Does Age Have an Effect on Outcome in Critically Ill Patients with Acute Kidney Injury?
Yıl: 2021 Cilt: 74 Sayı: 1 Sayfa Aralığı: 77 - 81 Metin Dili: İngilizce DOI: 10.4274/atfm.galenos.2021.96720 İndeks Tarihi: 29-01-2022
Does Age Have an Effect on Outcome in Critically Ill Patients with Acute Kidney Injury?
Öz: Objectives: Acute kidney injury (AKI) is a clinical condition that is frequently encountered during admission to an intensive care unit (ICU). The aim was to answer the question of whether critically ill elderly patients with AKI who were admitted to ICU had a higher mortality than younger patients with AKI. Materials and Methods: All patients admitted to ICU were screened for the presence of AKI for one year. These patients were divided into two groups depending on their age: Patients <80 years old and patients ≥80 years old. Groups were compared in terms of their characteristics, need for renal replacement therapy (RRT), mortality, and the factors that might affect these outcomes. Results: A total of 305 patients were screened: 92 (30%) patients had AKI and were eligible for the study. Of these, 44 (48%) were <80 years and 48 (52%) were ≥80 years. The two groups were similar when disease severity and expected mortality rates were compared using APACHE II scores. Of patients <80 years, 19 (43%) underwent RRT and this was higher than observed in the elderly (p=0.001). However, there was no difference between the groups in terms of ICU mortality (p=0.63). Conclusion: ICU mortality may not be as high as expected in the presence of acute renal injury in elderly critically ill patients.
Anahtar Kelime: Akut Böbrek Hasarı Olan Kritik Hastalarda Yaşın Sonlanıma Etkisi Var mı?
Öz: Amaç: Akut böbrek hasarı (ABH), yoğun bakım ünitesine (YBÜ) kabul sırasında sıklıkla karşılaşılan klinik bir durumdur. Amaç, YBÜ’ye kabul edilen kritik hastalığı olan yaşlı ABH hastalarının, ABH olan genç hastalara göre daha yüksek mortaliteye sahip olup olmadığı sorusuna cevap vermekti. Gereç ve Yöntem: YBÜ’ye kabul edilen tüm hastalar bir yıl boyunca ABH varlığı açısından tarandı. Bu hastalar yaşlarına göre ikiye ayrıldı: Seksen yaş altı hastalar ve 80 yaş üstü hastalar. Gruplar renal replasman tedavisi (RRT) ihtiyacı, mortalite ve bu sonuçları etkileyebilecek faktörler açısından karşılaştırıldı. Bulgular: Toplam 305 hasta tarandı: 92 (%30) hastada ABH vardı ve çalışma için uygun bulundu. Bunlardan 44’ü (%48) <80 yaş ve 48’i (%52) ≥80 yaş idi. APACHE II skorları kullanılarak hastalık şiddeti ve beklenen ölüm oranları karşılaştırıldığında iki grup benzerdi. Seksen yaşın altındaki hastaların 19’una (%43) RRT uygulandı ve bu yaşlılarda gözlenenden daha yüksekti (p=0,001). Ancak YBÜ mortalitesi açısından gruplar arasında fark yoktu (p=0,63). Sonuç: Yaşlı kritik hastalarda ABH hasarı varlığında YBÜ mortalitesi beklendiği kadar yüksek olmayabilir.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | Ferlicolak L, Altintas N (2021). Does Age Have an Effect on Outcome in Critically Ill Patients with Acute Kidney Injury?. , 77 - 81. 10.4274/atfm.galenos.2021.96720 |
| Chicago | Ferlicolak Leyla,Altintas Neriman Does Age Have an Effect on Outcome in Critically Ill Patients with Acute Kidney Injury?. (2021): 77 - 81. 10.4274/atfm.galenos.2021.96720 |
| MLA | Ferlicolak Leyla,Altintas Neriman Does Age Have an Effect on Outcome in Critically Ill Patients with Acute Kidney Injury?. , 2021, ss.77 - 81. 10.4274/atfm.galenos.2021.96720 |
| AMA | Ferlicolak L,Altintas N Does Age Have an Effect on Outcome in Critically Ill Patients with Acute Kidney Injury?. . 2021; 77 - 81. 10.4274/atfm.galenos.2021.96720 |
| Vancouver | Ferlicolak L,Altintas N Does Age Have an Effect on Outcome in Critically Ill Patients with Acute Kidney Injury?. . 2021; 77 - 81. 10.4274/atfm.galenos.2021.96720 |
| IEEE | Ferlicolak L,Altintas N "Does Age Have an Effect on Outcome in Critically Ill Patients with Acute Kidney Injury?." , ss.77 - 81, 2021. 10.4274/atfm.galenos.2021.96720 |
| ISNAD | Ferlicolak, Leyla - Altintas, Neriman. "Does Age Have an Effect on Outcome in Critically Ill Patients with Acute Kidney Injury?". (2021), 77-81. https://doi.org/10.4274/atfm.galenos.2021.96720 |
| APA | Ferlicolak L, Altintas N (2021). Does Age Have an Effect on Outcome in Critically Ill Patients with Acute Kidney Injury?. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 74(1), 77 - 81. 10.4274/atfm.galenos.2021.96720 |
| Chicago | Ferlicolak Leyla,Altintas Neriman Does Age Have an Effect on Outcome in Critically Ill Patients with Acute Kidney Injury?. Ankara Üniversitesi Tıp Fakültesi Mecmuası 74, no.1 (2021): 77 - 81. 10.4274/atfm.galenos.2021.96720 |
| MLA | Ferlicolak Leyla,Altintas Neriman Does Age Have an Effect on Outcome in Critically Ill Patients with Acute Kidney Injury?. Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol.74, no.1, 2021, ss.77 - 81. 10.4274/atfm.galenos.2021.96720 |
| AMA | Ferlicolak L,Altintas N Does Age Have an Effect on Outcome in Critically Ill Patients with Acute Kidney Injury?. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2021; 74(1): 77 - 81. 10.4274/atfm.galenos.2021.96720 |
| Vancouver | Ferlicolak L,Altintas N Does Age Have an Effect on Outcome in Critically Ill Patients with Acute Kidney Injury?. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2021; 74(1): 77 - 81. 10.4274/atfm.galenos.2021.96720 |
| IEEE | Ferlicolak L,Altintas N "Does Age Have an Effect on Outcome in Critically Ill Patients with Acute Kidney Injury?." Ankara Üniversitesi Tıp Fakültesi Mecmuası, 74, ss.77 - 81, 2021. 10.4274/atfm.galenos.2021.96720 |
| ISNAD | Ferlicolak, Leyla - Altintas, Neriman. "Does Age Have an Effect on Outcome in Critically Ill Patients with Acute Kidney Injury?". Ankara Üniversitesi Tıp Fakültesi Mecmuası 74/1 (2021), 77-81. https://doi.org/10.4274/atfm.galenos.2021.96720 |
