caa a22 4500 606239758 CHVBK 20210128101304.0 cr unu---uuuuu 210128e20150401xx s 000 0 eng 10.1007/s00508-014-0684-4 doi (NATIONALLICENCE)springer-10.1007/s00508-014-0684-4 Geriatric patients with known acute kidney injury and normal renal function at the time of admittance to the intensive care unit/assessment of RRT requirement and mortality: retrospective case-control study [Elektronische Daten] [Fatmanur Karakose, Muhammet Emin Akkoyunlu, Reha Erkoc, Abdullah Kansu, Mehmet Bayram, Murat Sezer, Hatice Ozcelik, Levent Kart] Geriatrische Patienten mit bekanntem akuten Nierenversagen und normaler Nieren-funktion zum Zeitpunkt der Aufnahme an der Intensivstation. Erfassung der Notwendigkeit einer Nierenersatztherapie und der Mortalität: eine retrospektive Case-Control Studie Summary: Background: The objective of our study was to investigate the renal functions on admittance, chronic disease status, the diagnosis on admittance to the intensive care unit (ICU), need for mechanical ventilation and medication groups and their impact over mortality and renal replacement treatment (RRT) requirement in geriatric patients with and without known acute kidney injury (AKI) at the time of admittance. Methods: A total of 168 patients over 65 years of age having been monitored for more than 24h in our Respiratory ICU and were assessed retrospectively. Factors influencing the RRT requirement and the mortality rates of patients with known AKI and normal renal function at the time of admittance were reviewed. Results: Of 80 patients, 8 (10%) without AKI at the time of admittance to the ICU required RRT during the follow-up, however, 72 of those (90%) completed the follow-up without developing AKI. Of 88 patients, 29 (33%) with AKI at the time of admittance to the ICU required RRT, however, 59 of those (67%) completed the follow-up without any need for RRT. Conclusions: Presence of known AKI in the geriatric population at the time of their admittance to the respiratory ICU remarkably increased both the need for RRT and the mortality with respect to the geriatric population with normal renal functions. After having assessed the reasons justifying RRT and increasing the mortality during the intensive care, gastrointestinal bleeding and hypotension which necessitate the combined use of dopamine and noradrenaline were concluded to be prominent. Springer-Verlag Wien, 2014 Acute kidney injury nationallicence Geriatric patients nationallicence Intensive care unit nationallicence Concomitant disease nationallicence Renal replacement therapy nationallicence Akutes Nierenversagen nationallicence Geriatrische Patienten nationallicence Intensivstation nationallicence Therapie von begleiterkrankungen nationallicence Nierenersatz nationallicence Karakose Fatmanur Department of Chest Disease, Bezmialem Vakif University Medical School, Istanbul, Turkey aut Akkoyunlu Muhammet Emin Department of Chest Disease, Bezmialem Vakif University Medical School, Istanbul, Turkey aut Erkoc Reha Department of Nephrology, Bezmialem Vakif University Medical School, Istanbul, Turkey aut Kansu Abdullah Department of Chest Disease, Bezmialem Vakif University Medical School, Istanbul, Turkey aut Bayram Mehmet Department of Chest Disease, Bezmialem Vakif University Medical School, Istanbul, Turkey aut Sezer Murat Department of Chest Disease, Bezmialem Vakif University Medical School, Istanbul, Turkey aut Ozcelik Hatice Department of Chest Disease, Bezmialem Vakif University Medical School, Istanbul, Turkey aut Kart Levent Department of Chest Disease, Bezmialem Vakif University Medical School, Istanbul, Turkey aut Wiener klinische Wochenschrift Springer Vienna 127/7-8(2015-04-01), 290-296 0043-5325 127:7-8<290 2015 127 508 https://doi.org/10.1007/s00508-014-0684-4 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00508-014-0684-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Karakose Fatmanur Department of Chest Disease, Bezmialem Vakif University Medical School, Istanbul, Turkey aut NATIONALLICENCE 700 1- Akkoyunlu Muhammet Emin Department of Chest Disease, Bezmialem Vakif University Medical School, Istanbul, Turkey aut NATIONALLICENCE 700 1- Erkoc Reha Department of Nephrology, Bezmialem Vakif University Medical School, Istanbul, Turkey aut NATIONALLICENCE 700 1- Kansu Abdullah Department of Chest Disease, Bezmialem Vakif University Medical School, Istanbul, Turkey aut NATIONALLICENCE 700 1- Bayram Mehmet Department of Chest Disease, Bezmialem Vakif University Medical School, Istanbul, Turkey aut NATIONALLICENCE 700 1- Sezer Murat Department of Chest Disease, Bezmialem Vakif University Medical School, Istanbul, Turkey aut NATIONALLICENCE 700 1- Ozcelik Hatice Department of Chest Disease, Bezmialem Vakif University Medical School, Istanbul, Turkey aut NATIONALLICENCE 700 1- Kart Levent Department of Chest Disease, Bezmialem Vakif University Medical School, Istanbul, Turkey aut NATIONALLICENCE 773 0- Wiener klinische Wochenschrift Springer Vienna 127/7-8(2015-04-01), 290-296 0043-5325 127:7-8<290 2015 127 508