Acute Renal Failure

Gordillo-Paniagua, G; L, Velásquez-Jones

doi:10.1016/s0031-3955(16)33363-6

Cited by 19 publications

(4 citation statements)

References 33 publications

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“…Catatonic stupor usually involves the opposite symptom of catatonic excitement with extreme movements or exertion, which can lead to dehydration. Importantly, dehydration underlies many medical complications that were found to be associated with catatonia, i.e., renal failure ( 23 , 24 ), neuroleptic malignant syndrome ( 34 ), rhabdomyolysis ( 35 – 38 ), urinary tract infections ( 39 ), and deep venous thrombosis ( 40 ).…”

Section: Discussionmentioning

confidence: 99%

Catatonic Stupor in Schizophrenic Disorders and Subsequent Medical Complications and Mortality

et al. 2018

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ObjectiveAlthough catatonia can occur secondary to a general medical condition, catatonia itself has been known to lead to various medical compolications. Although case reports on the association of catatonia with subsequent medical complications have been documented, no comprehensive large-scale study has been performed. To investigate specific medical complications after catatonia, we conducted a retrospective cohort study of specific medical complications of schizophrenia patients with catatonia.MethodsThe 1719 schizophrenia inpatients in our study were categorized into two groups: the catatonia group, i.e., those who exhibited catatonic stupor while they were hospitalized, and the noncatatonia group, i.e., those who never exhibited catatonic stupor. Differences between the two groups in the occurrence of subsequent medical complications were examined using linear and logistic regression analyses, and models were adjusted for potentially confounding factors.ResultsThe catatonia group had an increased risk for mortality (odds ratio = 4.8, 95% confidence interval = 2.0–10.6, p < .01) and certain specific medical complications, i.e., pneumonia, urinary tract infection, sepsis, disseminated intravascular coagulation, rhabdomyolysis, dehydration, deep venous thrombosis, pulmonary embolism, urinary retention, decubitus, arrhythmia, renal failure, neuroleptic malignant syndrome, hypernatremia, and liver dysfunction (all p values < .01, except for deep venous thrombosis, p = .04 in the multiple linear regression analysis).ConclusionsCatatonic stupor in schizophrenia substantially raises the risk for specific medical complications and mortality. Hyperactivity of the sympathetic nervous system, dehydration, and immobility, which are frequently involved in catatonia, might contribute to these specific medical complications. In catatonia, meticulous care for both mental and medical conditions should be taken to reduce the risk of adverse medical consequences.

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Section: Discussionmentioning

confidence: 99%

Catatonic Stupor in Schizophrenic Disorders and Subsequent Medical Complications and Mortality

et al. 2018

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“…Peritoneal dialysis was performed in both patients using a conventional technique [16]. A pediatric peritoneal dialysis catheter was placed in the left lower quadrant.…”

Section: Dialysis Proceduresmentioning

confidence: 99%

Effect of Peritoneal Dialysis on Serum Concentrations of Three Drugs Commonly Used in Pediatric Patients

et al. 1985

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The use of peritoneal dialysis in young infants bears the theoretical advantage that the relative size of their peritoneal surface area is twice that of adults. The movement of drugs across the peritoneum is affected by the physiochemical properties of the drug molecules and the pathophysiologic condition of the patient. It is observed that the peritoneal dialysis clearances of phénobarbital, amikacin and cefazolin in infants were 1.07-1.33,0.54-0.86 and 0.40-1.02 ml/min, respectively. The dosage determination in the dialysis patients receiving these drugs is discussed.

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“…Las formas no oliguricas de insuficiencia renal aguda habitualmente no tienen complicaciones graves, necesitan con menos frecuencia de dialisis y la mortalidad es mucho menor que en las formas oliguricas 7 .…”

Section: Comentariounclassified

“…Sin embargo, en algunos casos en vez de oliguria, la caracten'stica inicial es diuresis normal o poliuria, enmascarando por algun tiempo la incapacidad renal de preservar la constancia del medio interne. Debido a que los pacientes con insuficiencia renal aguda no oligurica tienen menor morbimortalidad, manejo hi'drico mas simple, y menor necesidad de dialisis, el diagnostico de esta condition ha sido hecho infrecuentemente 7 . Esto es particularmente valido en Pediatria, motivo por el cual presentamos un caso clinico estudiado en nuestro Servicio.…”

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