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Risk acute kidney injury obesity adolescent

Helmut Schiffl, Susanne Maria Lang
Overweight and obesity are widespread in the German population, affecting not only adults but also a significant number of children and adolescents. The risk to develop chronic kidney disease is markedly increased in overweight or adipose children, adolescents and adults.Overweight and obesity induced risk factors have a direct impact on the development of chronic renal disease (obesity-associated focal segmental glomerulosclerosis). They accelerate the progression of coexistent nephropathies (diabetic or hypertensive nephropathy, primary glomerulonephritides) and are independent risk factors for the development of acute kidney injury in critically ill patients...
September 2017: Deutsche Medizinische Wochenschrift
Daniel D Bohl, Glenn S Russo, Bryce A Basques, Nicholas S Golinvaux, Michael C Fu, William D Long, Jonathan N Grauer
BACKGROUND: There has been an increasing use of national databases to conduct orthopaedic research. Questions regarding the validity and consistency of these studies have not been fully addressed. The purpose of this study was to test for similarity in reported measures between two national databases commonly used for orthopaedic research. METHODS: A retrospective cohort study of patients undergoing lumbar spinal fusion procedures during 2009 to 2011 was performed in two national databases: the Nationwide Inpatient Sample and the National Surgical Quality Improvement Program...
December 3, 2014: Journal of Bone and Joint Surgery. American Volume
Marianne Schmid, Abd-El-Rahman Abd-El-Barr, Giorgio Gandaglia, Akshay Sood, Kola Olugbade, Nedim Ruhotina, Jesse D Sammon, Briony Varda, Steven L Chang, Adam S Kibel, Felix K Chun, Mani Menon, Margit Fisch, Quoc-Dien Trinh
INTRODUCTION: Patients with renal cell carcinoma who were treated with radical nephrectomy (RN) or partial nephrectomy (PN) are at risk of postoperative acute kidney injury (AKI), and in consequence, short- and long-term adverse outcomes. We sought to identify independent predictors of 30-day AKI in patients undergoing RN or PN. MATERIALS AND METHODS: Between 2005 and 2011, patients who underwent RN or PN for renal cell carcinoma within the National Surgical Quality Improvement Program data set were identified...
November 2014: Urologic Oncology
Michael G S Shashaty, Nuala J Meyer, A Russell Localio, Robert Gallop, Scarlett L Bellamy, Daniel N Holena, Paul N Lanken, Sandra Kaplan, Dilek Yarar, Steven M Kawut, Harold I Feldman, Jason D Christie
PURPOSE: Acute kidney injury (AKI) is a common source of morbidity after trauma. We sought to determine novel risk factors for AKI, by Acute Kidney Injury Network (AKIN) criteria, in critically ill trauma patients. MATERIALS AND METHODS: A prospective cohort of 400 patients admitted to the intensive care unit of a level 1 trauma center was followed for the development of AKI over 5 days. RESULTS: Acute kidney injury developed in 147 (36.8%) of 400 patients...
October 2012: Journal of Critical Care
Andrew White, William Wong, Premala Sureshkumur, Gurmeet Singh
AIMS: To review and present the most important issues related to kidney disease in Aboriginal, Torres Strait Islander, Maori and Pacific Islander children from Australia and New Zealand. METHODS: A review of medical literature about: 1. incidence of kidney disease in Indigenous children in Australia and New Zealand, especially where rates are different from the general populations, 2. factors in early life which increase risk for chronic kidney disease in adult life, and 3...
September 2010: Journal of Paediatrics and Child Health
Kamolwish Laoprasopwattana, Pornpimol Pruekprasert, Pornsak Dissaneewate, Alan Geater, Prayong Vachvanichsanong
OBJECTIVES: To examine the outcome of acute kidney injury (AKI) in children with dengue hemorrhagic fever (DHF), the cause(s) of AKI, and the risk of AKI and fatality. STUDY DESIGN: The medical records of patients age <15 years during 1989 to 2007 were reviewed. DHF-caused AKI and patients with DHF with no AKI were matched 1:2 by age. RESULTS: DHF-caused AKI was clinically estimated to be 0.9% (25/2893) of admissions, with a high mortality rate of 64...
August 2010: Journal of Pediatrics
M Praga, E Hernández, J C Herrero, E Morales, Y Revilla, R Díaz-González, J L Rodicio
BACKGROUND: Some patients develop proteinuria and progressive renal failure after unilateral nephrectomy, although the majority of patients maintain normal renal function. Reasons to explain this different evolution are not known. METHODS: A cross-sectional study was performed in 73 patients who had undergone unilateral nephrectomy 13.6 +/- 8.6 years before. Patients with morphologic abnormalities in the remaining kidney, systemic disorders, or abnormal renal function at the time of nephrectomy were excluded...
November 2000: Kidney International
A Y Wang, P K Li, S F Lui, K N Lai
We report a fatal case of heatstroke in an obese boy who developed multi-organ failure. Six other cases of exertional heatstroke admitted to our hospital over the last 5 years were also reviewed. All of them showed some degree of renal impairment. The causes of renal failure are multifactorial, with rhabdomyolysis being the major mechanism. All cases except one responded to alkaline diuresis without the need for dialysis. Continuous venovenous hemofiltration appeared to be a good alternative in hemodynamically unstable patients...
March 1995: Renal Failure
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