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       Performing your original search, rrt for renal failure, in PubMed will retrieve 769
       records.


QJM. 2002 Sep;95(9):579-83.


Acute renal failure requiring renal
replacement therapy: incidence and outcome.
Metcalfe W, Simpson M, Khan IH, Prescott GJ, Simpson K, Smith WC, MacLeod AM; Scottish
Renal Registry.

Source

Department of Medicine and Therapeutics, University of Aberdeen, Glasgow Royal Infirmary,
Glasgow, UK. MetcalfeWendy@aol.com

Abstract

BACKGROUND:

Renal replacement therapy (RRT) for acute renal failure (ARF) may be provided in many
settings within the hospital. Such patients require a high level of care and often have a poor
prognosis. No prospective studies have accurately defined this population, making the prediction
of necessary resources and the planning of services difficult.

AIM:
To ascertain the incidence, causes and outcomes of acute renal failure requiring renal
replacement therapy in Scotland.

DESIGN:

A prospective observational census of all clinical areas providing renal replacement therapy in
three Scottish health boards (Grampian, Highland, Tayside).

METHODS:

Patients were identified by liaison with each unit providing RRT. Factors precipitating renal
failure and reasons for RRT were recorded at the time of initiation. Comorbid disease burden
was scored using the Charlson index. Patient status at 90 days was assessed from case-notes,
contacting general practitioners where necessary.

RESULTS:

375 patients per million population per year received RRT; 203 per million per year for either
ARF or acute-on-chronic renal failure. 73.5% of patients receiving RRT for ARF died within 90
days, 23.5% became independent of RRT. The median duration of hospital admission was 19
days.

DISCUSSION:

The annual incidence of ARF requiring RRT is just over 200 per million population, almost
twice that of end-stage renal disease requiring RRT. Such treatment places high demands upon
health care resources.

PMID:
        12205335
        [PubMed - indexed for MEDLINE]
Free full text

Publication Types, MeSH Terms

Publication Types

        Multicenter Study
        Research Support, Non-U.S. Gov't

MeSH Terms

        Acute Kidney Injury/epidemiology*
        Acute Kidney Injury/etiology
        Acute Kidney Injury/therapy
        Adult
Aged
      Aged, 80 and over
      Analysis of Variance
      Female
      Humans
      Incidence
      Male
      Middle Aged
      Prospective Studies
      Renal Replacement Therapy/utilization*
      Scotland/epidemiology
      Treatment Outcome

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upplemental Content

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B    est m        atches f         or r     rt f     or r     enal f        ailure

MetcalfeWendy@aol.com. B                ACKGROUND: R         enal r     eplacement t             herapy (R     RT)

f    or a       cute r         enal f     ailure (ARF) m       ay b     ep           rovided i      nm        any s

    ettings w       ithin t        he h     ospital. J      ump t      ot       ext »

M    ore m       atches »

