PMID: 9524779Apr 3, 1998Paper

Predictors of prognosis and risk of acute renal failure in bacterial endocarditis

Clinical Nephrology
P J ConlonM A Abramson

Abstract

The epidemiology, criteria for diagnosis and treatment of bacterial endocarditis has changed substantially in the past 2 decades, yet little attention has been given to the changing etiologies of renal insufficiency and the predictors of renal failure or the relationship between renal failure and mortality in patients with bacterial endocarditis. To study the risk factors for the development of acute renal failure and death among patients with definite bacterial endocarditis. Tertiary referral university medical center. Retrospective chart review of 204 consecutive episodes of definite bacterial endocarditis as defined by the Duke criteria. Logistic regression was used to identify clinical and biochemical predictors of death and the development of acute renal failure. Two hundred and four episodes of endocarditis identified in 185 patients were evaluated. The overall mortality for the group was 20%. The presence of prosthetic valve endocarditis and thrombocytopenia was associated with increased risk of death in hospital. One third of the patients developed acute renal failure (defined as a serum Cr of 2 mg/dl or above). The presence of acute renal failure increased the odds (OR) of dying by 5 (p = 0.0001). Clinical and biochemi...Continue Reading

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society
Julie Polson, William M Lee
Journal of Perinatology : Official Journal of the California Perinatal Association
A B Caughey
© 2022 Meta ULC. All rights reserved