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Dergiler / Hitit Medical Journal / 2026 / Cilt: 8 Sayı: 3

Akut Böbrek Enfarktüsü Olan Hastalarda Böbrek Prognostik Faktörlerinin Analizi: 10 Yıllık Retrospektif Bir Çalışma

Analysis of Renal Prognostic Factors in Patients with Acute Renal Infarction: A 10-Year Retrospective Study

Hatice Şahin(Division of Nephrology, Department of Internal Medicine, Etlik City Hospital)0000-0002-7146-4828
Emre Yasar(Division of Nephrology, Department of Internal Medicine, Etlik City Hospital)0000-0001-8271-1831
Fatma Ayerden Ebinç(Division of Nephrology, Department of Internal Medicine, Etlik City Hospital)0000-0002-7893-3498
Gülay Ulusal Okyay(Division of Nephrology, Department of Internal Medicine, Etlik City Hospital)0000-0003-0770-1283
Fatma Rukiye Uysal(Division of Nephrology, Department of Internal Medicine, Etlik City Hospital)0000-0002-3499-7932
Gülşen Akçay(Department of Emergency Medicine, Etlik City Hospital)0000-0001-8377-5239
Bedriye Müge Sönmez(Department of Emergency Medicine, Dokuz Eylül University Faculty of Medicine)0000-0003-3970-8922
Mehmet Deniz Aylı(Division of Nephrology, Department of Internal Medicine, Etlik City Hospital)0000-0003-3145-1595
Sayfa
533–546
Yayın Tarihi
2026-10-14
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Bu çalışma, akut RE tanılı hastaların klinik, laboratuvar, radyolojik ve tedaviye ilişkin özelliklerini değerlendirmeyi; ayrıca başvuru sırasındaki akut böbrek hasarı (ABH) ve bir yıl sonunda kronik böbrek hastalığı (KBH) gelişimi ile ilişkili risk faktörlerini belirlemeyi amaçlamıştır.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Amaç: Akut renal enfarktüs (RE), nadir görülen, etiyolojisi heterojen olan ve böbreklerde önemli sekellere yol açabilen bir durumdur.
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Temel Bulgular & Veri:Amaç: Akut renal enfarktüs (RE), nadir görülen, etiyolojisi heterojen olan ve böbreklerde önemli sekellere yol açabilen bir durumdur.
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Sonuç & Katkı:Bu çalışma, akut RE tanılı hastaların klinik, laboratuvar, radyolojik ve tedaviye ilişkin özelliklerini değerlendirmeyi; ayrıca başvuru sırasındaki akut böbrek hasarı (ABH) ve bir yıl sonunda kronik böbrek hastalığı (KBH) gelişimi ile ilişkili risk faktörlerini belirlemeyi amaçlamıştır.
🔬Tür:Laboratuvar & Saha Deneyi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Akut böbrek hasarı · Enfarktüs · Kronik böbrek Hastalığı

Özet

Amaç: Akut renal enfarktüs (RE), nadir görülen, etiyolojisi heterojen olan ve böbreklerde önemli sekellere yol açabilen bir durumdur. Bu çalışma, akut RE tanılı hastaların klinik, laboratuvar, radyolojik ve tedaviye ilişkin özelliklerini değerlendirmeyi; ayrıca başvuru sırasındaki akut böbrek hasarı (ABH) ve bir yıl sonunda kronik böbrek hastalığı (KBH) gelişimi ile ilişkili risk faktörlerini belirlemeyi amaçlamıştır.

Abstract

Objective: Acute renal infarction (RI) is an uncommon condition with heterogeneous etiologies and potentially important renal sequelae. This study aimed to evaluate the clinical, laboratory, radiological, and treatment-related characteristics of patients with acute RI and to determine risk factors for acute kidney injury (AKI) at admission and chronic kidney disease (CKD) at 1 year. Materials and Methods: This retrospective observational study included patients with radiologically confirmed acute RI at two tertiary care centers in Ankara, Turkiye: Dışkapı Yıldırım Beyazıt Training and Research Hospital (1 January 2015 to 1 September 2022) and Ankara Etlik City Hospital (1 October 2022 to 28 February 2025). Multivariable logistic regression analysis was performed to identify predictors of AKI at admission. Firth penalized logistic regression was used to evaluate factors associated with CKD at 1 year because of the limited number of CKD events. Results: A total of 57 patients were enrolled; 56.1% were male and the mean age was 54.7 ± 13.8 years. AKI was present in 29 patients (50.9%), while CKD was observed in 13 patients (22.8%) at 1-year follow-up. In logistic regression analysis, older age was associated with AKI at admission (odds ratio [OR] = 1.058, 95% confidence interval [CI] 1.002-1.100; p=0.043), and AKI at admission remained associated with CKD at 1 year (penalized OR = 10.33, 95% CI 1.68–63.28; p=0.012). Conclusion: Patients with RI who had AKI at admission were at higher risk of developing CKD at 1 year. Older age was associated with AKI at admission. Post-discharge renal monitoring may be warranted, particularly for patients diagnosed with AKI.

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Bu Makaleye Atıf Yap

Şahin, H., Yasar, E., Ebinç, F. A., Okyay, G. U., Uysal, F. R., Akçay, G., Sönmez, B. M., Aylı, M. D. (2026). Akut Böbrek Enfarktüsü Olan Hastalarda Böbrek Prognostik Faktörlerinin Analizi: 10 Yıllık Retrospektif Bir Çalışma. Hitit Medical Journal, Cilt: 8 Sayı: 3, 533–546. https://doi.org/10.52827/hititmedj.1931595

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