NDLI: Acute renal failure in intensive care burn patients (ARF in burn patients).

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Year: 2007 Volume: 28

Acute renal failure in intensive care burn patients (ARF in burn patients).

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Mustonen, Kukka-Maaria Vuola, Jyrki
Description	Country affiliation: Finland Author Affiliation: Mustonen KM ( Helsinki Burn Centre, Department of Plastic Surgery, Helsinki University Hospital, Finland.)
Abstract	The purpose of this study was to establish the incidence and mortality of burn patients with acute renal failure (ARF) at the Helsinki Burn Centre and to analyze the associated factors. The files of 238 intensive care (ICU) patients of a total of 1380 burn patients admitted to our institution between November 1988 and December 2001 were studied retrospectively. Of all admitted burn patients, 17.2% needed ICU. According to our criteria (S-Cr >120 micromol/l = 1.4 mg/dl), 39.1% of the ICU patients suffered from ARF and one in three of these required renal replacement therapy. The proportion of all admitted burn patients requiring renal replacement therapy was 2.3%. The mortality of ICU patients with ARF was 44.1% whereas that of patients without ARF was only 6.9%. Renal function recovered in all survivors. The nonsurvivors had a larger burned total body surface area, were older, and had more inhalation injuries and a higher abbreviated burn severity index score. The prognosis for patients with early ARF was worse than that for patients with late ARF. Rhabdomyolysis caused by flame injury was associated with high mortality. In this study we observed that ARF is associated with higher mortality even in minor burns when compared with patients without ARF. Flame burn with rhabdomyolysis and subsequent ARF predicts very poor survival. If a patient with severe ARF survives, the renal failure recovers over time.
File Format	HTM / HTML
ISSN	1559047X
Issue Number	1
Volume Number	29
e-ISSN	15590488
Journal	Journal of Burn Care & Research
Language	English
Publisher	Lippincott Williams & Wilkins
Publisher Date	2008-01-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Traumatology Acute Kidney Injury Etiology Burns Complications Intensive Care Units Statistics & Numerical Data Acute Disease Epidemiology Mortality Adult Physiopathology Female Health Status Indicators Humans Incidence Length Of Stay Male Middle Aged Prognosis Retrospective Studies Rhabdomyolysis Risk Factors Severity Of Illness Index Sickness Impact Profile Journal Article
Content Type	Text
Resource Type	Article
Subject	Emergency Medicine Rehabilitation Surgery

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