tag:blogger.com,1999:blog-4230162007222918868.post5447749738467808155..comments2023-09-19T05:50:03.130-04:00Comments on Renal Fellow Network: Hepatorenal syndrome: some help from the renal serviceGearoid McMahonhttp://www.blogger.com/profile/08049723797363526138noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-4230162007222918868.post-64956606526130398952010-07-26T00:03:33.550-04:002010-07-26T00:03:33.550-04:00I was surprised when I read the incidence, but sin...I was surprised when I read the incidence, but since this was from Lancet (a trustworthy source, I thought should put it in the blog). Here is the text from Lancet(from a single center) and so, I agree may not be the exact incidence:<br /> <br />"There is no published information on the comparative frequency of the different causes of renal failure in patients with Cirrhosis. In a current prospective study of renal failure in patients with cirrhosis being carried out at our unit, which so far includes 142 episodes of renal failure diagnosed over 1 year, the frequency of the different causes of renal failure is: 32% infection-induced renal failure; 24% parenchymal renal diseases; 22% prerenal failure; 11% acute tubular necrosis; 8% HRS; and 3% nephrotoxic renal failure (PG, unpublished)." <br />http://www.ncbi.nlm.nih.gov/pubmed/14654322Tarunhttps://www.blogger.com/profile/02674154928191744404noreply@blogger.comtag:blogger.com,1999:blog-4230162007222918868.post-85317546734510729652010-07-25T17:00:27.732-04:002010-07-25T17:00:27.732-04:00http://www.ncbi.nlm.nih.gov/pubmed/8514039.(before...http://www.ncbi.nlm.nih.gov/pubmed/8514039.(before IAC criteria)<br />http://www.ncbi.nlm.nih.gov/pubmed/11910344<br />http://www.ncbi.nlm.nih.gov/pubmed/17699328Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4230162007222918868.post-6399489459050976232010-07-25T10:25:44.539-04:002010-07-25T10:25:44.539-04:00Do you have a good citation we could use? Thank y...Do you have a good citation we could use? Thank you for the comments.<br /><br />http://www.ncbi.nlm.nih.gov/pubmed/20399905<br /><br />This is another citation (2010) that puts HRS around 8% of patients with cirrhosis, ascites and renal failure.Matt Sparkshttps://www.blogger.com/profile/16723646412313444698noreply@blogger.comtag:blogger.com,1999:blog-4230162007222918868.post-41771756227200157642010-07-25T08:52:28.768-04:002010-07-25T08:52:28.768-04:00Most studies indicate HRS to be the 2nd or 3rd mos...Most studies indicate HRS to be the 2nd or 3rd most common cause(26-48%) of AKI.The revised IAC criteria infact encourages increased suspicion and diagnosis of HRS.I feel the incidence quoted in your blog is too low than what is actually true.Renal Fellow Networkhttps://www.blogger.com/profile/13680174265755429508noreply@blogger.com