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| acute kidney failureSummarySummary: A severe stage of acute renal insufficiency, characterized by the sudden decrease in GLOMERULAR FILTRATION RATE to less than 15 ml per min, sometime to less than 1 to 2 ml per min. It is usually associated with OLIGURIA; EDEMA; and increase in BLOOD UREA NITROGEN and serum CREATININE concentrations. Top Publications
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Publications
Acute renal failure - definition, outcome measures, animal models, fluid therapy and information technology needs: the Second International Consensus Conference of the Acute Dialysis Quality Initiative (ADQI) GroupRinaldo Bellomo
Department of Intensive Care and Medicine, Austin Health, Melbourne, Australia
Crit Care 8:R204-12. 2004..Accordingly, we sought to review the available evidence, make recommendations and delineate key questions for future studies...
Acute Kidney Injury Network: report of an initiative to improve outcomes in acute kidney injuryRavindra L Mehta
Department of Medicine, University of California San Diego Medical Center 8342, 200 W, Arbor Drive, San Diego, CA 92103, USA
Crit Care 11:R31. 2007..We describe an initiative to develop uniform standards for defining and classifying AKI and to establish a forum for multidisciplinary interaction to improve care for patients with or at risk for AKI...
Acute renal failure in patients with sepsis in a surgical ICU: predictive factors, incidence, comorbidity, and outcomeEric A J Hoste
Intensive Care Unit and Renal Unit, Ghent University Hospital, Gent, Belgium
J Am Soc Nephrol 14:1022-30. 2003..This model allows initiating specific therapeutic measures earlier in the course of sepsis, hopefully resulting in a lower incidence of ARF and needi for RRT, thereby lowering mortality...
Clinical review: RIFLE and AKIN--time for reappraisalDinna N Cruz
Department of Nephrology, Ospedale San Bortolo, Viale Rodolfi 37, 36100 Vicenza, Italy
Crit Care 13:211. 2009..As new data emerge, integration of novel biomarkers into the consensus definition will be a welcome refinement...
Early hemofiltration improves survival in post-cardiotomy patients with acute renal failureMaqsood M Elahi
Department of Cardiothoracic Surgery, Glenfield Hospital, Groby Road, Leicester LE3 9QP, UK
Eur J Cardiothorac Surg 26:1027-31. 2004..The aim of the present study was to identify how the timing of introduction of hemofiltration affects the morbidity and mortality in patients with ARF after cardiac surgery...
Urinary neutrophil gelatinase-associated lipocalin (NGAL) as an early marker of acute kidney injury in critically ill multiple trauma patientsKonstantinos Makris
Clinical Biochemistry Department, KAT General Hospital, Kiffissia, Athens, Greece
Clin Chem Lab Med 47:79-82. 2009..The aim of this study was to evaluate urinary NGAL levels as a predictor of early AKI (first 5 days after injury) in multi-trauma patients...
Serum neutrophil gelatinase-associated lipocalin (NGAL) as a marker of acute kidney injury in critically ill children with septic shockDerek S Wheeler
Division of Critical Care Medicine, Cincinnati Children s Hospital Medical Center, Cincinnati, OH, USA
Crit Care Med 36:1297-303. 2008..To validate serum neutrophil gelatinase-associated lipocalin (NGAL) as an early biomarker for acute kidney injury in critically ill children with septic shock...
Hemofiltration and peritoneal dialysis in infection-associated acute renal failure in VietnamNguyen Hoan Phu
Center for Tropical Diseases, Center for Tropical Diseases, Cho Quan Hospital, Ho Chi Minh City, Vietnam
N Engl J Med 347:895-902. 2002..CONCLUSIONS: Hemofiltration is superior to peritoneal dialysis in the treatment of infection-associated acute renal failure...
Incidence and outcomes of acute kidney injury in intensive care units: a Veterans Administration studyCharuhas V Thakar
Nephrology, Cincinnati VA Medical Center, Cincinnati, OH, USA
Crit Care Med 37:2552-8. 2009..Acute kidney injury in intensive care unit patients is associated with significant mortality...
Acute kidney injury in intensive care unit patients: a comparison between the RIFLE and the Acute Kidney Injury Network classificationsJosé António Lopes
Department of Nephrology and Renal Transplantation, Hospital de Santa Maria, Av, Prof, Egas Moniz, Lisboa 1649 035, Portugal
Crit Care 12:R110. 2008..We evaluated the incidence of acute kidney injury and compared the ability of the maximum RIFLE and of the maximum AKIN within intensive care unit hospitalization in predicting inhospital mortality of critically ill patients...
Urinary IL-18 is an early predictive biomarker of acute kidney injury after cardiac surgeryC R Parikh
Section of Nephrology, Yale University, New Haven, Connecticut 06516, USA
Kidney Int 70:199-203. 2006..The combination of these two biomarkers may allow for the reliable early diagnosis and prognosis of AKI at all times after CPB, much before the rise in serum creatinine...
Management of crush-related injuries after disastersMehmet Sukru Sever
Department of Internal Medicine, Istanbul School of Medicine, Istanbul, Turkey
N Engl J Med 354:1052-63. 2006
Acute kidney injury in patients with sepsis: a contemporary analysisJosé António Lopes
Department of Nephrology and Renal Transplantation, Hospital de Santa Maria, Av Prof Egas Moniz, 1649 035, Lisbon, Portugal
Int J Infect Dis 13:176-81. 2009....
Impact of minimal increases in serum creatinine on outcome in patients after cardiothoracic surgery: do we have to revise current definitions of acute renal failure?Andrea Lassnigg
Department of Cardiothoracic and Vascular Anesthesia and Intensive Care Medicine, University Hospital of Vienna, A 1090 Vienna, Austria
Crit Care Med 36:1129-37. 2008....
