Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Prognostic value of a new scoring system for hospital mortality in acute renal failure
Autore:
Lins, RL; Elseviers, M; Daelemans, R; Zachee, P; Gheuens, E; Lens, S; De Broe, ME;
Indirizzi:
AZ Stuivenberg, Dept Nephrol Hypertens, B-2050 Antwerp, Belgium AZ Stuivenberg Antwerp Belgium B-2050 Hypertens, B-2050 Antwerp, Belgium Univ Antwerp Hosp, Dept Nephrol Hypertens, Antwerp, Belgium Univ Antwerp Hosp Antwerp Belgium t Nephrol Hypertens, Antwerp, Belgium
Titolo Testata:
CLINICAL NEPHROLOGY
fascicolo: 1, volume: 53, anno: 2000,
pagine: 10 - 17
SICI:
0301-0430(200001)53:1<10:PVOANS>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
ENG
Soggetto:
INTENSIVE-CARE UNIT; CLASSIFICATION-SYSTEM; ORGAN DYSFUNCTION; ACUTE PHYSIOLOGY; RISK-FACTORS; ICU PATIENTS; APACHE-II; MULTICENTER; PREDICTION; SURVIVAL;
Keywords:
mortality prediction; SHARF score; acute renal failure; intensive care unit;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
33
Recensione:
Indirizzi per estratti:
Indirizzo: Lins, RL AZ Stuivenberg, Dept Nephrol Hypertens, Lange Beeldekensstr 267, B-2050 Antwerp, Belgium AZ Stuivenberg Lange Beeldekensstr 267 Antwerp Belgium B-2050 um
Citazione:
R.L. Lins et al., "Prognostic value of a new scoring system for hospital mortality in acute renal failure", CLIN NEPHR, 53(1), 2000, pp. 10-17

Abstract

Aim and methods: In order to define a prognostic scoring system for hospital mortality of individual patients with acute renal failure (ARF), data were collected prospectively in a single centre study (Stuivenberg General Hospital, Antwerp, Belgium) on 197 adult patients consecutively admitted to the intensive care unit (ICU) during one year. Mean age was 69.8 (+/- 14.7),male/female ratio was 118/79. Results: Hospital mortality was 53%, 26% of the patients who were treated with renal replacement therapy. For developing the model all parameters showing a significant difference between survivors and non-survivors were entered in the multivariate analysis. Two SHARF scores (= Stuivenberg Hospital Acute Renal Failure scores) were developed, one at the time of diagnosis of ARF (T0) and the other 48 hours later (T48):SHARF T0 (7 x age) + (6 x alb0) + (3 x PTT0)+ (39 x vent0)+ (9 x heartf0)52 SHARF T48 (7 x age)+ (6 x alb0)+ (3 x PTT0)+ (43 x vent48)+(16 x heartf48)+ 52 age, albumin (alb0) and prothrombine time (PTT0) at T0 are expressed as categories, respiratory support (vent) and heart failure (heartf) at T0 and T48 are presented as absent (0) or present (1). In the linear regression model, r(2) was, respectively, 0.36 and 0.43. The area under the receiver operator characteristic (ROC) curves, judging the discrimination abilitybetween survivors and non-survivors, for T0 and T48 were, respectively, 0.87 and 0.90. The Hosmer-Lemeshow goodness-of-fit C statistic for T0 was C =8.47; df 8; p = 0.3 89 and for T48 C = 11.05; df = 8; p = 0. 199. Conclusion: We conclude that this scoring system, developed for all types of ARF, compares favorably with published scores and can become useful as a bedside tool for predicting hospital mortality in individual patients. A second measuring point increased the predictive value of the model. The results have to be confirmed in an ongoing prospective multicentre study.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/11/20 alle ore 19:06:25