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العنوان
Acute kidney injury after haematopoietic bone marrow transplantation\
المؤلف
Ali, Alaa Abd-Elhameed.
هيئة الاعداد
باحث / Alaa Abd-Elhameed Ali
مشرف / Howayda Abdelhameed Elshinnawy
مشرف / Dawlat Hussein Sany
مناقش / Raafat Mohamed Abd-Elfattah
تاريخ النشر
2014.
عدد الصفحات
218P. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
الطب الباطني
تاريخ الإجازة
1/1/2014
مكان الإجازة
جامعة عين شمس - كلية الطب - الباطنة العامة
الفهرس
Only 14 pages are availabe for public view

from 218

from 218

Abstract

Our study was done on 100 patients who received allogenic HCT and divided into 50 patients myeloblative HCT and 50 patients non myeloblative HCT .
Retrospective collection of data including patients demography (age- gender- body weight – underlying disease ) , history of medical diseases (DM – HTN – RI ) ,pre- transplantation investigations (CBC – kidney function tests – liver function tests – eGFR – serum electrolytes – cyclosporine level ) ,post-transplantation investigations (serum creatinine – cyclosporine level ) , post-transplantation complications (SOS- ICU admission – TTP – CMV reactivation – acute GVHD ) and vital signs recorded daily during the exposure period . all these data were subjected to suitable univariable and multivariable analytical statistics to determine risk factors for AKI after BMT .
AKI was defined as doubling of baseline serum creatinine that might occurred in the 100 days after BMT which is considered stage 2 in RIFLE classification . In our study we found that :
1 - Neither age nor gender was associated with increased risk of AKI .
2 - Only history of HTN was associated with increased risk of AKI while history of DM or RI was not associated with increased risk of AKI .
3 - Occurrence of SOS (sinusoidal obstruction syndrome) after HCT was associated with increased risk of AKI , also patients who needed ICU admission after HCT was associated with increased risk of AKI , while CMV reactivation and development of acute GVHD was not associated with increased risk of AKI .
4 - Weight gain ( from base line pre transplant ) during exposure period was associated with increased risk of AKI and increased cyclosporine trouph level during exposure period was associated with increased risk of AKI , while development of fever or HTN during exposure period was not associated with increased risk of AKI .