Identification of neutrophil gelatinase-associated lipocalin as a novel early urinary biomarker for ischemic renal injuryJaya Mishra
Nephrology and Hypertension, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio 45229-3039, USA
J Am Soc Nephrol 14:2534-43. 2003..The results indicate that NGAL may represent an early, sensitive, noninvasive urinary biomarker for ischemic and nephrotoxic renal injury...
Insulin resistance in critically ill patients with acute renal failureSeema Basi
Department of Medicine, Division of Nephrology, Vanderbilt University Medical Center, Nashville, TN 37232-2372, USA
Am J Physiol Renal Physiol 289:F259-64. 2005..Insulin resistance as defined by hyperglycemia in the setting of higher insulin concentrations may be associated with mortality in critically ill patients with ARF. The IGF-IGFBP axis may play an important role in this process...
Incidence, classification, and outcomes of acute kidney injuryEric A J Hoste
Intensive Care Unit, Ghent University Hospital, Ghent, Belgium
Contrib Nephrol 156:32-8. 2007..Recent data emphasized the importance of less severe impairment of kidney function, hence the terminology acute kidney injury (AKI) was introduced...
The local and systemic inflammatory transcriptome after acute kidney injuryDmitry N Grigoryev
Division of Allergy and Clinical Immunology, 5501 Hopkins Bayview Circle, JHAAC 3A 62, Baltimore, Maryland, 21224, USA
J Am Soc Nephrol 19:547-58. 2008..Functional genomic analysis identified potential mediators that connect local and systemic inflammation, suggesting that this type of analysis may be a useful discovery tool for novel biomarkers and therapeutic drug development...
Acute renal failure independently predicts mortality after myeloablative allogeneic hematopoietic cell transplantChirag R Parikh
Section of Nephrology, Yale University School of Medicine, New Haven, Connecticut 06473, USA
Kidney Int 67:1999-2005. 2005..Patients undergoing myeloablative allogeneic hematopoietic cell transplantation (HCT) have a high incidence of acute renal failure (ARF). However, it is unclear if ARF is independently associated with mortality after this procedure...
The Prospective Pediatric Continuous Renal Replacement Therapy (ppCRRT) Registry: design, development and data assessedS L Goldstein
Baylor College of Medicine, Houston, Texas, USA
Int J Artif Organs 27:9-14. 2004....
Kidney dysfunction in the postoperative periodJ W Sear
Nuffield Department of Anaesthetics, University of Oxford, John Radcliffe Hospital, Headington, Oxford, UK
Br J Anaesth 95:20-32. 2005....
Early renal replacement therapy in patients with postoperative acute liver failure associated with acute renal failure: effect on postoperative outcomesVin Cent Wu
Department of Internal Medicine, Yun Lin branch, National Taiwan University, Taipei, Taiwan
J Am Coll Surg 205:266-76. 2007..The optimal time to initiate renal replacement therapy for acute renal failure is controversial because of the poor overall clinical outcomes...
Spectrum of acute renal failure in the intensive care unit: the PICARD experienceRavindra L Mehta
Division of Nephrology, Department of Medicine, University of California San Diego, San Diego, California, USA
Kidney Int 66:1613-21. 2004..There is wide variation across institutions in patient characteristics and practice patterns. These differences highlight the need for additional multicenter observational and interventional studies in ARF...
Renal ischemic injury results in permanent damage to peritubular capillaries and influences long-term functionD P Basile
Department of Physiology, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA
Am J Physiol Renal Physiol 281:F887-99. 2001..We hypothesize that severe ischemic injury results in a permanent alteration of renal capillary density, contributing to a urinary concentrating defect and the predisposition toward the development of renal fibrosis...
Renal dysfunction and serious infections after open-heart surgeryCharuhas V Thakar
Department of Nephrology and Hypertension, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
Kidney Int 64:239-46. 2003..The infection rate was higher in patients with postoperative ARF regardless of the baseline renal function. However, preoperative renal dysfunction portended higher risk of infection, independent of the influence of postoperative ARF...
Neutrophil gelatinase-associated lipocalin (NGAL) as a biomarker for acute renal injury after cardiac surgeryJaya Mishra
Division of Nephrology and Hypertension, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH 45229-3039, USA
Lancet 365:1231-8. 2005..00, and specificity was 0.98 for a cutoff value of 50 microg/L. INTERPRETATION: Concentrations in urine and serum of NGAL represent sensitive, specific, and highly predictive early biomarkers for acute renal injury after cardiac surgery...
The changing epidemiology of acute renal failureNorbert Lameire
Ghent University, Ghent, Belgium
Nat Clin Pract Nephrol 2:364-77. 2006....
Continuous renal replacement therapy: a worldwide practice survey. The beginning and ending supportive therapy for the kidney (B.E.S.T. kidney) investigatorsShigehiko Uchino
Jikei University School of Medicine, Intensive Care Unit, Department of Anesthesiology, Tokyo, Japan
Intensive Care Med 33:1563-70. 2007..Little information is available regarding current practice in continuous renal replacement therapy (CRRT) for the treatment of acute renal failure (ARF) and the possible clinical effect of practice variation...
Urine NGAL predicts severity of acute kidney injury after cardiac surgery: a prospective studyMichael Bennett
Nephrology and Hypertension, Cincinnati Children s Hospital Medical Center, University of Cincinnati School of Medicine, Cincinnati, OH 45229 3039, USA
Clin J Am Soc Nephrol 3:665-73. 2008..In this study, whether an NGAL immunoassay developed for a standardized clinical platform (ARCHITECT analyzer, Abbott Diagnostics Division, Abbott Laboratories, Abbott Park, IL) can predict AKI after CPB was tested...
