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Title: Acute kidney injury from cardiovascular reason – analysis of cases collected during years 2000-2011 from Malopolska and Podkarpacie provinces.

Author:

Wyrwicz-Zielińska, Grażyna

Date:

2015

Type:

Praca doktorska

Abstract:

The aim of the study was to investigate the collected cases of AKI from cardiovascular causes for: demographic data, the cause of renal failure, comorbidities, complications occurring in the course of AKI, the percentage of renal function recovery, mortality. Material and methods: The statistical analysis was performed using the data obtained from surveys of acute renal failure in the period 2000-2011 collected from nephrology centers located in Małopolska and Podkarpacie provinces. A total of 246 patients were studied for selected AKI diagnosis due to cardiovascular origin. The majority of patients have severe form of AKI and needs dialysis.Results: Out of the 246 evaluable patients with AKI - 225 (91.5%) had cardiac etiology and 21 (8.5%) vascular. The studied group was composed of 157 (63.8%) men and 89 (36.2%) women. The average age of patients was 67.9 years - from 17 to 97 years. Abnormal renal function before AKI was observed in 116 (47.2%) patients. During follow-up, 39 (27.3%) patients recovered renal function. Oligoanuria occurred in 125 (50.8%) patients and 236 (95.9%) patients required dialysis. The concomitant diabetes mellitus had a significant effect on the occurrence of abnormal renal function before AKI. High comorbidity was observed in the studied group of patients; whereas in the course of hospitalization additional complications were observed in 83 patients (33.7%). In the study group, 171 patients (69.5%) died.Conclusions:1. Advanced age is an important risk factor for AKI in patients with complications in the cardiovascular system.2. Acute cardiovascular complications such as: myocardial infarction, sudden cardiac arrest, acute heart failure, ruptured aortic aneurysm carry a high risk of developing AKI.3. In patients with AKI in the course of cardiovascular disease, high co-morbidity and mortality rates are noted (up to 69.5%).4. Likelihood of normalization of renal function in patients with AKI in the course of cardiovascular complications amounts to 27.3%.5. No return of renal function in the course of AKI is an important risk factor for death in patients with cardiovascular complications.

Place of publishing:

Kraków

Level of degree:

2 - studia doktoranckie

Degree discipline:

choroby układu krążenia ; nefrologia

Degree grantor:

Uniwersytet Jagielloński. Collegium Medicum. Wydział Lekarski.

Promoter:

Władysław Sułowicz

Date issued:

2015

Format:

application/pdf

Identifier:

oai:dl.cm-uj.krakow.pl:4046

Call number:

ZB-123710

ControlNumberVIRTUA:

click here to follow the link

Language:

pol

Access rights:

tylko w bibliotece

Location of original object:

Biblioteka Medyczna Uniwersytetu Jagiellońskiego- Collegium Medicum

Subject and keywords:

acute kidney injury cardiorenal syndrome morbidity mortality recovery

Object collections:

Last modified:

May 24, 2021

In our library since:

Apr 5, 2016

Number of object content hits:

3

Number of object content views in PDF format

3

All available object's versions:

http://dl.cm-uj.krakow.pl:8080/publication/4046

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Edition name Date
ZB-123710 May 24, 2021

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