Prognostic factors in acute renal failure following aortic aneurysm surgery.
Prognostic factors in acute renal failure following aortic aneurysm surgery.
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主动脉瘤手术后急性肾功能衰竭的预后因素。
DOI：
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发表时间：
1990
期刊：
影响因子：
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通讯作者：
Janet A. Dunn
中科院分区：
文献类型：
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作者：
F. Berisa;M. Beaman;D. Adu;R. McGonigle;J. Michael;R. Downing;J. Fielding;Janet A. Dunn
这项研究分析了70例主动脉瘤手术后发生急性肾功能衰竭的患者的预后因素。49名患者(70%)接受了主动脉瘤破裂的手术，21名患者(30%)接受了选择性手术。59名患者接受了血液透析。33名患者(47%)在急性肾功能衰竭事件中存活下来。在这些33名患者中，有6名在急性肾功能衰竭康复后3个月内死亡，总体存活率为27/70(39%)。逐步Logistic回归分析显示，以下因素对生存率有显著不利影响：需要正性肌力支持、通气量超过3天和年龄超过65岁。使用这些变量开发的模型为预测结果提供了基础。
This study analyses the prognostic factors associated with survival in 70 patients who developed acute renal failure following surgery for an aortic aneurysm. Forty-nine patients (70 per cent) had surgery for a ruptured aortic aneurysm and 21 patients (30 per cent) had an elective procedure. Fifty-nine patients received haemodialysis. Thirty-three patients (47 per cent) survived the episode of acute renal failure. Six of these thirty-three patients died within three months of recovering from acute renal failure, giving an overall survival of 27/70 (39 per cent). A stepwise logistic regression analysis showed that the following factors significantly adversely affected survival: a need for inotropic support, ventilation for more than three days and age over 65 years. A model developed using these variables provided a basis for predicting outcome.