Outcomes and APACHE II predictions for critically ill patients with acute renal failure requiring dialysis

Yung Chang Chen, Hsiang Hao Hsu, Kuo Chin Kao, Ji Tseng Fang*, Chiu-Ching Huang


研究成果: 期刊稿件文章同行評審

14 引文 斯高帕斯(Scopus)


Background: Despite the widespread availability of dialytic and intensive care unit technology, the probability of early mortality in critically ill patients with acute renal failure (ARF) is still high, and the evaluation of the patients' prognosis has been difficult. The Acute Physiology and Chronic Health Evaluation II (APACHE II) score is a reliable indicator of severity of illness and likelihood of survival in critically ill patients with ARE We have attempted to determine whether the APACHE II scoring system can be used to predict prognosis. Methods: A retrospective cohort study evaluated the medical records of 100 consecutive patients in intensive care units with acute renal failure who required dialysis from January 1997 through December 1998. Results: Of the 100 patients studied, 65 were men and 35 were women. The mean age of survivors and nonsurvivors was 59.4 ±20.3 years and 58.3 ± 20.0 years. The overall mortality rate was 71%. There were no significant differences between survivors and nonsurvivors in age, gender, or indication for dialysis. The cause of death in the majority of patients was related to higher APACHE II score during the 24 hours immediately preceding the initiation of acute hemodialysis, and carry mortality rates exceeding 85% with an APACHE II score of 24 or higher. Conclusion: We conclude that mortality rate for acute renal failure in intensive care unit patients continues to be high. The use of the APACHE II score determined at the time of initiation of dialysis for patients with ARF is a statistically significant predictor of patient survival. There is a significant trend with APACHE II score for outcome.

頁(從 - 到)61-70
期刊Renal Failure
出版狀態已出版 - 2001


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