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Nephrol Dial Transplant (1999) 14: 2570-2573
© 1999 European Renal Association-European Dialysis and Transplant Association


Editorial Comments

Dialysing the patient with acute renal failure in the ICU: the emperor's clothes?

Norbert Lameire, Wim Van Biesen and Raymond Vanholder

Renal Division, Department of Medicine, University Hospital, Gent, Belgium

Correspondence and offprint requests to: N. Lameire, Renal Division, University Hospital, De Pintelaan 185, 9000 Gent, Belgium.

Introduction

Acute renal failure (ARF) is one of the few causes of organ failure in which complete recovery is possible, provided the patient survives the associated comorbid conditions. The most serious forms of ARF are found in the intensive care unit (ICU), where up to 25% of new patients are reported to develop ARF. Despite the observation that mortality among ARF patients, compared with those without ARF but with comparable illness scores, is significantly higher [1], the majority of patients do not die directly from the renal failure, but from their comorbid conditions. Treatment of ARF can thus be seen as a bridge to recovery of kidney function.

The outcome in patients who are admitted in the ICU because of ARF is also better than that in patients who develop ARF as a complication of a nonrenal comorbid condition during their stay on the ICU (Figure 1Go; own . . . [Full Text of this Article]

Current dialysis strategies in ARF: the emperors

New concepts for RRT in the ICU: ... and their clothes

References


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