Acute renal failure in Yemeni patients
Acute renal failure (ARF) is defined as a rapid decrease in the glomerular filtration rate, occurring over a period of hours to days. The Science and Technology University Hospital, Sana′a, is a referral hospital that caters to patients from all parts of Yemen. The aim of this study is to have a dee...
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Wolters Kluwer Medknow Publications
2011-01-01
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Series: | Saudi Journal of Kidney Diseases and Transplantation |
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doaj-0d7717fbfd7b4ceaba9798f366aaf7082020-11-24T21:28:18ZengWolters Kluwer Medknow PublicationsSaudi Journal of Kidney Diseases and Transplantation1319-24422011-01-01224829833Acute renal failure in Yemeni patientsMuhamed Al RohaniHusny AljawshaeiElham AduolimiAcute renal failure (ARF) is defined as a rapid decrease in the glomerular filtration rate, occurring over a period of hours to days. The Science and Technology University Hospital, Sana′a, is a referral hospital that caters to patients from all parts of Yemen. The aim of this study is to have a deeper overview about the epidemiological status of ARF in Yemeni patients and to identify the major causes of ARF in this country. We studied 203 patients with ARF over a period of 24 months. We found that tropical infectious diseases constituted the major causes of ARF, seen in 45.3% of the patients. Malaria was the most important and dominant infectious disease causing ARF. Hypotension secondary to infection or cardiac failure was seen in 28.6% of the patients. Obstructive nephropathy due to urolithiasis or prostate enlargement was the cause of ARF in a small number of patients. ARF was a part of multi-organ failure in 19.7% of the patients, and was accompanied by a high mortality rate. Majority of the patients were managed conservatively, and only 39.9% required dialysis. Our study suggests that early detection of renal failure helps improve the outcome and return of renal function to normal. Mortality was high in patients with malaria and in those with associated hepatocellular failure.http://www.sjkdt.org/article.asp?issn=1319-2442;year=2011;volume=22;issue=4;spage=829;epage=833;aulast=Al |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Muhamed Al Rohani Husny Aljawshaei Elham Aduolimi |
spellingShingle |
Muhamed Al Rohani Husny Aljawshaei Elham Aduolimi Acute renal failure in Yemeni patients Saudi Journal of Kidney Diseases and Transplantation |
author_facet |
Muhamed Al Rohani Husny Aljawshaei Elham Aduolimi |
author_sort |
Muhamed Al Rohani |
title |
Acute renal failure in Yemeni patients |
title_short |
Acute renal failure in Yemeni patients |
title_full |
Acute renal failure in Yemeni patients |
title_fullStr |
Acute renal failure in Yemeni patients |
title_full_unstemmed |
Acute renal failure in Yemeni patients |
title_sort |
acute renal failure in yemeni patients |
publisher |
Wolters Kluwer Medknow Publications |
series |
Saudi Journal of Kidney Diseases and Transplantation |
issn |
1319-2442 |
publishDate |
2011-01-01 |
description |
Acute renal failure (ARF) is defined as a rapid decrease in the glomerular filtration rate, occurring over a period of hours to days. The Science and Technology University Hospital, Sana′a, is a referral hospital that caters to patients from all parts of Yemen. The aim of this study is to have a deeper overview about the epidemiological status of ARF in Yemeni patients and to identify the major causes of ARF in this country. We studied 203 patients with ARF over a period of 24 months. We found that tropical infectious diseases constituted the major causes of ARF, seen in 45.3% of the patients. Malaria was the most important and dominant infectious disease causing ARF. Hypotension secondary to infection or cardiac failure was seen in 28.6% of the patients. Obstructive nephropathy due to urolithiasis or prostate enlargement was the cause of ARF in a small number of patients. ARF was a part of multi-organ failure in 19.7% of the patients, and was accompanied by a high mortality rate. Majority of the patients were managed conservatively, and only 39.9% required dialysis. Our study suggests that early detection of renal failure helps improve the outcome and return of renal function to normal. Mortality was high in patients with malaria and in those with associated hepatocellular failure. |
url |
http://www.sjkdt.org/article.asp?issn=1319-2442;year=2011;volume=22;issue=4;spage=829;epage=833;aulast=Al |
work_keys_str_mv |
AT muhamedalrohani acuterenalfailureinyemenipatients AT husnyaljawshaei acuterenalfailureinyemenipatients AT elhamaduolimi acuterenalfailureinyemenipatients |
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