Factors influencing immediate prognosis in acute renal failure, with special reference to prophylactic hemodialysis.
Five hundred patients with acute renal failure were admitted to the Department of Nephrology of Necker Hospital between 1966 and 1970; 279 of them were treated before and 221 after beginning systematic prophylactic hemodialysis. The frequency of complications and the survival rate between both groups were compared. No significant improvement was obtained in patients with severe pre-existing diseases or extensive extrarenal lesions; such patients usually died from nonuremic complications before, or despite, dialysis. However, adequate treatment of severe septic shock, when present, was an impor
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