Plasma neutrophil gelatinase-associated lipocalin predicts acute kidney injury, morbidity and mortality after pediatric cardiac surgery: a prospective uncontrolled cohort studyCatherine L Dent
Department of Cardiology, Cincinnati Children s Hospital Medical Center, University of Cincinnati School of Medicine, 3333 Burnet Ave, Cincinnati, Ohio 45229, USA
Crit Care 11:R127. 2007..In this study we tested whether a point-of-care NGAL device can predict AKI after CPB in a larger cohort...
Identification of persistently altered gene expression in the kidney after functional recovery from ischemic acute renal failureDavid P Basile
Department of Physiology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
Am J Physiol Renal Physiol 288:F953-63. 2005..In summary, genes with known inflammatory, remodeling, and vasoactive activities were identified in rat kidneys after recovery from ARF, some of which may play a role in altering long-term renal function after recovery from ARF...
Plasma exchange when myeloma presents as acute renal failure: a randomized, controlled trialWilliam F Clark
University of Western Ontario, London, Ontario, Canada
Ann Intern Med 143:777-84. 2005..29 mL.s(-2).m(-2) (<30 mL/min per 1.73 m2) at 6 months...
Acute renal failureNorbert Lameire
Renal Division, Department of Medicine, University Hospital Ghent, De Pintelaan 185, 9000 Ghent, Belgium
Lancet 365:417-30. 2005..Finally, some information on the influence of gene polymorphisms on the prognosis of acute renal failure is given...
Rifle classification for predicting in-hospital mortality in critically ill sepsis patientsYung Chang Chen
Departments of Nephrology, Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taipei, Taiwan
Shock 31:139-45. 2009..In conclusion, these findings are consistent with a role for RIFLE classification in accurately predicting in-hospital mortality and short-term prognosis in ICU sepsis patients...
Ischemic acute renal failure: an inflammatory disease?Joseph V Bonventre
Medical Services, Brigham and Women s Hospital and Department of Medicine, Harvard Medical School, and Harvard Massachusetts Institute of Technology, Division of Health Sciences and Technology, Charlestown, USA
Kidney Int 66:480-5. 2004..Understanding the inflammatory response prevalent in ischemic kidney injury will facilitate identification of molecular targets for therapeutic intervention...
Timing of replacement therapy for acute renal failure after cardiac surgeryUfuk Demirkilic
Cardiovascular Surgery Department, Etlik, Ankara, Turkey
J Card Surg 19:17-20. 2004..The aim of this study is to compare early and intensive use of continuous veno-venous hemodiafiltration (CVVHDF) with conservative usage of CVVHDF in patients with ARF after cardiac surgery...
Influence of dialysis membranes on outcomes in acute renal failure: a meta-analysisSanjay Subramanian
Department of Medicine, Musselshell Medical Center, Roundup, Montana, USA
Kidney Int 62:1819-23. 2002..Finally, our results suggest that the survival disadvantage for cellulose-based membranes may be limited to unsubstituted cellulose (cuprophane) membranes...
Global analysis of gene expression in renal ischemia-reperfusion in the mouseTakumi Yoshida
Renal Division, Department of Medicine, Brigham and Women's Hospital, Cambridge, Massachusetts 02139, USA
Biochem Biophys Res Commun 291:787-94. 2002..Our data identified several novel genes that may be important in renal repair after ischemia...
Biomarkers for the diagnosis and risk stratification of acute kidney injury: a systematic reviewS G Coca
Clinical Epidemiology Research Center, Veterans Affairs Medical Center, West Haven, Connecticut 06516, USA
Kidney Int 73:1008-16. 2008..These biomarkers need validation in larger studies, and the generalizability of biomarkers to different types of AKI as well as the incremental prognostic value over traditional clinical variables needs to be determined...
Clearance of ceftazidime during continuous venovenous haemofiltration in critically ill patientsFriederike Traunmüller
Department of Internal Medicine I, Division of Infectious Diseases, University of Vienna, Waehringer Guertel 18 20, A 1090 Vienna, Austria
J Antimicrob Chemother 49:129-34. 2002..3 +/- 0.6 h, 32.1 +/- 7.9 mL/min, 36.4 +/- 6.4 L and 74.5 +/- 6.5%, respectively. Based on these pharmacokinetic parameters and that maximal killing is at 4 x MIC we recommend at least ceftazidime 2 g i.v. q8h...
Phosphatemic control during acute renal failure: intermittent hemodialysis versus continuous hemodiafiltrationH K Tan
Department of Intensive Care, Austin and Repatriation Medical Centre, Melbourne, Victoria, Australia
Int J Artif Organs 24:186-91. 2001..3% vs. 5.6%; P<0.1) during CVVHDF CONCLUSIONS: Abnormal serum phosphate concentrations are frequent in ARF patients before and during renal replacement, however, normalization of phosphatemia is achieved more frequently with CVVHDF...
A comparison of the RIFLE and AKIN criteria for acute kidney injury in critically ill patientsSean M Bagshaw
Department of Intensive Care, Austin Hospital, Heidelberg, Victoria 3084, Australia
Nephrol Dial Transplant 23:1569-74. 2008..The Acute Kidney Injury Network (AKIN) group has recently proposed modifications to this system. It is currently unknown whether there are advantages between these criteria...
