Browse Guides  internal medicine  renal medicine

Acute renal failure

Prevalence
Causes
Clinical features
Investigations
Therapy
Prevention
Prognosis
Prognosis

Patients are more likely to die if they  
  • have acute stroke or seizure b
  • have acute myocardial infarction b
  • have oliguria b
  • are male b
  • are on mechanical ventilation b
  • have sepsis b

Why?

Recent strokes, seizures, heart attacks or the presence of oliguria increases the risk of dying

Patient b Prognostic Factor Outcome CER OR
(95% CI)
NNF+
(95% CI)
acute renal failure  acute stroke or seizure
independent
death
at 60 days
45%
(41% to 49%)
7.35
(1.92 to 28.1)
2
(2 to 6)
  acute myocardial infarction
independent
    5.90
(2.43 to 14.4)
3
(2 to 5)
  oliguria
independent
    4.39
(2.09 to 9.24)
3
(2 to 6)
  male
independent
    3.70
(1.75 to 7.82)
3
(2 to 7)
  mechanical ventilation
independent
    2.95
(1.53 to 5.68)
4
(3 to 9)

Expiry date: July 2003
Levels of Evidence used in grading these guides

Authors   C   Clase , CM   Ball
Reviewer   S   Hsu
CAT Writers   C   Clase , CM   Ball