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Fırat Tıp Dergisi
2011, Cilt 16, Sayı 3, Sayfa(lar) 120-124
[ Turkish ] [ Tam Metin ] [ PDF ]
Causes of Mortality in Acute and Chronic Renal Failure
Ferdi Seyyid TAŞ1, Kuddusi CENGİZ2, Emre ERDEM2, Ahmet KARATAŞ2, Coşkun KAYA2
1Ondokuz Mayıs Üniversitesi Tıp Fakültesi, İç Hastalıkları Anabilim Dalı, Samsun, Türkiye
2Ondokuz Mayıs Üniversitesi Tıp Fakültesi, Nefroloji Bilim Dalı, Samsun, Türkiye

Objective: Acute and chronic renal failure have high mortality rate and increased incidence with aging. In this study; we aim to investigate the mortality causes in the population of patients who were referred to our hospital because of acute or chronic renal failure and then died.

Materials and Methods: This study was performed between June 2007 and June 2010 by examining files of 240 renal failure patient's retrospectively who were admitted to emergency room and our internal medicine clinic and then died. We investigated the mortality causes, etiologies of renal failure, accompanying systemic diseases and whether dialysis performed after admission to the hospital or not in the population of patients who were referred to our hospital because of acute or chronic renal failure and then died.

Results: Among 240 patients; 96 patients had acute renal failure (ARF) and 144 had chronic renal failure (CRF). The median age of ARF patients was 71.3±11.9 while CRF patients' median age was 65.5±13.9. Sepsis and hypovolemia were the main causes of ARF. The common causes of CRF were diabetes mellitus and hypertension. While 45.8% of ARF patients undergone hemodialysis, this ratio was 60% for predialysis CRF patients .Infection was the cause of mortality in 64.6% of ARF patients and 68,8% of CRF patients. In both groups the second leading cause of mortality was cardiovascular diseases.

Conclusion: In our study, infection was the most common cause of mortality in ARF and CRF patients admitted to hospital.


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