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International Journal of Nephrology
Volume 2012 (2012), Article ID 361528, 7 pages
http://dx.doi.org/10.1155/2012/361528
Clinical Study

Long-Term Outcome of Patients Followed by Nephrologists after an Acute Tubular Necrosis Episode

Botucatu School of Medicine, University São Paulo State (UNESP), Distrito de Rubiao Junior, 18608000 Botucatu, SS, Brazil

Received 8 September 2012; Accepted 26 October 2012

Academic Editor: Jaime Uribarri

Copyright © 2012 G. A. Brito et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Aims of our study were to describe the long-term survival in patients surviving an acute tubular necrosis (ATN) episode and determine factors associated with late mortality. We performed a prospective cohort study that evaluated the long-term outcome of 212 patients surviving an ATN episode. Mortality at the end of followup was 24.5%, and the probability of these patients being alive 5 years after discharge was 55%. During the followup, 4.7% of patients needed chronic dialysis. Univariate analysis showed that previous CKD ( ), cardiovascular disease ( ), age greater than 60 years ( ), and higher SCr baseline ( ), after 12 months ( ) and 36 months ( ), were predictors of long-term mortality. In multivariate analysis, older age (HR = 6.4, CI 95% = 1.2–34.5, ) and higher SCr after 12 months (HR = 2.1, 95% CI 95% = 1.14–4.1, ) were identified as risk factors associated with late mortality. In conclusion, 55% of patients surviving an ATN episode were still alive, and less than 5% required chronic dialysis 60 months later; older age and increased Scr after 12 months were identified as risk factors associated with late death.