Prognosis for long-term survival and renal recovery in critically ill patients with severe acute renal failure: a population-based studySean M Bagshaw
Department of Critical Care Medicine, Calgary Health Region, University of Calgary, Calgary, Alberta, Canada
Crit Care 9:R700-9. 2005..Severe acute renal failure (sARF) is associated with considerable morbidity, mortality and use of healthcare resources; however, its precise epidemiology and long-term outcomes have not been well described in a non-specified population...
Acute renal failure in critically ill patients: a multinational, multicenter studyShigehiko Uchino
Department of Intensive Care, Austin Hospital, Melbourne, Australia
JAMA 294:813-8. 2005..87; 95% CI, 1.07-3.28; P = .03). CONCLUSION: In this multinational study, the period prevalence of ARF requiring RRT in the ICU was between 5% and 6% and was associated with a high hospital mortality rate...
Dialytic treatment of rhabdomyolysis-induced acute renal failure: our experienceG Splendiani
Surgery Department, Tor Vergata University, Rome, Italy
Ren Fail 23:183-91. 2001..Nevertheless, the final outcome may be very different between ICU- and NICU-patients, with a higher mortality rate in ICU-patients, suffering from MODS...
Pathophysiology of septic acute kidney injury: what do we really know?Li Wan
Department of Intensive Care, Austin Hospital, Melbourne, Australia
Crit Care Med 36:S198-203. 2008..If this were to happen, our therapeutic approaches would also be profoundly altered...
Derivation and validation of a simplified predictive index for renal replacement therapy after cardiac surgeryDuminda N Wijeysundera
Department of Anesthesia, Toronto General Hospital and University of Toronto, Toronto, Ontario, Canada
JAMA 297:1801-9. 2007..A predictive index for renal replacement therapy (RRT; hemodialysis or continuous venovenous hemodiafiltration) after cardiac surgery may improve clinical decision making and research design...
Elimination of organic anions in response to an early stage of renal ischemia-reperfusion in the rat: role of basolateral plasma membrane transporters and cortical renal blood flowGisela Di Giusto
Farmacologia, Facultad de Ciencias Bioquimicas y Farmaceuticas, Universidad Nacional de Rosario, CONICET, Rosario, Argentina
Pharmacology 81:127-36. 2008....
Urinary biomarkers in the early diagnosis of acute kidney injuryW K Han
Renal Division, Department of Medicine, Brigham and Women s Hospital, Harvard Medical School, Boston, Massachusetts, USA
Kidney Int 73:863-9. 2008..Urinary MMP-9 was not a sensitive marker in the case-control study. Our results suggest that urinary biomarkers allow diagnosis of acute kidney injury earlier than a rise in serum creatinine...
Diuretics and mortality in acute renal failureShigehiko Uchino
Department of Intensive Care, Austin and Repatriation Medical Centre, Melbourne, Australia
Crit Care Med 32:1669-77. 2004..There is full equipoise for a randomized controlled trial of diuretics in critically ill patients with renal dysfunction...
Dialysis in acute kidney injury--more is not betterJoseph V Bonventre
N Engl J Med 359:82-4. 2008
Mortality after acute renal failure: models for prognostic stratification and risk adjustmentG M Chertow
Department of Medicine Research, Division of Nephrology, University of California San Francisco, San Francisco, California, USA
Kidney Int 70:1120-6. 2006..By incorporating exposures over time, the discriminatory power of predictive models in ARF can be significantly improved...
Intensive insulin therapy and pentastarch resuscitation in severe sepsisFrank M Brunkhorst
Department of Anesthesiology and Intensive Care Medicine, Friedrich Schiller University, Jena, Germany
N Engl J Med 358:125-39. 2008..The role of intensive insulin therapy in patients with severe sepsis is uncertain. Fluid resuscitation improves survival among patients with septic shock, but evidence is lacking to support the choice of either crystalloids or colloids...
A clinical score to predict acute renal failure after cardiac surgeryCharuhas V Thakar
Department of Nephrology and Hypertension, Cleveland Clinic Foundation, Cincinnati, OH, USA
J Am Soc Nephrol 16:162-8. 2005..82; 95% CI 0.80 to 0.85; P = 0.39). In conclusion, a score is valid and accurate in predicting ARF after open-heart surgery; along with increasing its clinical utility, the score can help in planning future clinical trials of ARF...
RIFLE criteria for acute kidney injury are associated with hospital mortality in critically ill patients: a cohort analysisEric A J Hoste
The Clinical Research, Investigation, and Systems Modeling of Acute Illness (CRISMA) Laboratory, Department of Critical Care Medicine, University of Pittsburgh, School of Medicine, Pittsburgh, Pennsylvania, USA
Crit Care 10:R73. 2006....
Costs and outcomes of acute kidney injury (AKI) following cardiac surgeryJoseph F Dasta
College of Pharmacy, The Ohio State University, Columbus, OH 43210, USA
Nephrol Dial Transplant 23:1970-4. 2008..We determined costs, resource use and mortality rate of patients. We used the serum creatinine component of the RIFLE system to classify AKI...
Survival and quality of life of patients requiring acute renal replacement therapyAnnika Ahlström
Intensive Care Unit, Division of Anesthesiology and Intensive Care Medicine, Department of Surgery, Helsinki University Central Hospital, Finland
Intensive Care Med 31:1222-8. 2005..To assess long-term survival and health-related quality of life in patients with acute renal failure...
Nutritional management of acute renal failureWilfred Druml
Medical Department III, Division of Nephrology, Vienna General Hospital, Vienna, Austria
J Ren Nutr 15:63-70. 2005..Therefore, nutrition therapy must be more closely monitored in patients with ARF than with other diseases...
