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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Acute respiratory failure in kidney transplant recipients: a multicenter study. | Canet et al. Critical Care 2011 15 R91 http ccforum.eom content 15 2 R91 KS CRITICAL CARE RESEARCH Open Access Acute respiratory failure in kidney transplant recipients a multicenter study c m m I I Z-J 1 IH ĨI z l r m 2 I vr rs I m Pk 1 f p VI r-f- z p Z rd I I I F Z S v k3A CIìz P Z 1 p I I Z Z t4 I I I A L ZI I I Z 5 Emmanuel Canet David Osman Jerome Lambert Christophe Guitton Anne-Elisabeth Heng Laurent Argaud lz z lixlz i I r p Z 6 í z z rzi z r h I z I I Z 6 f p VI r f Z p z I z Z t z zd ZZ 7 I z c r r ms I r I I m r I h Eri z Dz zd ms I I9 Kada Kioucne Georges Mourao Christophe Legenore Jean-rrangois limsit tric Rondeau 10 11 12 4 1 Maryvonne Hourmant Antoine Durrbach Denis Glotz Bertrand Souweine Benoit Schlemmer Elie Azoulay1 Abstract Introduction Data on pulmonary complications in renal transplant recipients are scarce. The aim of this study was to evaluate acute respiratory failure ARF in renal transplant recipients. Methods We conducted a retrospective observational study in nine transplant centers of consecutive kidney transplant recipients admitted to the intensive care unit ICU for ARF from 2000 to 2008. Results Of 6 819 kidney transplant recipients 452 6.6 required ICU admission including 200 admitted for ARF. Fifteen 7.5 of these patients had combined kidney-pancreas transplantations. The most common causes of ARF were bacterial pneumonia 35.5 cardiogenic pulmonary edema 24.5 and extrapulmonary acute respiratory distress syndrome ARDS 15.5 . Pneumocystis pneumonia occurred in 11.5 of patients. Mechanical ventilation was used in 93 patients 46.5 vasopressors were used in 82 patients 41 and dialysis was administered in 104 patients 52 . Both the in-hospital and 90-day mortality rates were 22.5 . Among the 155 day 90 survivors 115 patients 74.2 were dialysis-free including 75 patients 65.2 who recovered prior renal function. Factors independently associated with in-hospital mortality were shock at admission odds ratio OR 8.70 95 confidence interval 95
