Abstract

AbstractSixteen uremic patients aged 50 or older were treated at the Ochsner Medical Center by hemodialysis, renal transplantation, or both, during a 30‐month period. Nine had acute uremia, and 7 chronic uremia. Renal function was restored in 2 of the 9 patients with acute uremia, but only 1 survived. The most common causes of unsuccessful results were respiratory failure due to aspiration pneumonitis and death due to complicating diseases, usually arteriosclerosis. Of the 7 patients with chronic uremia, 5 survived; 2 of these have reduced renal function but the other 3 have been completely rehabilitated by hemodialysis (at home) or renal transplantation.As a result of our experience, we advocate that hemodialysis be used in all patients with acute renal failure, regardless of age, and that hemodialysis and renal transplantation be considered in all patients with chronic renal failure, regardless of age, as long as complicating diseases do not preclude long‐term survival.

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