Plasma cytokine levels predict mortality in patients with acute renal failureEdith M Simmons
Vanderbilt University Medical Center, Nashville, Tennessee 37232, USA
Kidney Int 65:1357-65. 2004..Strategies to modulate inflammation must take into account the complex cytokine biology in patients with established ARF...
Impact of burn size and initial serum albumin level on acute renal failure occurring in major burnGheun Ho Kim
Department of Internal Medicine, Hallym University College of Medicine, Kangwon Do, South Korea
Am J Nephrol 23:55-60. 2003..The severity of the burn is largely determined by the burn size, and severe burns are likely to cause enough loss of extracellular fluid and albumin from plasma volume to produce shock and hypoalbuminemia...
Early detection of acute renal failure by serum cystatin CStefan Herget-Rosenthal
Department of Nephrology, Thoracic and Cardiovascular Surgery, University Hospital, Essen, Germany
Kidney Int 66:1115-22. 2004..However, serum creatinine, the standard marker to detect ARF, demonstrates major limitations. We prospectively evaluated whether serum cystatin C detected ARF earlier than serum creatinine...
Acid-base status of critically ill patients with acute renal failure: analysis based on Stewart-Figge methodologyJens Rocktaeschel
Department of Intensive Care and Department of Medicine, University of Melbourne, Australia
Crit Care 7:R60. 2003..This acidosis is the result of the balance between the acidifying effect of increased unmeasured anions and hyperphosphatemia and the lesser alkalinizing effect of hypoalbuminemia...
Haemodialysis for the prevention of contrast-induced nephropathy: outcome of 31 patients with severely impaired renal function, comparison with patients at similar risk and reviewWolfgang Huber
Department of Internal Medicine II, Klinikum rechts der Isar, Technical University of Munich, Germany
Invest Radiol 37:471-81. 2002..To investigate whether haemodialysis prevents contrast-induced nephropathy (definition: increase of serum-creatinine of >or= 0.5 mg/dL within 7 days)...
Thoracoabdominal aortic aneurysm repair: a prospective cohort study of 121 casesClaudio S Cina
Division of Vascular Surgery, McMaster University, Hamilton, Ontario, Canada
Ann Vasc Surg 16:631-8. 2002..Long-term survival after elective TAAA repair is excellent...
Postnatal renal function in preterm newborns: a role of diseases, drugs and therapeutic interventionsLaura Cuzzolin
Department of Medicine and Public Health Section of Pharmacology, University of Verona, Policlinico G B Rossi, 37134, Verona, Italy
Pediatr Nephrol 21:931-8. 2006..Our data confirm a multifactorial origin of acute renal impairment in newborns. It is of note that pharmacological treatment with NSAIDs during pregnancy may negatively influence neonatal renal function...
Adding a dialysis dose to continuous hemofiltration increases survival in patients with acute renal failureP Saudan
Nephrology Unit, University Hospitals of Geneva, Geneva, Switzerland
Kidney Int 70:1312-7. 2006..62) was not affected by the type of renal replacement therapy. These results suggest that increasing the dialysis dose especially for low molecular weight solutes confers a better survival in severely ill patients with ARF...
[Chronic renal failure: when do patients need a nephrologist?]T Wieland
Departement Medizin, Kantonsspital Chur
Ther Umsch 59:105-9. 2002..We extract some of the relevant data considering own data collected at the University Hospital of Berne (Inselspital), Switzerland...
Acute renal failure in children: etiology, treatment and outcomeIhab Sakr Shaheen
Children and Young People's Kidney Unit, Nottingham City Hospital, NHS Trust, United Kingdom
Saudi J Kidney Dis Transpl 17:153-8. 2006..Further prospective studies will be required to analyze the impact of early hemofiltration in such patients...
Dosing intermittent haemodialysis in the intensive care unit patient with acute renal failure--estimation of urea removal and evidence for the regional blood flow modelNigel S Kanagasundaram
Section of Dialysis and Extracorporeal Therapy, Department of Hypertension Nephrology, OH, USA
Nephrol Dial Transplant 23:2286-98. 2008..The present study sought to quantify this mass balance error (MBE) and explore potential explanatory factors...
The DOse REsponse Multicentre International Collaborative Initiative (DO-RE-MI)G Monti
Department of Anesthesiology and Intensive Care, Hospital Niguarda, Milan, Italy, and Anesthesiology Clinic, University of Dusseldorf, Germany
Contrib Nephrol 156:434-43. 2007..Here, we report the first preliminary descriptive analysis after 1-year recruitment...
The ins and outs of renal traumaVicky D Cassabaum
General Hospital Trauma Services, Denver, CO, USA
Am J Nurs . 2002..Early identification of renal injury can be life saving...
Fluid and volume monitoringM R Pinsky
Critical Care Medicine, Bioengineering, Cardiovascular Diseases and Anesthesiology, University of Pittsburgh Medical Center, Pittsburgh, PA 15261, USA
Int J Artif Organs 31:111-26. 2008..Thus, compensated shock with a normal blood pressure is a major cause of AKI or exacerbations of AKI during ultrafiltration...
The outcome of acute renal failure in the intensive care unit according to RIFLE: model application, sensitivity, and predictabilityNihal Y Abosaif
Sheffield Kidney Institute and Intensive Care Unit, Northern General Hospital, University of Sheffield, UK
Am J Kidney Dis 46:1038-48. 2005....
Management of acute renal failureEddie Needham
Emory University School of Medicine, Atlanta, Georgia 30338, USA
Am Fam Physician 72:1739-46. 2005..13 and the absolute risk reduction was 11.9 percent. Dopamine and diuretics have been shown to be ineffective in ameliorating the course of acute renal failure...
