Acute Hemodialysis in Patients with Acute Renal Failure in Phichit Hospital

Abstract

    In patients with acute renal failure. The treatment  is to treat the disease that caused the renal failure. While supportive treatment for complications of uremia was done at the same time. If conservative treatment fail , renal replacement therapy is the way to treat these patients . The objective of this study is to study and analyze the etiologies  of acute renal failure, indications of renal replacement therapy and outcomes of acute renal failure patients receiving acute hemodialysis in Phichit Hospital since the hemodialysis unit was established from 27^th November 2001 to 1^st  March 2005.

    This study  revealed that  there were 40 patients.  The mean age was 57 years. The common etiologies of patients with acute renal failure receiving acute hemodialysis were acute ontop chronic kidney disease (CKD)  and septicemia. The common indications for renal replacement  therapy  were blood urea nitrogen (BUN) > 80  mg/dl, serum  creatinine  (Cr) > 8 mg/dl and uremic encephalopathy. In patients without pre - excisting chronic kidney disease, 45% of patients achieved complete recovery  and 40%  of patients died. The most common cause of death is sepsis. From this retrospective study we know that acute hemodialysis is the other choice of renal replacement therapy in acute renal failure patients. The outcomes is favorable while the patients with sepsis have shown to have high mortality rate.