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Among the 157 patients treated with CRRT, 674343%) recovered renal function and 80 patients (51%) survived.
However, almost 1/3 of their patients (22/67) have a baseline GFR < 30 ml/mn and expectedly 26/67 patients did not recovered renal function.
We retrospectively reviewed the pathology and the clinical records of 17 patients who underwent kidney biopsies during scleroderma renal crisis (group A, recovered renal function [n = 7]; group B, remained in renal failure or died [n = 10]).
No subject had ever undergone CHD or peritoneal dialysis in the past, and no subject had ever undergone a renal transplantation prior to enrollment or recovered renal function during the study period.
All the subjects underwent 1 year follow-up except for those who died (15%), underwent kidney transplant (3%), recovered renal function (4%), or transitioned to a dialysis unit outside the Fresenius Medical Care North America system before completing 1 year of hemodialysis treatment (12%).
All the survivors recovered renal function.
All patients recovered renal function without need for haemodialysis.
Similar(4)
Vascular thrombosis, severe glomerular ischemic collapse, and peritubular capillary C4d deposits in scleroderma renal crisis kidney biopsies correlated with increased risk of failure to recover renal function.
Baseline risk will be calculated using a newly developed model, the renal recovery score (RRS), to predict the chance of recovering renal function within 28 days.
Patients with acute renal failure who subsequently recover renal function are excluded from the USRDS [ 36].
A similar distribution was seen for those who failed to recover renal function.
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