News & Updation
Best Paper Awards
World Journal of Advance Healthcare Research (WJAHR)Honored the authors with best paper award, monthly based on the innovation of research work. Best paper will be selected by our expert panel.
Best Article of current issue
Download Article : Click here
PROGNOSTIC FACTORS OF ACUTE RENAL FAILURE IN PATIENTS ADMITTED TO INTENSIVE CARE UNIT
Thaer Mohamed Alahmad*, Ibrahim Suliman and Maissa Barakat
Background: Acute renal failure(ARF) has been recognized as common condition in patients admitted to intensive care unit(ICU) and it is associated with increased risk of morbidity and mortality. Objective: the present study aims to determine incidence, risk factors, and outcome of acute renal failure in patients admitted to ICU. Materials and Methods: This is prospective, observational study conducted in ICU in Tishreen University Hospital-Lattakia -Syria from November 2018 to December 2019. Patients aged 18 to 70 years were screened for ARF according to (RIFLE) criteria. Results: During study period, of 152 patients, 49 (32.2%) developed ARF. Independent predictors of ARF were age older of 65 year(OR=3.8 [1.9 – 7.8], p:0.008), presence of infection on admission(OR=3.3 [2.1–8.9], p:0.002), history of diabetes mellitus(OR=2.4 [1.1–4.9], p:0.001), MAP<65(OR=4.1 [1.4–12.2], p:0.003) as well as hypertension(OR=5.4 [2.4 –11.8], p:0.001). The average length of stay in ICU for patients with ARF was longer than those without ARF(17.6 vs 10.5, p:0.002) with high rate of mortality(45% vs 22.3%, p:0.02). Conclusion: Acute renal failure in critically ill patients is associated with worsening prognosis, so identification risk factors of ARF and initiate preventive measures should be part of the management.[Full Text Article]