Five hundred @entity1 with @entity810 were admitted to the Department of Nephrology of Necker Hospital between 1966 and 1970; 279 of them were treated before and 221 after beginning systematic prophylactic hemodialysis. The frequency of complications and the survival rate between both groups were compared. No significant improvement was obtained in @entity1 with severe pre-existing @entity66 ; such @entity1 usually died from nonuremic complications before, or despite, dialysis. However, adequate treatment of severe @entity326 , when present, was an important factor in improving the immediate outcome. Early and frequent dialysis significantly reduced the frequency and intensity of uremic symptoms such as @entity360 . The mortality due to @entity360 decreased from 14% before to 5% after prophylactic hemodialysis. The number of @entity204 due to @entity295 was also substantially lowered from 24 to 12%. Overall mortality was reduced from 42 to 29%. The mortality rate decreased significantly in all categories of @entity1 , particularly in surgical cases (from 54 to 38%) and in traumatic cases (55 to 33%). Simultaneously, the better use of antibiotic therapy, better prophylaxis of @entity295 , and better nutritional care were important factors in the overall improvement in prognosis.

Factors influencing immediate prognosis in XXXX , with special reference to prophylactic hemodialysis.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity295 :: ('MESH:D018805', 'Disease') :: ['sepsis', 'septicemia'] @entity66 :: ('MESH:D004194', 'Disease') :: ['diseases or extensive extrarenal lesions'] @entity326 :: ('MESH:D012772', 'Disease') :: ['septic shock'] @entity810 :: ('MESH:D058186', 'Disease') :: ['acute renal failure'] @entity204 :: ('MESH:D003643', 'Disease') :: ['deaths'] @entity360 :: ('MESH:D006471', 'Disease') :: ['gastrointestinal bleeding', 'gastrointestinal hemorrhage']
@entity810 :: (MESH:D058186,Disease) :: ['acute renal failure']
