Incidence, clinical predictors and outcome of acute renal failure among North Indian trauma patients

摘要: Context: There is a need for identifying risk factors aggravating development of acute renal failure after attaining trauma and defining new parameters better assessment management. Aim the study was to determine incidence among patients, its correlation with various laboratory clinical recorded at time admission in-hospital mortality. Subjects Methods: The retrospective cohort included admitted 208 patients over period one year. 135 serum creatinine level >2.0 mg/dL were enrolled in under group failure. 73 who had normal made control group. They further assessed details investigations. Results: Incidence 3.1%. 118 (87.4%) males average length stay 9 (1, 83) days. Severity injury (ISS, GCS) relatively more Renal transient 35 (25.9%) patients. higher bone fracture (54.0%) (P = 0.04). Statistically significant association observed between head mortality 72 (59.0%) 0.001). Prevalence septic 24 (59.7%) hemorrhagic (7.4%) shock affected Conclusion: Trauma urea >50 mg/dL, ISS >24 on first day 23 times 7 developing Similarly, hepatic dysfunction pulmonary 12 6 times. Patients developed cardiovascular dysfunction, hematological post-trauma during hospital 29, 8 times, respectively. final prognostic score obtained was: 14*hepatic + 11*cISS 18*cUrea 12*cGlucose 10*pulmonary dysfunction. Optimal cut-off prediction found be ≥25 specificity, sensitivity positive likelihood ratio 84.9%, 78.4% 3.9,