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学科主题临床医学
Hospital-acquired and community-acquired acute renal failure in hospitalized Chinese: A ten-year review
Wang, Yue; Cui, Zhuan; Fan, Minhua
关键词HA-ARF CA-ARF etiology epidemiology prognosis
刊名RENAL FAILURE
2007
DOI10.1080/08860220601095918
29期:2页:163-168
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Urology & Nephrology
研究领域[WOS]Urology & Nephrology
关键词[WOS]CRITICALLY-ILL PATIENTS ; REQUIRING DIALYSIS ; AFRICAN-AMERICANS ; MORTALITY ; EPIDEMIOLOGY ; INSUFFICIENCY ; EXPERIENCE ; SEVERITY ; RISK
英文摘要

Objectives. To investigate the difference between hospital-acquired acute renal failure (HA-ARF) and community-acquired acute renal failure (CA-ARF) in hospitalized Chinese. Methods. The diagnosis of ARF in Peking University Third Hospital from January 1994 to December 2003 was reconfirmed and subdivided into AC-ARF and HA-ARF. Data of epidemiology, etiology, prognosis, and associated factors were analyzed. Single-variable analysis and multivariate logistic regression analyses were performed to investigate the correlation between clinical features and prognosis respectively. Results among 205 reconfirmed CA-ARF had a predominance of 59.5%, but HA-ARF demonstrated an increase by 1.06 during the last five years (p = 0.003). In all, 70.5% CA-ARF was diagnosed in internal medicine with 45.9% in department of nephrology, whereas 59.1% HA-ARF was diagnosed in surgical department with 51.8% in ICU. Distribution difference among departments was significant (p < 0.01). Further, 90.2% CA-ARF was associated with a single factor, while 36.1% of HA-ARF had two or more causes (p < 0.01). Also, 26.5% HA-ARF and 18.9% CAARF was drug-associated (p > 0.05) while 24.1% HA-ARF and 12.3% CA-ARF was infection-associated (p < 0.01). HA-ARF vs. CA-ARF was 62.7% vs. 23.0% in mortality (p < 0.01), 0.54 0.24 vs. 0.27 +/- 0.18 in ATI-ISS index (p < 0.01) and 19.6 +/- 4.9 vs. 15.7 +/- 5.6 in APACHE II scores (p < 0.01). MODS and SIRS were common independent predictors with oliguria for HA-ARF and advanced age for CA-ARF, respectively. Conclusions. In hospitalized Chinese during the last ten years, CA-ARF was still predominant with simpler cause and lower mortality, whereas HA-ARF was increasing with more complicated cause and higher mortality.

语种英语
WOS记录号WOS:000244693800007
引用统计
被引频次:25[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/67333
专题北京大学第三临床医学院_肾内科
作者单位Peking Univ, Hosp 3, Dept Nephrol, Beijing 100083, Peoples R China
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GB/T 7714
Wang, Yue,Cui, Zhuan,Fan, Minhua. Hospital-acquired and community-acquired acute renal failure in hospitalized Chinese: A ten-year review[J]. RENAL FAILURE,2007,29(2):163-168.
APA Wang, Yue,Cui, Zhuan,&Fan, Minhua.(2007).Hospital-acquired and community-acquired acute renal failure in hospitalized Chinese: A ten-year review.RENAL FAILURE,29(2),163-168.
MLA Wang, Yue,et al."Hospital-acquired and community-acquired acute renal failure in hospitalized Chinese: A ten-year review".RENAL FAILURE 29.2(2007):163-168.
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