ACUTE-RENAL-FAILURE AS A COMPLICATION OF ACUTE-PANCREATITIS

To assess the prevalence of acute renal failure (ARF) in patients with acute pancreatitis, as well as the factors predictive of a lethal out come, we retrospectively studied the data of all patients admitted to our hospital over a 5-year period. Between 1989 and 1993, 554 patients presented with acute pancreatitic, of which 24 (4.4%) subsequently de veloped ARE Death occurred in 14/24 (58%) of patients with ARE and was associated with an increased incidence of multiorgan failure. There w as no statistically significant difference in the age, admission blood pressure, or admission pulse rate of the patients who survived and th ose who died. In contrast, death was associated with a higher Ranson s core, and the increased prevalence of multiorgan failure. The length o f hospitalization of the nonsurviving group was significantly shorter Acute renal failure is not a common finding in patients with acute pan creatitis. However when it occurs, it is associated with a poor progno sis, and is predicted by a higher Ranson score and the presence of mul tiorgan failure.