Incidence and Prognosis of Different Types of Functional Renal Failure in Cirrhotic Patients With Ascites

作者: Silvia Montoliu , Belén Ballesté , Ramon Planas , Marco Antonio Álvarez , Mònica Rivera

DOI: 10.1016/J.CGH.2010.03.029

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摘要: Background & Aims Hepatorenal syndrome is a well-characterized type of terminal renal failure that occurs in patients with cirrhosis ascites. Information about other types functional these scarce. We assessed the incidence and prognosis different cirrhotic ascites investigated prognostic factors for disorders. Methods Consecutive (n = 263) were followed 41 ± 3 months after their first Three considered: pre-renal (when was associated depletion intravascular volume), induced by infection did not result hepatorenal syndrome, syndrome. Results During follow-up period, 129 (49%) developed some failure. The most frequent (27.4%), (14.1%), then (7.6%). 1-year probability developing episode any 23.6%. independent predictors development baseline age, Child–Pugh score, serum creatinine. Although survival 91% without failure, it decreased to 46.9% those who (P .0001). Conclusions Approximately 50% during period; worse prognosis. Efforts should be made prevent

参考文章(24)
Mnica Guevara, Rolando Ortega, Pere Gins, Juan Rods, Pathogenesis of Renal Vasoconstriction in Cirrhosis Ascites and Renal Dysfunction in Liver Disease: Pathogenesis, Diagnosis, and Treatment, Second Edition. pp. 327- 340 ,(2007) , 10.1002/9780470987476.CH27
Josep Llach, Pere Ginès, Vicente Arroyo, Antoni Rimola, Llúcia Titó, Salvatore Badalamenti, Wladimiro Jiménez, Joan Gaya, Francisca Rivera, Joan Rodés, Prognostic value of arterial pressure, endogenous vasoactive systems, and renal function in cirrhotic patients admitted to the hospital for the treatment of ascites Gastroenterology. ,vol. 94, pp. 482- 487 ,(1988) , 10.1016/0016-5085(88)90441-6
Gennaro D'Amico, Guadalupe Garcia-Tsao, Luigi Pagliaro, Natural history and prognostic indicators of survival in cirrhosis: A systematic review of 118 studies Journal of Hepatology. ,vol. 44, pp. 217- 231 ,(2006) , 10.1016/J.JHEP.2005.10.013
Ramon Planas, Silvia Montoliu, Belen Ballesté, Monica Rivera, Mireia Miquel, Helena Masnou, Jose Antonio Galeras, María D. Giménez, Justiniano Santos, Isabel Cirera, Rosa María Morillas, Susanna Coll, Ricard Solà, Natural history of patients hospitalized for management of cirrhotic ascites. Clinical Gastroenterology and Hepatology. ,vol. 4, pp. 1385- 1394 ,(2006) , 10.1016/J.CGH.2006.08.007
Javier Fernández, Miquel Navasa, Ramón Planas, Silvia Montoliu, David Monfort, German Soriano, Carmen Vila, Alberto Pardo, Enrique Quintero, Victor Vargas, Jose Such, Pere Ginès, Vicente Arroyo, Primary prophylaxis of spontaneous bacterial peritonitis delays hepatorenal syndrome and improves survival in cirrhosis. Gastroenterology. ,vol. 133, pp. 818- 824 ,(2007) , 10.1053/J.GASTRO.2007.06.065
Glòria Fernández-Esparrach, Alberto Sánchez-Fueyo, Pere Ginès, Juan Uriz, Llorenç Quintó, Pere-Joan Ventura, Andrés Cárdenas, Mónica Guevara, Pau Sort, Wladimiro Jiménez, Ramón Bataller, Vicente Arroyo, Juan Rodés, A prognostic model for predicting survival in cirrhosis with ascites Journal of Hepatology. ,vol. 34, pp. 46- 52 ,(2001) , 10.1016/S0168-8278(00)00011-8
Carlos Terra, Mónica Guevara, Aldo Torre, Rosa Gilabert, Javier Fernández, Marta Martín-Llahí, Maria E. Baccaro, Miquel Navasa, Conxita Bru, Vicente Arroyo, Juan Rodés, Pere Ginès, Renal failure in patients with cirrhosis and sepsis unrelated to spontaneous bacterial peritonitis: value of MELD score. Gastroenterology. ,vol. 129, pp. 1944- 1953 ,(2005) , 10.1053/J.GASTRO.2005.09.024
Robert W. Schrier, Vicente Arroyo, Mauro Bernardi, Murray Epstein, Jens H. Henriksen, Joan Rodés, Peripheral arterial vasodilation hypothesis: a proposal for the initiation of renal sodium and water retention in cirrhosis. Hepatology. ,vol. 8, pp. 1151- 1157 ,(1988) , 10.1002/HEP.1840080532
Pere Ginés, Glória Fernández-Esparrach, Vicente Arroyo, Joan Rodés, Pathogenesis of Ascites in Cirrhosis Seminars in Liver Disease. ,vol. 17, pp. 175- 189 ,(1997) , 10.1055/S-2007-1007196