Renal Failure in the Elderly

Autor: McINNES, E. G., LEVY, D. W., CHAUDHURI, M. D., BHAN, G. L.
Zdroj: QJM: An International Journal of Medicine; July 1987, Vol. 64 Issue: 1 p583-583, 1p
Abstrakt: A pilot study recording the incidence, management and outcome of renal failure in elderly patients presenting to three geriatric units in a six-month period is described. A total of 4001 patients were admitted during this time and 273 patients were considered to have renal failure at presentation (criteria, plasma urea level ≥ 17 μmol/1 and/or creatinine level ≥ 160. In 151 patients (55 per cent) the cause was pre-renal and this form of renal failure had a good prognosis; over 60 per cent recovered and increasing age did not affect prognosis adversely. Ninety-six patients (35 per cent) had intrinsic renal disease which was commoner in younger patients and had a mortality rate of 48 per cent. In the majority of patients renal failure was mild, only 24 per cent having a urea level greater than 31 μmol/1and/or creatinine level greater than 400μmol/l.
Databáze: Supplemental Index