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Acute Catabolic State pp 115–127Cite as

Renal Failure in the Acute Catabolic State

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Part of the book series: Update in Intensive Care and Emergency Medicine ((UICM,volume 21))

Abstract

Renal failure is a common problem in patients suffering from trauma, burn injury, sepsis, or shock of any other cause. Impaired renal function may supervene on these conditions in a way that causes the patient’s condition to further deteriorate. In the acute state of renal failure, defined as a potentially reversible failure in originally normal unobstructed kidneys, the mortality rate improved from 90% to some 50% after the introduction of hemodialysis 40–50 years ago [1]. In the subsequent years, mortality has not improved further. One cause for this may be that the population of patients being treated today is a group at higher risk with more complicated conditions than 40 years ago. In multiorgan failure, mortality increases in proportion to the number of organs that are involved. The mortality rate is 8% when only the kidneys are failing [1] and increases up to 100% when three or more organs are involved [2].

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  1. T. G. Jenssen
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  1. School of Medicine Department of Surgery, University of Tromsø, 9038, Tromsø, Norway

    Arthur Revhaug

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© 1996 Springer-Verlag Berlin Heidelberg

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Jenssen, T.G. (1996). Renal Failure in the Acute Catabolic State. In: Revhaug, A. (eds) Acute Catabolic State. Update in Intensive Care and Emergency Medicine, vol 21. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-48801-6_10

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  • DOI: https://doi.org/10.1007/978-3-642-48801-6_10

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-48803-0

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