VALIDITY OF PREDICTION SCORES IN ACUTE-RENAL-FAILURE DUE TO POLYTRAUMA

During a 36-month period from 1992 to 1994, 33 patients with severe po lytrauma acquired in war combat (1 female, 32 male, 38.61 +/- 8.79 yea rs) developed acute renal failure (ARF) which require hemodialysis (HD ) treatment. In 12 patients, multiple system organ failure (MSOF) occu rred as a complication of either general conditions or septic complica tions. In 17 patients (51.4%), and in 3 patients with MSOF, recovery o f renal function occurred. We compared the outcome of ARF and several predictive scores (APACHE II and ATNISS). The APACHE II score did not correlate with the outcome of ARF, and ATNISS significantly correlated with the outcome of ARF, The maximum value of ATNISS in the patients with lethal outcome was 1.004, and the minimal value with the same out come was 0.182. Although ATNISS is a very good score of severity, it s eems to underestimate very influential factors in patients with severe polytrauma with ARF (MSOF, mechanism of trauma).