Creatinine clearance in critically ill surgical patients
Autor: | David R. Antonenko, George Soullier, Robert F. Wilson |
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Rok vydání: | 1979 |
Předmět: |
Creatinine
medicine.medical_specialty Critically ill business.industry Urology Renal function Bacterial Infections Kidney Function Tests Surgery Blood Urea Nitrogen chemistry.chemical_compound Postoperative Complications chemistry Surgical Procedures Operative Medicine Humans Cardiac Surgical Procedures business Urine output Surgical patients |
Zdroj: | Archives of surgery (Chicago, Ill. : 1960). 114(4) |
ISSN: | 0004-0010 |
Popis: | Standard tests of renal function (urine output, BUN, and serum creatinine) were compared with creatinine clearance values and with outcome in 131 critically ill surgical patients. There was a strong negative relationship between creatinine clearance and mortality. Of the 23 patients with a severe reduction of creatinine clearance (less than 20 mL/min), 17 died. In contrast, 23 of the 24 patients with a creatinine clearance of 100 mL/min or more survived. Urine output, BUN, and serum creatinine levels correlated poorly with creatinine clearance. A urine output of less than 30 mL/hr, a BUN level greater than 40 mg/dL, and a serum creatinine level greater than 2.0 mg/dL in all instances were associated with reduced creatinine clearances. However, more than half of all the patients with a normal urine output, BUN, or serum creatinine levels also had a reduced creatinine clearance. |
Databáze: | OpenAIRE |
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