prognosis
Last edited 09/2023 and last reviewed 09/2023
Dependent on cause of acute renal failure.
If the cause of renal failure was acute tubular necrosis then there is an excellent renal prognosis with about 95% of patients recovering satisfactory renal function within 6 weeks.
The patients with acute kidney injury (AKI) as a result of severe trauma, multisystem failure and overwhelming sepsis is poor. If these patients survive then their renal function will return to normal within a few months in most cases.
AKI as a result of cortical failure leaves the potential for only partial, if any, restoration of kidney function.
Overall, the prognosis has not significantly been improved during the last 20-30 years, although substantial progress has been achieved in intensive care medicine and dialysis treatment, respectively (1)- in the mid-nineteen seventies 70% of all patients with AKI died. Mortality moderately decreased until the early nineties (30-50%) and remained stable over the last 20 years
- poor prognosis partly results from the disease leading to AKI per se but also ensues from complications associated with AKI
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