In an unselected population, the annual incidence of @entity810 ( @entity810 ) seems close to 200 @entity1 per million inhabitants. In elderly @entity1 , this incidence is five times higher than that of younger @entity1 . Mortality is particularly high in intensive care units and doubles if @entity810 develops after rather than before admission. Death is mainly due to @entity3485 and @entity326 , and to @entity65 . An increasing number of @entity204 is related to therapeutic limitation. In many cases, @entity810 can be prevented, e.g. by correcting any @entity1372 deficit and @entity3485 before a surgical procedure, and by considering the true GFR of a given @entity1 before prescribing a potentially nephrotoxic drug, especially in older @entity1 . A poor previous health status, hospitalization prior to admission, and @entity810 occurring after admission are important predictive factors of mortality, as well as any acute @entity881 . Second generation severity scores seem to have a better performance than older ones. The use of continuous hemodialysis and hemofiltration is increasing in @entity810 @entity1 , but it is not proven that mortality is thereby reduced. A beneficial effect of biocompatible membranes is not clearly demonstrated in these @entity1 . Later, most @entity810 @entity1 recover a normal, or nearly normal, renal function. Recovery is delayed in older @entity1 and in those whose oliguric period is prolonged. Lastly, the high cost of therapy in @entity810 justifies the use of all currently preventive measures in @entity1 at risk.

[Epidemiology and prognosis of XXXX in 1997. Recent data].

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity326 :: ('MESH:D012772', 'Disease') :: ['septic shock'] @entity1372 :: ('MESH:D012964', 'Chemical') :: ['sodium'] @entity881 :: ('MESH:D009102', 'Disease') :: ['organ dysfunction'] @entity3485 :: ('MESH:D020896', 'Disease') :: ['hypovolemia', 'hypovolemic'] @entity810 :: ('MESH:D058186', 'Disease') :: ['ARF', 'acute renal failure'] @entity204 :: ('MESH:D003643', 'Disease') :: ['deaths'] @entity65 :: ('MESH:D002318', 'Disease') :: ['cardiovascular diseases']
@entity810 :: (MESH:D058186,Disease) :: ['acute renal insufficiency']
