Risk factors for development of chronic kidney disease following renal infarction: retrospective evaluation of emergency room patients from a single center.

<h4>Background</h4>Previous studies have analyzed factors associated with renal infarction so that patients can be provided with earlier diagnosis and treatment. However, the factors associated with development of chronic kidney disease (CKD) following renal infarction are unknown.<h4...

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Autores principales:	Wen-Ling Lin, Chen-June Seak, Jiunn-Yih Wu, Yi-Ming Weng, Hang-Cheng Chen
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/8aa99611a02a484b88adeff39a3d2e9a
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spelling	oai:doaj.org-article:8aa99611a02a484b88adeff39a3d2e9a2021-11-18T08:16:29ZRisk factors for development of chronic kidney disease following renal infarction: retrospective evaluation of emergency room patients from a single center.1932-620310.1371/journal.pone.0098880https://doaj.org/article/8aa99611a02a484b88adeff39a3d2e9a2014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24911965/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Previous studies have analyzed factors associated with renal infarction so that patients can be provided with earlier diagnosis and treatment. However, the factors associated with development of chronic kidney disease (CKD) following renal infarction are unknown.<h4>Methods</h4>We retrospectively reviewed the records of patients with a diagnosis of renal infarction based on enhanced computed tomography. All patients were admitted to a single emergency department in Taiwan from 1999 to 2008. Univariate and multivariate analysis were used to assess the effect of different factors on development of CKD based on estimates of the glomerular filtration rate (eGFR) at admission and at 3-12 months after discharge.<h4>Results</h4>Univariate analysis indicated significantly increased risk of CKD in patients older than 50 years, with symptoms for 24 h or less before admission, lower eGFR at admission, APACHE II score greater than 7, SOFA score greater than 1, ASA score greater than 2, and SAPS II score greater than 15. Multivariate analysis indicated that only SOFA score greater than 1 was significantly and independently associated with CKD at follow-up (p<0.001).<h4>Conclusions</h4>A total of 32.5% of patients admitted for renal infarction over a ten-year period developed CKD at 3-12 months after discharge. A SOFA score greater than 1 was significantly and independently associated with development of CKD in these patients.Wen-Ling LinChen-June SeakJiunn-Yih WuYi-Ming WengHang-Cheng ChenPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 6, p e98880 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Wen-Ling Lin Chen-June Seak Jiunn-Yih Wu Yi-Ming Weng Hang-Cheng Chen Risk factors for development of chronic kidney disease following renal infarction: retrospective evaluation of emergency room patients from a single center.
description	<h4>Background</h4>Previous studies have analyzed factors associated with renal infarction so that patients can be provided with earlier diagnosis and treatment. However, the factors associated with development of chronic kidney disease (CKD) following renal infarction are unknown.<h4>Methods</h4>We retrospectively reviewed the records of patients with a diagnosis of renal infarction based on enhanced computed tomography. All patients were admitted to a single emergency department in Taiwan from 1999 to 2008. Univariate and multivariate analysis were used to assess the effect of different factors on development of CKD based on estimates of the glomerular filtration rate (eGFR) at admission and at 3-12 months after discharge.<h4>Results</h4>Univariate analysis indicated significantly increased risk of CKD in patients older than 50 years, with symptoms for 24 h or less before admission, lower eGFR at admission, APACHE II score greater than 7, SOFA score greater than 1, ASA score greater than 2, and SAPS II score greater than 15. Multivariate analysis indicated that only SOFA score greater than 1 was significantly and independently associated with CKD at follow-up (p<0.001).<h4>Conclusions</h4>A total of 32.5% of patients admitted for renal infarction over a ten-year period developed CKD at 3-12 months after discharge. A SOFA score greater than 1 was significantly and independently associated with development of CKD in these patients.
format	article
author	Wen-Ling Lin Chen-June Seak Jiunn-Yih Wu Yi-Ming Weng Hang-Cheng Chen
author_facet	Wen-Ling Lin Chen-June Seak Jiunn-Yih Wu Yi-Ming Weng Hang-Cheng Chen
author_sort	Wen-Ling Lin
title	Risk factors for development of chronic kidney disease following renal infarction: retrospective evaluation of emergency room patients from a single center.
title_short	Risk factors for development of chronic kidney disease following renal infarction: retrospective evaluation of emergency room patients from a single center.
title_full	Risk factors for development of chronic kidney disease following renal infarction: retrospective evaluation of emergency room patients from a single center.
title_fullStr	Risk factors for development of chronic kidney disease following renal infarction: retrospective evaluation of emergency room patients from a single center.
title_full_unstemmed	Risk factors for development of chronic kidney disease following renal infarction: retrospective evaluation of emergency room patients from a single center.
title_sort	risk factors for development of chronic kidney disease following renal infarction: retrospective evaluation of emergency room patients from a single center.
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/8aa99611a02a484b88adeff39a3d2e9a
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Risk factors for development of chronic kidney disease following renal infarction: retrospective evaluation of emergency room patients from a single center.

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