rate (42.4%); p = 0.001.
Conclusion: ICU patients with Ccr › 11 mL/min have better tubular function as those patients with Ccr ‹ 10 mL/min and less morbidity and mortality.


REFERENCES

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