[Recommendations for prevention of roentgen contrast medium-induced nephropathy]M Mockel
Charité Campus Virchow Klinikum und Campus Berlin Buch Franz Volhard Klinik Medizinische Klinik mit Schwerpunkt Kardiologie Augustenburger Platz 1 13353 Berlin
Z Kardiol 91:719-26. 2002
[Treatment of patients with urinary tract obstruction and significant renal impairment]Henrikas Ramonas
Clinic of Nephrourology, Vilnius University, Lithuania
Medicina (Kaunas) 38:30-5. 2002....
Effect of hydroxyethylstarch on renal function in cardiac surgery: a large scale retrospective studyP Wiesen
General Intensive Care, , Domaine Universitaire du Sart Tilman, , Belgium
Acta Anaesthesiol Belg 56:257-63. 2005..CONCLUSION: The use of HES 200 kD, 0.5 DS in cardiac surgery does not seem to be associated with a clinically significant deterioration of postoperative renal function...
Technology Insight: treatment of renal failure in the intensive care unit with extended dialysisDanilo Fliser
Division of Nephrology, Department of Internal Medicine, Hannover Medical School, Carl Neuberg Strasse 1, 30625 Hannover, Germany
Nat Clin Pract Nephrol 2:32-9. 2006....
Acute renal failure in patients with rhabdomyolysisWladyslaw Sułowicz
Department of Nephrology, Jagiellonian University Hospital, Cracow, Poland
Med Sci Monit 8:CR24-7. 2002..Rhabdomyolysis is a relatively rare, not always diagnosed cause of acute renal failure (ARF). This fact motivated us to present the results of ARF treatment in the course of this polyetiological clinical syndrome...
Mathematical estimation of recovery after loss of activity: I. Renal failureMerla J Hübler
Department of Surgery, Washington University, Saint Louis, Missouri, USA
J Trauma 63:232-8. 2007
In severe acute kidney injury, a higher serum creatinine is paradoxically associated with better patient survivalJorge Cerda
Deptartment of Medicine, St Peter s Hospital, Albany, New York 12209, USA
Nephrol Dial Transplant 22:2781-4. 2007..Our findings did not support a role of nutrition or muscle mass for this association. All these possibilities are worthy of thorough investigation, as findings will likely result in important changes in patient outcome...
[Acute renal failure. Extracorporeal therapy]J T Kielstein
Abteilung Nephrologie OE 6840, Medizinische Hochschule Hannover, Carl Neuberg Strasse 1, 30625 Hannover
Internist (Berl) 48:786-94. 2007..Therefore, the choice of renal replacement therapy should be based on personal experience, the available resources/infrastructure as well as the needs of the individual patient...
Renal replacement strategies in the ICUStefan John
Department of Nephrology and Hypertension, University of Erlangen Nuremberg, Krankenhausstrasse 12, 91054 Erlangen, Germany
Chest 132:1379-88. 2007....
Pharmacokinetics and antimicrobial dosing adjustment in critically ill patients during continuous renal replacement therapyD Kuang
Department of Nephrology, Dialysis and Transplantation, San Bortolo Hospital, Vicenza, Italy
Clin Nephrol 67:267-84. 2007..Meanwhile, monitoring the drug serum concentration is still mandatory whenever clinically feasible...
[Bleeding complication due to accumulation of low-molecular-weight heparin in a patient with renal insufficiency]S Schneiter
Abteilung für Nephrologie, Kantonsppital Aarau
Praxis (Bern 1994) 96:733-7. 2007..They are as safe and efficient compared to unfractioned heparin. But due to their renal elimination, they have to be monitored by measuring anti-factor Xa-activity if creatinine-clearance is <30 ml/min...
Patient and kidney survival by dialysis modality in critically ill patients with acute kidney injuryS Uchino
Intensive Care Unit, Department of Anesthesiology, Jikei University School of Medicine, Tokyo Japan
Int J Artif Organs 30:281-92. 2007..We conclude that worldwide, the choice of CRRT as initial therapy is not a predictor of hospital survival or dialysis-free hospital survival but is an independent predictor of renal recovery among survivors...
Continuous renal replacement in critical illnessClaudio Ronco
Department of Nephrology, San Bortolo Hospital, Vicenza, Italy
Contrib Nephrol 156:309-19. 2007..This article reviews recent trials comparing CRRT and IHD, and discusses their results and limitations...
[Renal replacement therapy in the intensive care unit. Current aspects]T M Bingold
Klinik fur Anasthesiologie, Intensivmedizin und Schmerztherapie, Klinikum der Johann Wolfgang Goethe Universitat, Theodor Stern Kai 7, 60590 Frankfurt a M
Anaesthesist 56:1105-14. 2007....
A comparison of continuous renal replacement therapy to intermittent dialysis in the management of renal insufficiency in the acutely III surgical patientJimmy Waldrop
Department of Surgery, UT College of Medicine, Chattanooga, Tennessee, USA
Am Surg 71:36-9. 2005..Prospective randomized controlled studies and larger sample sizes are needed to further evaluate these modalities...
[Factors related to renal dysfunction after liver transplantation in patients with normal preoperative function]M Koo
Unidad de Trasplante Hepático del Hospital Universitario de Bellvitge, Barcelona
Rev Esp Anestesiol Reanim 53:538-44. 2006..To determine perioperative factors related to postoperative renal dysfunction in patients receiving liver transplants who had normal renal function before surgery...
Continuous venovenous haemofiltration using a citrate buffered substitution fluidM Schmitz
Clinic for Nephrology, University Hospital, Dusseldorf, Germany
Anaesth Intensive Care 35:529-35. 2007..It is easy to apply and safe. Clearance can be varied as long as a constant ratio between blood and substitution flow is maintained...
