Buradasınız

Sepsiste Akut Böbrek Yetmezliği

Acute Renal Failure in Sepsis

Journal Name:

Publication Year:

Author NameUniversity of AuthorFaculty of Author
Abstract (Original Language): 
Bilindiği gibi, akut böbrek yetmezliği (ABY), böbreğin işlevlerinin günler ve saatler içinde gittikçe bozularak hastanın üremi kliniğine girmesi anlamını taşır. Çok çeşitli nedenlerle akut böbrek yetmezliği tablosu gelişir ve birçok sistemik hastalığa da eşlik eder. ABY, yoğun bakım ünitesine başvuran hastalarda sıkça rastlanan bir komplikasyondur. Kritik yoğun bakım hastalarında ABY gelişimine yol açan fak¬ törler neden olan hastalık ve hastanın özellikleri ile yakından ilişkilidir. Bu özel hasta grubunda sepsis, ABY'nin en önemli nedenlerinden biridir; yoğun bakım unitelerindeki hastaların yaklaşık %50'sini etki¬ lemektedir ve diğer ABY nedenleri arasında en yük¬ sek ölüm riski taşıması açısından da dikkat çekicidir. Sepsisten yıllık ölüm oranı Amerika Birleşik Devletleri'nde (ABD) akut miyokard infarktüsüne yakın düzeye ulaşmaktadır. Klasik bilgiler, yaşlı hastaların ve sıvı tedavisinde geri kalınan hastaların, hipertan¬ siyon ve diyabeti olan, miyokard yetersizliği bulunan hastaların ABY için risk taşıdığı yönünde idi.
74-78

REFERENCES

References: 

1. Thijs A, Thijs LG. Pathogenesis of renal failure in sepsis. Kidney Int 1998;53(Suppl.66):S-34-S-37.
2. Brivet FG, Kleinknecht DJ, Loirat P, Landais PJ. Acute renal failure in intensive care units-causes, outcome, and prognos¬tic factors of hospital mortality; a prospective, multicenter study. French Study Group on Acute Renal Failure. Crit Care
Med 1996;24:192-198.
3. Bone RG. The pathogenesis of sepsis. Ann Intern Med 1991; 115:457-469.
4. American College of Chest Physicians/Society of Critical Ca¬re Medicine consensus conference. Definitions for sepsis and organ failure and guidelines for the use of innovative thera¬pies in sepsis. Crit Care Med 1992;20:864-74.
5. Bone RC. Immunologic Dissonance: A continuing evolution in our understanding of the systemic inflammatory response syndrome (SIRS) and the multiple organ dysfunction syndro¬me (MODS). Ann Intern Med 1996;125;680-687.
6. Pittet D, Rangel-Frausto S, Li N, Tarara D, Costigan M, Rem-pe L, Jebson P, Wenzel RP. Systemic inflamatory response syndrome, severe sepsis and septic shock: incidence, morta¬lity, morbidities and outcomes in ICU patients. Intensive Care Med 1995;21:302-309.
7. Esson ML, Schrier R W. Diagnosis and treatment of acute tu¬bular necrosis. Ann Intern Med 2002;137:744-752.
8. Rangel-Frausto MS, Pittet D, Costigan M, Hwang T, Davis CS, Wenzel RP. The natural history of the systemic inflammatory response syndrome (SIRS). JAMA 1995;273;2:117-123.
9. Liano F, Junco E, Pascual J, et al. The spectrum of acute re¬nal failure in the intensive care unit compared with that se¬en in other settings. The Madrid Acute Renal Failure Study
Group. Kidney Int 1998;53(suppl 66):S16-S24.
10. Yegenaga I, Hoste E, Vanholder R, Van Biesen W, Benoit D, Kantarci G, Verbeke F, Dhont AM, Colardyn F, Lameire N. Clinical characteristics of patients developing acute renal fa¬ilure due to sepsis/SIRS: results of prospective study. AJKD
2004;43:5:817-824.
11. Vogelaers D, Vanholder R, Colardyn F, Lameire NH. Acute renal failure in an ICU population with sepsis: Retrospective analysis on risk factors for outcome (Abstract). Presented at: 3rd International Symposium on Acute Renal Failure, Halki-diki, Greece, 1993.
12. Hoste E AJ, Lameire NH, Vanholder RC, Benoit DD, Decru-
Official Journal of the Turkish Society of Nephrology / Türk Nefroloji Diyaliz ve Transplantasyon Dergisi
77
0 Acute Renal Failure in Sepsis
yenaere JMA, Colardyn FA. Acute renal failure in patients with sepsis in surgical ICU; predictive factors, incidence, co-morbidity, and outcome. J Am Soc Nephrol 2003;14:1022-
1030.
13. Coritsidis GN, Guru K, Ward L, Bashir R, Feinfeld DA, Carvo-unis CP. Prediction of acute renal failure by "bedside formula" in medical and surgical intensive care patients. Renal Fa¬ilure 2000;22(2):235-244.
14. Neveu H, Kleinknecht D, Brivet F, Loirat P, Landais P. Prog¬nostic factors in acute renal failure due to sepsis. Results of a prospective multicentre study. The French Study Group on Acute Renal Failure. Nephrol Dial Transplant 1996;11:293-9.
15. Liano F, Gallego A, Pascual J, Garcia-Martin F, Teruel JL, Mar-cen R, Orofino L, Orte L, Rivera M, Gallego N, Quereda C, Ortuno J. Prognosis of acute tubular necrosis: An extended prospectively contrasted study. Nephron 1993;63:21-31.
16. Paganini EP, Halstenberg WK, Goormastic M. Risk modelling in acute renal failure requiring dialysis: the introduction of a new model. Clin Nephrol 1996;46;3:206-211.
17. Knaus WA, Drapper EA, Wagner DP, Zimmerman JE. APAC¬HE II: A severity of disease classification system. Crit Care
Med 1985;13:818-829.
18. Lins RL, Elseviers M, Daelemans R, Zachee P, Gheuens E, Lens S, De Broe ME. Pognostic value of a new scoring sys¬tem for hospital mortality in acute renal failure. Clin Nephrol
2000;53:1;10-17.
19. Vincent J-L, Moreno R, Takala J, Willatts S, De Mendonca A, Bruining H, Reinhart C K, Suter PM, Thijs LG. The SOFA
(Sepsis related organ failure assessment) score to describe or¬gan dysfunction/failure. Intensive Care Med 1996;22:707-710.
20. De Mondenco A, Vincent J-L, Suter PM, Moreno R, Dearden NM, Antonelli M, Takala J, Sprung C, Cantraine F. Acute re¬nal failure in the ICU: Risk factors and outcome evaluated by
SOFA score. Intensive Care Med 2000;26:915-921.
21. Bonomini V, Stefoni S, Vangelista A. Long-term patient and renal prognosis in acute renal failure. Nephron 1984;36:169-72.
22. Kjellstrand CM, Eben J, Davin T. Time of death, recovery of renal function, developement of chronic hemodialysis in patients with acute tubular necrosis. Trans Am Soc Artif In¬tern Organs 1981;27:45-50.
23. Schrier RW, Abraham E. Aggressive volume expansion and pseudo-ARDS [Editorial]. Hosp Pract (Off Ed) 1995;30:19-19.

Thank you for copying data from http://www.arastirmax.com