Various factors were analyzed in 80 consecutive children under 16 year
s who had acute renal failure (ARF), for various prognostic factors, O
verall mortality was 42.5%, with significantly higher levels seen in h
emolytic uremic syndrome (68%, P <0.05) and associated with cardiac su
rgery (90.9%, P <0.01). Anuria (67.6% vs. 43.5%, P <0.05), need for di
alysis (85.3% vs. 56.5%, P <0.05), neurological complications (50% vs.
6.3%, P <0.01), and respiratory complications (35.2% vs. 2.1%, P <0.0
1) were significantly higher in nonsurvivors than survivors. Multiple
regression analysis showed the presence of neurological and respirator
y complications to be poor prognostic factors.