Azotemia in cancer patients during inpatient rehabilitation

Am J Hosp Palliat Care. 2007 Aug-Sep;24(4):264-9. doi: 10.1177/1049909107302298. Epub 2007 Jun 29.

Abstract

This paper presents a study of the relationship between prerenal azotemia and rehabilitation outcomes of cancer patients. A retrospective chart review of 70 patients who underwent inpatient rehabilitation in a tertiary cancer center was undertaken. Eight patients with creatinine values >1.5 were excluded. The remaining 62 patients were divided into 2 groups according to the blood urea nitrogen/creatinine (BUN/Cr) ratio: 27 (44%) in the prerenal azotemia group (BUN/Cr > or = 20) and 35 (56%) in the non-azotemic group (BUN/Cr < 20). Age, gender, <10 g/dL of hemoglobin, co-morbidity (diabetes mellitus and/or hypertension), discharge destiny and median rehabilitation length of stay were not significantly different in these 2 groups. Prerenal azotemia was present in a significant number of cancer patients, but it did not impact the length of rehabilitation stay or discharge destiny.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Azotemia / blood
  • Azotemia / diagnosis
  • Azotemia / epidemiology
  • Azotemia / etiology*
  • Blood Urea Nitrogen
  • Chi-Square Distribution
  • Comorbidity
  • Creatinine / blood
  • Dehydration / etiology
  • Diabetes Complications / complications
  • Female
  • Hemoglobins / metabolism
  • Humans
  • Hypertension / complications
  • Length of Stay / statistics & numerical data
  • Male
  • Middle Aged
  • Neoplasms / complications*
  • Neoplasms / diagnosis
  • Neoplasms / rehabilitation*
  • Patient Discharge
  • Prealbumin / metabolism
  • Rehabilitation Centers
  • Retrospective Studies
  • Risk Factors
  • Statistics, Nonparametric
  • Texas / epidemiology

Substances

  • Hemoglobins
  • Prealbumin
  • Creatinine