A Renal Index for Multiple Trauma
Technical rept. Sep 1973-May 1974
MARYLAND INST FOR EMERGENCY MEDICINE BALTIMORE
Pagination or Media Count:
Renal function in 751 multiple trauma victims was studied to define a level of function compatible with ultimate survival. The classical definitions of renal failure were ignored. A daily renal index was calculated using commonly measured parameters. The data for 3600 patient days were analyzed on a Univac 1108 computer. Probability of survival was less than 0.1 in patients with a creatinine level greater than 4 mg100 ml, or a BUN level greater than 80 mg100 ml, or a renal index greater than 3 on one occasion or greater than 2 on two consecutive days. The renal index provided an earlier and more accurate prognosis in a significant number of patients when compared with the other parameters measured. The level of renal function associated with death in the patients studied is considerably lower than currently accepted criteria for initiating hemodialysis.
- Medicine and Medical Research