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:: Volume 11, Issue 1 (spring 2009) ::
J Shahrekord Univ Med Sci 2009, 11(1): 53-57 Back to browse issues page
Evaluation of acute renal failure in neonates bedridden in Neonatal Intensive Care Unite (NICU) in Ghaem hospital
Hasan Boskabadi * , GholamAli Mamouri , Mohammad Ali Kiani , Mehran Nouri , Masoud Rajabpour
Assistant professr, Pediatrics Dept., Mashhad Univ. of Med. Sci. Iran. , boskabadih@mums.ac.ir
Abstract:   (16698 Views)
Background and aim: Acute renal failure (ARF) is defined as an abrupt severe decrease in glomerular filtration rate (GFR). ARF is commonly seen in neonates admitted to neonatal intensive care unit. In this article, we have studied incidence, etiology, predisposing factors, management and mortality in neonates affected by ARF. Methods: A descriptive study was took placed at NICU of Qhaem hospital over a period of one year, between December 2005 and December 2006. 750 neonates were evaluated for ARF, according to having two of three following criteria: 1- oliguria: U/A < 1/2cc/kg/h 2- BUN> 20 mg/dl 3- Cr>1/2 mg/dl Patients were assessed for B.S (blood sugar), BUN, Cr, urine index (FENa, Uosm, BUN/cr, U/P osm, RFI, Una), ABG and kidney sonography. According to patient’s response to the fluid therapy and kidney sonography, they were divided into two pre-renal and renal failure groups. Data were analyzed using descriptive statistics. Result: From 750 neonates admitted in NICU, 38 patients (%5) demonstrated ARF. Pre-renal failure was found in 29 newborns (%76/4) and 9 neonates (%23/6). Predisposing factors for ARF were as following: Asphyxia (%42), Respiratory distress syndrome (RDS) (%26/7), sepsis (%13), sever dehydration (%13) and congenital heart disease (CHD) (%5). Nine infants (%23/6) were died. Mortality was significantly higher in intrinsic renal failure (%88). Conclusion: ARF is still an important etiology of mortality in newborns. Diagnosis of predisposing factors (prematurity, asphyxia, RDS, ventilation and careful kidney control in newborn is essential in this problem.
Keywords: Acute renal failure, Newborn, NICU.
Full-Text [PDF 143 kb]   (1798 Downloads)    
Type of Study: Research |
Received: 2011/06/2
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Boskabadi H, Mamouri G, Kiani M A, Nouri M, Rajabpour M. Evaluation of acute renal failure in neonates bedridden in Neonatal Intensive Care Unite (NICU) in Ghaem hospital. J Shahrekord Univ Med Sci. 2009; 11 (1) :53-57
URL: http://journal.skums.ac.ir/article-1-264-en.html


Volume 11, Issue 1 (spring 2009) Back to browse issues page
مجله دانشگاه علوم پزشکی شهرکرد Journal of Shahrekord University of Medical Sciences
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