Acute Kidney Failure (cont.)
IN THIS ARTICLE
Acute Kidney Failure Follow-up
The doctor will arrange follow-up visits as needed for the underlying cause of the kidney failure and the severity of the disease. Underlying condition(s) will be monitored and appropriate lab tests will be performed to be sure that the kidney failure has resolved. Preventive measures may be needed in some situations to prevent the problem from occurring again.
Acute Kidney Failure Prevention
Yearly physical exams by the doctor include blood tests and urinalysis to monitor kidney and urinary tract health.
Drink enough fluids to keep the kidneys functioning properly.
Avoid taking substances or medications that can poison or damage kidney tissues. Ask the doctor about substances to avoid.
Persons at risk for chronic kidney disease may need more frequent testing for kidney function and other problems that occur with declining kidney function. Difficulties urinating or blood in the urine should prompt a visit to the physician as soon as possible.
Acute Kidney Failure Prognosis
Recovery from acute kidney failure depends on what caused the disease. If the cause does not stem from damage to kidney tissue itself, the prognosis is good and the patient will probably make a full recovery. Partial recovery of renal function may occur in situations in which the injury does not completely resolve. In general, the more ill a patient is during the onset of renal failure, the worse the outcome. Severe cases of acute renal failure can result in death.
On long-term follow-up (1 to 10 years), approximately 12.5% of survivors of acute renal failure require dialysis and 19% to 31% of them have chronic kidney disease.
The in-hospital mortality (death) rate for acute kidney failure is 40% to 50%.
The mortality rate in patients in intensive care (ICU) settings with acute kidney failure that requires dialysis is 70% to 80%.
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Medically reviewed by Martin E Zipser, MD; American board of Surgery
Medically Reviewed by a Doctor on 11/10/2014
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