Idioma:

Renal failure after upper gastrointestinal bleeding in cirrhosis: Incidence, clinical course, predictive factors, and short-term prognosis

Cárdenas, Andrés ; Ginès, Pere ; Uriz, Juan ; Bessa, Xavier ; Salmerón, Joan Manuel ; Mas, Antoni ; Ortega, Rolando ; Calahorra, Blas ; De Las Heras, Dara ; Bosch, Jaime ; Arroyo, Vicente ; Rodés, Juan

Hepatology (Baltimore, Md.), 2001-10, Vol.34 (4), p.671-676 [Periódico revisado por pares]

Philadelphia, PA: Elsevier Inc

Texto completo disponível

Citações Citado por

Enviar para

Título:
Renal failure after upper gastrointestinal bleeding in cirrhosis: Incidence, clinical course, predictive factors, and short-term prognosis
Autor: Cárdenas, Andrés ; Ginès, Pere ; Uriz, Juan ; Bessa, Xavier ; Salmerón, Joan Manuel ; Mas, Antoni ; Ortega, Rolando ; Calahorra, Blas ; De Las Heras, Dara ; Bosch, Jaime ; Arroyo, Vicente ; Rodés, Juan
Assuntos: Adolescent ; Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Female ; Gastroenterology. Liver. Pancreas. Abdomen ; Gastrointestinal Hemorrhage - complications ; Humans ; Incidence ; Liver Cirrhosis - complications ; Liver. Biliary tract. Portal circulation. Exocrine pancreas ; Male ; Medical sciences ; Middle Aged ; Other diseases. Semiology ; Prognosis ; Renal Insufficiency - epidemiology ; Renal Insufficiency - etiology ; Renal Insufficiency - mortality
É parte de: Hepatology (Baltimore, Md.), 2001-10, Vol.34 (4), p.671-676
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
Descrição: To assess the incidence, clinical course, predictive factors, and prognosis of renal failure in patients with cirrhosis and gastrointestinal bleeding, 175 consecutive episodes of gastrointestinal bleeding in 161 patients were analyzed. Renal failure occurred in 20 (11%) episodes and was transient in 8 episodes and nontransient in 12. Renal failure was more common in patients with cirrhosis than in a control population of bleeding patients without cirrhosis matched by age and severity of the bleeding episode. Among 39 clinical and laboratory variables obtained at admission or during hospitalization related with the bleeding episode or with liver and renal function, the presence of hypovolemic shock, number of packed red blood cells transfused, Child-Pugh class at admission, and baseline platelet count were independent predictors of renal failure. The development of renal failure and hypovolemic shock was the only independent predictors of in-hospital mortality. Mortality rate among the 20 episodes with renal failure was 55% (11 deaths) as compared with only 3% (5 deaths) in the 155 episodes without renal failure ( P < .01). The development of nontransient renal failure entailed a much greater mortality as compared with transient renal failure (10 of 12 [83%] vs. 1 of 8 [12%]; P < .01). In conclusion, renal failure is a common event in patients with cirrhosis and gastrointestinal bleeding, the occurrence of which is mainly related to the severity of bleeding and baseline liver function. Renal failure is a strong predictor of mortality in patients with cirrhosis and gastrointestinal bleeding. (H EPATOLOGY 2001;34:671-676.)
Editor: Philadelphia, PA: Elsevier Inc
Idioma: Inglês

Links

Voltar para lista de resultados

Realização: Logos de Redes Sociais:

Renal failure after upper gastrointestinal bleeding in cirrhosis: Incidence, clinical course, predictive factors, and short-term prognosis

Cárdenas, Andrés ; Ginès, Pere ; Uriz, Juan ; Bessa, Xavier ; Salmerón, Joan Manuel ; Mas, Antoni ; Ortega, Rolando ; Calahorra, Blas ; De Las Heras, Dara ; Bosch, Jaime ; Arroyo, Vicente ; Rodés, Juan

Philadelphia, PA: Elsevier Inc

Buscando em bases de dados remotas. Favor aguardar.