Assessment of risk factors for acute renal failure in traumatic patients
- Author:
Hoan Nhat Nguyen
;
Dong Van Trinh
- Publication Type:Journal Article
- Keywords:
Severe traumatic patient;
risk factors;
acute renal failure
- MeSH:
Severe traumatic patient;
risk factors;
acute renal failure
- From:Journal of Medical Research
2008;55(3):16-21
- CountryViet Nam
- Language:Vietnamese
-
Abstract:
Background: Acute Renal Failure (ARF) is a common complication in severe traumatic patients. It can cause higher mortality in these patients. Clear knowledge about the risk factors for acute renal failure that can limit this complication. Objective: To estimate some risk factors for acute renal failure in severe traumatic patients. Subjects: The study carried out on 125 severe traumatic patients who were treated in ICO at Viet Duc hospital. Method: It is a prospective cohort study. Diagnosis of ARF was based on blood creatinine level. Blood creatinine >130 micromol/l was considered ARF. Results: There were 49 severe traumatic patients with ARF (39.2%). The risk factors of univariable for ARF were included: ISS > 32 (OR = 3.80), retroperitoneal hematoma (OR = 3.51), high dose of catecholamine, severe infection after trauma (OR = 10.08), respiratory failure (OR = 6.38), intra-abdominal bleeding (OR = 2.80), hypotension over one hour (OR = 6.46) and rhadomyolysis (OR = 4.62). With multivariable analysis, it was discovered that rhadomyolysis (OR = 4.11), hypotension over one hour (OR = 3.74) and severe infection after trauma (OR = 2.38) were risk factors for ARF. Conclusion: Rhadomyolysis, hypotension over one hour and severe infection after trauma was a risk factors for ARF in severe traumatic patients.