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Arf review

  • 1. Resources How To kip to main content kip to navigation bout NCBI Accesskeys My NCBISign In PubMed US National Library of Medicine National Institutes of Health Search termSearch database PubMed Search Limits Advanced Help Display Settings: Abstract Format Summary Summary (text) Abstract Abstract (text) MEDLINE XML PMID List Apply
  • 2. Send to: Choose Destination File Clipboard Collections E-mail Order My Bibliography Performing your original search, rrt for renal failure, in PubMed will retrieve 769 records. QJM. 2002 Sep;95(9):579-83. Acute renal failure requiring renal replacement therapy: incidence and outcome. Metcalfe W, Simpson M, Khan IH, Prescott GJ, Simpson K, Smith WC, MacLeod AM; Scottish Renal Registry. Source Department of Medicine and Therapeutics, University of Aberdeen, Glasgow Royal Infirmary, Glasgow, UK. MetcalfeWendy@aol.com Abstract BACKGROUND: Renal replacement therapy (RRT) for acute renal failure (ARF) may be provided in many settings within the hospital. Such patients require a high level of care and often have a poor prognosis. No prospective studies have accurately defined this population, making the prediction of necessary resources and the planning of services difficult. AIM:
  • 3. To ascertain the incidence, causes and outcomes of acute renal failure requiring renal replacement therapy in Scotland. DESIGN: A prospective observational census of all clinical areas providing renal replacement therapy in three Scottish health boards (Grampian, Highland, Tayside). METHODS: Patients were identified by liaison with each unit providing RRT. Factors precipitating renal failure and reasons for RRT were recorded at the time of initiation. Comorbid disease burden was scored using the Charlson index. Patient status at 90 days was assessed from case-notes, contacting general practitioners where necessary. RESULTS: 375 patients per million population per year received RRT; 203 per million per year for either ARF or acute-on-chronic renal failure. 73.5% of patients receiving RRT for ARF died within 90 days, 23.5% became independent of RRT. The median duration of hospital admission was 19 days. DISCUSSION: The annual incidence of ARF requiring RRT is just over 200 per million population, almost twice that of end-stage renal disease requiring RRT. Such treatment places high demands upon health care resources. PMID: 12205335 [PubMed - indexed for MEDLINE] Free full text Publication Types, MeSH Terms Publication Types Multicenter Study Research Support, Non-U.S. Gov't MeSH Terms Acute Kidney Injury/epidemiology* Acute Kidney Injury/etiology Acute Kidney Injury/therapy Adult
  • 4. Aged Aged, 80 and over Analysis of Variance Female Humans Incidence Male Middle Aged Prospective Studies Renal Replacement Therapy/utilization* Scotland/epidemiology Treatment Outcome LinkOut - more resources Full Text Sources HighWire Press EBSCO Ingenta plc OhioLINK Electronic Journal Center Ovid Technologies, Inc. Swets Information Services Other Literature Sources COS Scholar Universe Labome Researcher Resource - ExactAntigen/Labome upplemental Content Related citations Severe acute renal failure in adults: place of care, incidence and outcomes. [QJM. 2005] Severe acute renal failure in adults: place of care, incidence and outcomes. Hegarty J, Middleton RJ, Krebs M, Hussain H, Cheung C, Ledson T, Hutchison AJ, Kalra PA, Rayner HC, Stevens PE, et al. QJM. 2005 Sep; 98(9):661-6. Epub 2005 Jul 29.
  • 5. A prospective national study of acute renal failure treated with RRT: incidence, aetiology and outcomes. [Nephrol Dial Transplant. 2007] A prospective national study of acute renal failure treated with RRT: incidence, aetiology and outcomes. Prescott GJ, Metcalfe W, Baharani J, Khan IH, Simpson K, Smith WC, MacLeod AM. Nephrol Dial Transplant. 2007 Sep; 22(9):2513-9. Epub 2007 May 21. High incidence of renal failure requiring short-term dialysis: a prospective observational study. [QJM. 2002] High incidence of renal failure requiring short-term dialysis: a prospective observational study. Robertson S, Newbigging K, Isles CG, Brammah A, Allan A, Norrie J. QJM. 2002 Sep; 95(9):585-90. Review Acute renal failure in the intensive care unit. [Semin Respir Crit Care Med. 2006] Review Acute renal failure in the intensive care unit. Weisbord SD, Palevsky PM. Semin Respir Crit Care Med. 2006 Jun; 27(3):262-73. Review Timing of renal replacement therapy initiation in acute renal failure: a meta- analysis. [Am J Kidney Dis. 2008] Review Timing of renal replacement therapy initiation in acute renal failure: a meta- analysis. Seabra VF, Balk EM, Liangos O, Sosa MA, Cendoroglo M, Jaber BL. Am J Kidney Dis. 2008 Aug; 52(2):272-84. Epub 2008 Jun 18. See reviews... See all... Cited by 10 PubMed Central articles Outcome of acute kidney injury with different treatment options: long-term follow-up. [Clin J Am Soc Nephrol. 2010] Outcome of acute kidney injury with different treatment options: long-term follow-up. Van Berendoncks AM, Elseviers MM, Lins RL, SHARF Study Group. Clin J Am Soc Nephrol. 2010 Oct; 5(10):1755-62. Epub 2010 Jul 15.
  • 6. Fluid accumulation, recognition and staging of acute kidney injury in critically-ill patients. [Crit Care. 2010] Fluid accumulation, recognition and staging of acute kidney injury in critically-ill patients. Macedo E, Bouchard J, Soroko SH, Chertow GM, Himmelfarb J, Ikizler TA, Paganini EP, Mehta RL, Program to Improve Care in Acute Renal Disease Study. Crit Care. 2010; 14(3):R82. Epub 2010 May 6. Preexisting chronic kidney disease: a potential for improved outcomes from acute kidney injury. [Clin J Am Soc Nephrol. 2009] Preexisting chronic kidney disease: a potential for improved outcomes from acute kidney injury. Khosla N, Soroko SB, Chertow GM, Himmelfarb J, Ikizler TA, Paganini E, Mehta RL, Program to Improve Care in Acute Renal Disease (PICARD). Clin J Am Soc Nephrol. 2009 Dec; 4(12):1914-9. Epub 2009 Nov 25. See all... Related information Related Citations Calculated set of PubMed citations closely related to the selected article(s) retrieved using a word weight algorithm. Related articles are displayed in ranked order from most to least relevant, with the “linked from” citation displayed first. Cited in PMC Full-text articles in the PubMed Central Database that cite the current articles. Recent activity Clear Turn Off Turn On Acute renal failure requiring renal replacement therapy: incidence and outcome. Acute renal failure requiring renal replacement therapy: incidence and outcome. QJM. 2002 Sep ;95(9):579-83. PubMed
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  • 9. NCBI on Twitter NCBI on YouTube NLM NIH DHHS USA.gov Copyright | Disclaimer | Privacy | Accessibility | Contact National Center for Biotechnology Information, U.S. National Library of Medicine 8600 Rockville Pike, Bethesda MD, 20894 USA PreferencesTurn off B est m atches f or r rt f or r enal f ailure MetcalfeWendy@aol.com. B ACKGROUND: R enal r eplacement t herapy (R RT) f or a cute r enal f ailure (ARF) m ay b ep rovided i nm any s ettings w ithin t he h ospital. J ump t ot ext » M ore m atches »