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.
May 24, 2021
Apr 5, 2016
|ZB-123710||May 24, 2021|
GUS. Departament Badań Społecznych Nałęcz,Sławomir (oprac ).