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Acute Renal Failure in Neonates | ||
| Iraqi Postgraduate Medical Journal | ||
| Article 1, Volume 10, Issue 2, 2011, Pages 145-148 PDF (0 K) | ||
| Authors | ||
| Nariman Fahmi Ahmed Azat; Afrah abdalmahdi Salih; Manal Bahnam Naoom | ||
| Abstract | ||
| ABSTRACT: BACKGROUND: Acute renal failure (ARF) is a common problem in admitted neonates in intensive care units. In most patients ARF accompanies with a predisposing factor such as sepsis, heart failure, perinatal asphyxia or prematurity. OBJECTIVE: This study was to determine the causes and outcome of ARF in hospitalized newborn PATIENTS AND METHODS: In a descriptive cross sectional study we evaluated neonates with ARF who had been hospitalized in Children welfare teaching Hospital from july 2009 to july2010. RESULTS: There were 50 cases diagnosed as ARF in 2500 hospitalized neonates (2%).The male to female ratio in patients with ARF was 3.16:1. Most of involved patients were term 35(70%). The prevalence of renal, pre renal and post renal causes of ARF was 29 (58%), 15(30%) and 6(12%) respectively. The most common predisposing factors for ARF in our study was sepsis 28(56%), genitorenal anomalies 15(30%), perinatal asphyxia 3(6%), drug toxicity in 3(6%) One patient (2%) had respiratory distress syndrome. Among admitted neonates with ARF 6(12%) died and it was significantly higher in patients with sepsis (P<0.05). CONCLUSION: ARF is a common emergency entity , physicians play a critical role in recognizing early ARF, preventing iatrogenic injury, and reversing the course of ARF. | ||
| Keywords | ||
| acute renal failure; newborns; predisposing factors | ||
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