Medicina intensiva
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Multicenter Study Observational Study
Acute renal failure according to the RIFLE and AKIN criteria: A multicenter study.
To determine the incidence of acute renal failure (ARF) in critically ill patients using the RIFLE and AKIN criteria. ⋯ RIFLE identified more cases of ARF. UC proved more effective than CC. The presence of ARF and severity levels were correlated to mortality but not to days of stay in the CCU. Implementation of the unified CHD was useful for implementing UC and achieving comparable results.
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To evaluate SAPS 3 performance in Spain, assessing discrimination and calibration in a multicenter study. ⋯ Our study shows good discrimination of the SAPS 3 system in Spain, but also inadequate calibration, with differences between predicted and observed mortality. There are more similarities with regard to the general equation than with respect to our geographical area equation, and in both cases the SAPS 3 system overestimates mortality. According to our results, Spanish ICU mortality is lower than in other hospitals included in the multicenter study that developed the SAPS 3 system, in patients with similar characteristics and severity of illness.