Epuration extra-rénale en urgence chez l'enfant

Auteur/ices

  • A Boussetta (1) University of Tunis El Manar, Faculty of medicine, Tunis, 1007, Tunisia ; (2) Pediatric nephrology department, Charles Nicolle hospital, Tunis, Tunisia Auteur·e
  • A Salah (1) University of Tunis El Manar, Faculty of medicine, Tunis, 1007, Tunisia ; (2) Pediatric nephrology department, Charles Nicolle hospital, Tunis, Tunisia Auteur·e
  • M Jellouli (1) University of Tunis El Manar, Faculty of medicine, Tunis, 1007, Tunisia ; (2) Pediatric nephrology department, Charles Nicolle hospital, Tunis, Tunisia Auteur·e
  • T Gargah (1) University of Tunis El Manar, Faculty of medicine, Tunis, 1007, Tunisia ; (2) Pediatric nephrology department, Charles Nicolle hospital, Tunis, Tunisia Auteur·e

Mots-clés :

Acute renal failure, childhood, renal replacement therapy, hemodialysis, peritoneal dialysis

Résumé

Background : Acute kidney failure is a syndrome associated with a variety of diseases. It is a severe, life-threatening event. Objective : We aimed to describe patients' characteristics, indications for renal replacement therapy (RRT), and outcomes in children requiring emergency RRT. Patients and Methods : A retrospective cohort study of all patients with acute renal failure (ARF) receiving renal replacement therapy at the Pediatric Nephrology Unit in Charles Nicolle Hospital, Tunis from January 2012 to December 2017. Results : thirty children received RRT. The median age was 5±4.7 years. Hemolytic uremic syndrome (HUS) was diagnosed in 15 children (50%). Kidney recovery function (50%), chronic renal insufficiency (13%), end stage renal failure (27%) and death (10%) were the most evident. Conclusion : In patients with severe ARF, renal replacement therapy (RRT) represents a cornerstone of treatment, it can prevent complications and improve the prognosis.

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Publiée

2019-03-31