[Acute renal failure in critically ill patients]Palle Toft
Odense Universitetshospital, Anaestesiologisk intensiv afdeling V, Odense C
Ugeskr Laeger 169:692-5. 2007..Non-dialytic therapy is early volume resuscitation whereas furosemid may worsen ARF. At the present time the dialytic therapy of choice in ICU patients with ARF is continuous renal replacement therapy (CRRT)...
Efficacy of cellulose triacetate dialyzer and polysulfone synthetic hemofilter for continuous venovenous hemofiltration in acute renal failureWarangkana Pichaiwong
Department of Medicine, Sirindhorn Hospital
J Med Assoc Thai 89:S65-72. 2006..CONCLUSION: Because of the excellent efficacy and the much cheaper cost, the modified cellulose membrane could be an appropriate alternative to standard synthetic membrane in CRRT...
Do we know the optimal dose for renal replacement therapy in the intensive care unit?R Bellomo
Department of Intensive Care, Austin and Repatriation Medical Centre, Heidelberg, Victoria, Australia
Kidney Int 70:1202-4. 2006..The results of these two studies should be available in 2008. Before making any major changes to practice, it seems prudent to wait for the publication of the findings of these two pivotal trials...
Acute renal failure during pregnancy--an unusual causeShobhana G Nayak
Department of Nephrology, St John's Medical College Hospital, Sarjapur Road, Bangalore 560 034, India
Nephrol Dial Transplant 22:264-5. 2007
Acute renal failure in a patient with paroxysmal nocturnal hemoglobinuriaM D Jose
Department of Nephrology, Christchurch Hospital, New Zealand
Clin Nephrol 56:172-4. 2001..Renal biopsy demonstrated acute tubular necrosis with considerable hemosiderin deposition, but no evidence of vascular thrombosis...
Use of EPO in critically ill patients with acute renal failure requiring renal replacement therapyJeanie Park
Division of General Medical Sciences, Department of Internal Medicine, Washington University, St Louis, MO 63110, USA
Am J Kidney Dis 46:791-8. 2005..A randomized controlled trial is needed to evaluate the potential benefits of EPO use in patients with ARF...
Continuous renal replacement therapyMarcello Tonelli
Can J Anaesth 52:1001-2; author reply 1002. 2005
Estimating the impact of renal replacement therapy choice on outcome in severe acute renal failureR D Swartz
Department of Internal Medicine, Division of Nephrology, University of Michigan Health System, Ann Arbor, MI 48109 0364, USA
Clin Nephrol 63:335-45. 2005..To date, no prospective controlled trial has sufficiently answered this question, and the present prospective outcome study attempts to compare survival with CRRT versus that with IHD...
Blood purification in the intensive care unitRafael Ponikvar
Dialysis Center Zaloska, Department of Nephrology, University Medical Center Ljubljana, Slovenia
Nephrol Dial Transplant 18:v63-7. 2003..The mortality rate of patients with septic shock and fulminant hepatic failure was still very high, and the role of apheresis and dialysis, in spite of some encouraging results, remains controversial...
Early and vigorous fluid resuscitation prevents acute renal failure in the crush victims of catastrophic earthquakesAli Ihsan Gunal
Department of Nephrology, Firat University Medical Faculty, Istanbul University, Istanbul, Turkey
J Am Soc Nephrol 15:1862-7. 2004..Early and vigorous fluid resuscitation followed by mannitol-alkaline diuresis prevents acute renal failure in crush victims, resulting in a more favorable outcome...
Research Grants
- Acute Kidney Failure in a Cancer ICUJoshua Samuels; Fiscal Year: 2007..independent clinical investigator, and to gain important knowledge regarding the development and outcome of acute kidney failure (AKF)...
- Identification of novel genes regulating metalloproteinase activityAndreas Herrlich; Fiscal Year: 2007..As example, acute kidney failure and heart failure still have a very high mortality despite years of clinical and basic research...
- Improving Kidney Transplant Outcome with a Novel Complement InhibitorSHELLEY MAVES; Fiscal Year: 2007..Delayed Graft Function (DGF) is a form of acute kidney failure that occurs in up to 50% of transplants and relates directly to graft performance and patient outcome...
- Structure Based design of Meprin A Inhibitors for Acute NephropathyKal Ramnarayan; Fiscal Year: 2007..in cultured cells and live rodents suggest that meprin A activity plays a key role in the etiology of acute kidney failure. This deadly disease affects over 250,000 Americans each year, with a 60% death rate...
- Epithelial/Dendritic Cell Cross-Talk in Acute Kidney InjuryWilliam Reeves; Fiscal Year: 2009....
- Pathogenicity of Shiga Toxin-Producing E. coliALISON O BRIEN; Fiscal Year: 2007..the hemolytic uremic syndrome (HUS), a sequela of O 157:H7 infection, is the most frequent basis for acute kidney failure in U.S. children...
- Relative Roles of HSP70 and HSP25 in the Modulation of Renal InjuryRajasree Sreedharan; Fiscal Year: 2007..The proposed studies will help understand the molecular processes involved in acute kidney failure and recovery...
- PATHOGENICITY OF SHIGA TOXIN PRODUCING E COLI (STEC)ALISON O BRIEN; Fiscal Year: 2002..the hemolytic uremic syndrome (HUS), as a sequela of 0157:H7 infection, is the most frequent basis for acute kidney failure in U.S. children...
- CYTOPROTECTIVE ROLE OF HSP72 IN RENAL CELL INJURYSteven C Borkan; Fiscal Year: 2010..PUBLIC HEALTH RELEVANCE: Acute kidney failure is a common and often a life-threatening consequence of reduced blood flow (ischemia) to the organ...
