Impact of different types of organ failure on outcome in intensive care unit patients with acute kidney injury.

Purpose: The aim of this study was to explore the impact of different types of associated organ failure in patients with acute kidney injury (AKI).

Materials And Methods: A retrospective analysis of 22 303 adult patients admitted to 22 intensive care units (ICUs) in the United Kingdom and Germany between 1989 and 1999 was done.

Results: A total of 7898 patients (35.

Black renal transplant recipients have poorer long-term graft survival than CYP3A5 expressers from other ethnic groups.

Background: African American transplant recipients have poorer long-term outcomes than Caucasian Americans. This difference was not found in French patients, suggesting socialized medicine overcame this disparity. It has also been hypothesized that the difference relates to the higher prevalence of Black individuals who express the metabolic enzyme cytochrome P4503A5 (CYP3A5), with consequent altered handling of immunosuppressive drugs.

Acute kidney injury in the intensive care unit according to RIFLE.

Objectives: To apply the RIFLE criteria "risk," "injury," and "failure" for severity of acute kidney injury to patients admitted to the intensive care unit and to evaluate the significance of other prognostic factors.

Design: Retrospective analysis of the Riyadh Intensive Care Program database.

Setting: Riyadh Intensive Care Unit Program database of 41,972 patients admitted to 22 intensive care units in the United Kingdom and Germany between 1989 and 1999.

Retroperitoneoscopic live donor nephrectomy in a patient with a double inferior vena cava.

Background: Vascular anomalies are considered a contraindication for laparoscopic live donor nephrectomy. We report a successful hand-assisted retroperitoneoscopic live donor nephrectomy from a donor with a double inferior vena cava.

Materials And Methods: A 37-year-old woman wanted to donate a kidney to her 44-year-old boyfriend who had hypertensive nephropathy.