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Original ArticleOpen Access
Acute Renal Failure (ARF) in Thailand Retrospective Analysis in a Medical Center
lndraprasit S 
,
Sakulsaengprapha A
,
Sakulsaengprapha A The changing trend of today's ARF in Thailand had led to requirement of epidemiologic----data
for management and planning. Retrospective review of adult inpatient records for 5 years of
Ramathibodi Hospital was performed. Normal initial serum creatinine rising to double its value
within one week and/or oliguria were the inclusion criteria. Data from another 3 university hospitals
were used for comparison. AFR is the second most common renal disease at Ramathibodi Hospital
with sepsis as the major underlying etiology. Among 396 cases of ARF, 194 were non-oliguric,
150 oliguric and 52 anuric. Non-oliguric cases needed lesser dialysis and had lower mortality.
The number of AFR patients from 4 university hospitals varied from 0.14 to 0.18 per cent of
hospital admission. If we consider the incidence of AFR in general hospital admission to be 0.1 per
cent and the average hospital admission/year of Thailand was 3.25 million, there will be 3,250
cases/year or 55 cases/million/population year. If 4 dialyses/case was considered, 220 dialyses/
year/million population was required. We suggested that the hospitals of the province with population
above 1 million should have a hemodialysis unit for both their local service and referral cases
and all provincial hospitals should develop at least a peritoneal dialysis facility for increasing cases
in ARF.
for management and planning. Retrospective review of adult inpatient records for 5 years of
Ramathibodi Hospital was performed. Normal initial serum creatinine rising to double its value
within one week and/or oliguria were the inclusion criteria. Data from another 3 university hospitals
were used for comparison. AFR is the second most common renal disease at Ramathibodi Hospital
with sepsis as the major underlying etiology. Among 396 cases of ARF, 194 were non-oliguric,
150 oliguric and 52 anuric. Non-oliguric cases needed lesser dialysis and had lower mortality.
The number of AFR patients from 4 university hospitals varied from 0.14 to 0.18 per cent of
hospital admission. If we consider the incidence of AFR in general hospital admission to be 0.1 per
cent and the average hospital admission/year of Thailand was 3.25 million, there will be 3,250
cases/year or 55 cases/million/population year. If 4 dialyses/case was considered, 220 dialyses/
year/million population was required. We suggested that the hospitals of the province with population
above 1 million should have a hemodialysis unit for both their local service and referral cases
and all provincial hospitals should develop at least a peritoneal dialysis facility for increasing cases
in ARF.
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