- Pathophysiology of sepsis-induced renal injuryPierre C Dagher; Fiscal Year: 2010..PUBLIC HEALTH RELEVANCE: Acute kidney failure and sepsis represent a major healthcare burden in the US with a cost exceeding millions of dollars yearly. ..
- Protocolized Goal-directed Resuscitation of Septic Shock to Prevent AKI (ProGReSSJohn A Kellum; Fiscal Year: 2010....
- Systems Engineering of Pheresis Intervention for SepsisJohn Kellum; Fiscal Year: 2007..We will also call on the expertise of two companies, one specializing in adsorbent polymer technology (MedaSorb Technologies, LLC) and the other in complex systems modeling (Immunetrics, Inc.). ..
- Biological Markers of Recovery for the KidneyJohn A Kellum; Fiscal Year: 2010..For analyses requiring serial samples and urine samples, we propose to study a subset of trial patients enrolled at 5 sites who consent to additional sample collection (208 patients) ..
- Systems Engineering of Pheresis Intervention for SepsisJohn Kellum; Fiscal Year: 2009..We will also call on the expertise of two companies, one specializing in adsorbent polymer technology (MedaSorb Technologies, LLC) and the other in complex systems modeling (Immunetrics, Inc.). ..
- Biological Markers of Recovery for the KidneyJohn Kellum; Fiscal Year: 2007..For analyses requiring serial samples and urine samples, we propose to study a subset of trial patients enrolled at 5 sites who consent to additional sample collection (208 patients) ..
- Endothelial Injury in Endotoxin-Induced Acute Renal FailurePatrick N Cunningham; Fiscal Year: 2010..PUBLIC HEALTH RELEVANCE: Acute kidney failure (ARF) is a common complication in hospitalized patients that leads to great morbidity and mortality, and ..
- MECHANISMS IN MYOGLOBINURIC ACUTE RENAL FAILURERICHARD ZAGER; Fiscal Year: 1993..By addressing the above, new insights into heme protein/low molecular weight protein nephrotoxicity and shock-induced renal damage will be obtained which should have direct relevance to crush syndrome induced ARF...
- Iron Therapy in Renal Disease: Potential ToxicitiesRICHARD ZAGER; Fiscal Year: 2007..Potential reasons for these differences will be assessed, with the ultimate goal of defining the safest way of administering parenteral irons to renal disease patients. ..
- Acute Renal Failure: Mechanisms and Adaptive ResponsesRICHARD ZAGER; Fiscal Year: 2007....
- ACUTE RENAL FAILURE--IMPACT OF FLUORINATED ANESTHETICSRICHARD ZAGER; Fiscal Year: 2001....
- ACUTE RENAL FAILURE--MECHANISMS AND ADAPTIVE RESPONSESRICHARD ZAGER; Fiscal Year: 2001....
- Rho GTPases and Actin Cytoskeletal Function in Renal IschemiaSimon J Atkinson; Fiscal Year: 2010..Narrative Ischemia (loss of blood flow) is a major cause of acute kidney failure. Currently there is a poor understanding of the way that kidney cells respond to ischemia, which makes it ..
- Rho GTPases and Actin Cytoskeletal Function in Renal IschemiaSimon Atkinson; Fiscal Year: 2009..Narrative Ischemia (loss of blood flow) is a major cause of acute kidney failure. Currently there is a poor understanding of the way that kidney cells respond to ischemia, which makes it ..
- Rho GTPases and Actin Cytoskeletal Function in Renal IschemiaSimon J Atkinson; Fiscal Year: 2010..Narrative Ischemia (loss of blood flow) is a major cause of acute kidney failure. Currently there is a poor understanding of the way that kidney cells respond to ischemia, which makes it ..
- Linking acute, chronic and end-stage renal diseaseChi yuan Hsu; Fiscal Year: 2007..Better understanding of the epidemiology and natural history of chronic renal insufficiency and the impact of acute renal failure will lead to improved patient management and better public health policies. ..
- Training Program in the Pathophysiology of Renal DiseaseSudhir Shah; Fiscal Year: 2007....
- Acute Renal Failure Mediated Lung InjurySarah Faubel; Fiscal Year: 2009....
- PREDICTING AND IMPROVING OUTCOMES IN ACUTE RENAL FAILURERavindra Mehta; Fiscal Year: 2001..It is anticipated (by the applicants) that information gained from this study, being largely observational, will be used to rationally design intervention strategies in future years. ..
- CYTOPROTECTIVE ROLE OF HSP72 IN RENAL CELL INJURYSTEVEN BORKAN; Fiscal Year: 2007..These insights can prompt the development of preemptive strategies for preventing renal cell injury during ischemic insults as well as other forms of renal injury in which apoptosis contributes to organ failure. ..
- T cell modulation of renal ischemia reperfusion injury.Hamid Rabb; Fiscal Year: 2006..The long term goal will be to identify the antigens and molecular pathways that fuel the injury processes in ARF and develop targeted therapies. ..
- MECHANISMS OF RENAL TUBULAR EPITHELIAL CELL INJURYSudhir Shah; Fiscal Year: 2005..abstract_text> ..
- Heart failure, chronic kidney disease, and renin-angiotensin system inhibitionAli Ahmed; Fiscal Year: 2009....
- CLINICAL RESEARCH ENHANCEMENT FROM SUPPLEMENTAL TRAININGRavindra Mehta; Fiscal Year: 2007..IOur goal is to ensure that scholars emerging from this program will have the fundamental skills Inecessary for independent clinical research. ..
