PROGNOSTIC PARAMETERS FOR THE RECOVERY OF RENAL FUNCTION IN PATIENTS WITH OBSTRUCTIVE UROPATHY
Abstract: The aim of this
study was to determine the prognostic parameters for the recovery of renal
function in patients with obstructive uropathy after the release of
obstruction. Material & methods: This is a retrospective cohort study.
Secondary data from the patient's medical record was used to determine whether
the ratio of blood urea nitrogen (BUN)/creatinine, hemoglobin, hyperkalemia,
blood glucose, renal parenchymal thickness, and obstruction etiology are
prognostic parameters for recovery of renal function in patients with
obstructive uropathy after release of obstruction. Bivariate was used to
analyze the data using Chi-square and Fisher's exact test with significance
level of p<0.05 to evaluate the significance. Results: Based on total of 66
research samples, it was found that renal parenchymal thickness was ≥10 mm
(p=0.001), hemoglobin level was ≥10 mg/dL (p=0.001), and BUN/creatinine ratio
was ≥10 (p=0.003), it had significant correlation with the recovery of renal
function, meanwhile, obstruction etiology variable (p=0.566), and hyperkalemia
(p=0.792) did not provide significant recovery of renal function. Conclusion:
Renal parenchymal thickness, hemoglobin level, and BUN/Creatinin ratio are the
prognostic parameters for recovery of renal function after release of
obstruction.
Keywords: Obstructive
uropathy; blood urea nitrogen/creatinine ratio; haemoglobin; hyperkalemia; renal
parenchymal thickness
Author: Aristo Bundu, H R
Danarto
Journal Code: jpkedokterangg180009
