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Acute renal failure in Central Anatolia
C Utaş1, C Yalçindağ, H Taşkapan
1Department of Nephrology and Department of Internal Medicine, Erciyes University Medical Faculty Hospital, Kayseri, Turkey.
Summary
The causes of acute renal failure (ARF) have shifted, with medical conditions now being the most frequent. Obstetric causes, particularly septic abortion, have significantly decreased in incidence.
Area of Science:
- Nephrology
- Public Health
Background:
- The causes of acute renal failure (ARF) are evolving globally.
- Developed nations have seen shifts in ARF etiology.
- This study investigates ARF trends in a specific region.
Purpose of the Study:
- To assess changes in the etiological spectrum of acute renal failure (ARF).
- To compare ARF causes over two distinct time periods.
Main Methods:
- Prospective evaluation of 439 patients with ARF.
- Data collected across two periods: 1983-1990 and 1991-1997.
- Analysis of patient demographics, causes, and mortality.
Main Results:
- Patient age at presentation increased from 49.8 to 58.8 years.
- Medical causes predominated (59%), followed by surgical (25%) and obstetric (16%).
- Surgical and obstetric ARF frequencies decreased, while medical ARF became more common. Overall mortality remained stable around 31.7%, with higher rates for surgical ARF.
Conclusions:
- The primary causes of ARF in Turkey have shifted from obstetric complications to medical conditions.
- Septic abortion as a cause of ARF has become rare, potentially due to abortion law liberalization in 1983.
- These findings indicate a significant change in ARF etiology over time.