ACUTE-RENAL-FAILURE IN THE ELDERLY - ASSESSMENT OF PROGNOSTIC FACTORS

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Date
1995
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Abstract
We studied 45 patients, aged 50 years and older, with acute renal failure during their admission. We assessed the chance oi death using a logistic regression stepwise model, with 16 variables. The mean age of the group was 68,4 +/- 10 years; 13 patients were hemodialised and the global mortality was 37,8 %. Mortality was not increased in hemodialysed patients. The statistical model used was:
Omega = 0.271 - 0.197* (days of admission) + 7.139* (mechanical ventilation). In this model the chance of death is computed as: p = e(Omega)/(7 + e(Omega)) It predicted death with a a 94, 1 % sensitivity, 92,9 specificity and 93,3 % predictive value. Our model was compared with 2 other models (Corwin and Liano), previously described. We conclude that it is feasible to predict mortality in elderly people with acute renal failure using a statistical model.
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RENAL FAILURE, HEMODIALYSIS, PROGNOSIS, LOGISTIC REGRESSION
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