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Langzeitüberleben nach akutem Nierenversagen

Long-term survival after acute renal failure

  • Leitthema
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Der Nephrologe Aims and scope

Zusammenfassung

Das akute, intensivpflichtige Nierenversagen ist eine Erkrankung mit hoher Sterblichkeit. Es tritt in der Regel als Komplikation einer schwerwiegenden Grunderkrankung auf, kann diese aggravieren und deren Verlauf ungünstig beeinflussen. Wir wissen heute, dass nicht nur das nierenersatzpflichtige akute Nierenversagen, sondern jede Form der Nierenfunktionsstörung mit einem erhöhten Mortalitätsrisiko assoziiert ist. Die akute renale Nierenfunktionsstörung ist somit eine sehr wichtige, leider oftmals unterschätzte klinische Entität. Daten zum Langzeitüberleben von Patienten mit akutem Nierenversagen sowie zur Lebensqualität nach Entlassung aus dem Krankenhaus sind rar. Das Review soll die aktuelle Literaturlage zu diesem Thema darlegen und kritisch betrachten. Wir zeigen, dass das Langzeitüberleben und vor allem die Lebensqualität der betroffenen Patienten trotz der hohen Krankenhaussterblichkeit erstaunlich gut sind.

Abstract

Acute renal failure requiring intensive care treatment is a disease with a high mortality rate. As a rule it occurs as a complication of a severe underlying disease, which can then be aggravated and can unfavorably influence the course of this disease. Nowadays it is well known that not only acute renal failure requiring renal transplantation, but also all types of disturbances of renal function are associated with an increased mortality risk. Acute renal failure is, therefore, a very important but unfortunately often underestimated clinical entity. Data on long-term survival of patients with acute renal failure as well as quality of life after being released from hospital are rare. This review presents and critically considers the current status of the literature on this theme. It will be shown that despite the high in-hospital mortality rate, long-term survival and quality of life of affected patients are remarkably good.

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  1. Medizinische Klinik mit Schwerpunkt Nephrologie, Charité Campus Mitte, Chariteplatz 1, 10118, Berlin, Deutschland

    S. Morgera & H.H. Neumayer

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  1. S. Morgera
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  2. H.H. Neumayer
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Correspondence to S. Morgera.

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Morgera, S., Neumayer, H. Langzeitüberleben nach akutem Nierenversagen. Nephrologe 4, 135–141 (2009). https://doi.org/10.1007/s11560-008-0243-y

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