Özet:

Our study was aimed at investigating the prognostic value of microalbuminure, which reflects the increased glomerular passivity associated with inflammation, in the direction of mortality in patients with intensive care. Two urine samples were taken within 12 hours of the 52 cases considered to be intense and the microalbuminuric/creatininuric (MACR) ratio (mg/g) was calculated. People with diabetes mellitus and renal insufficiency have been dismissed. The cases were divided into two groups: medical (Group M) and trauma (Group T). Diagnosis, age, gender, associated disease, hourly urine amounts, intensive care and mechanical ventilation periods have been recorded. The acute physiological and chronic health assessment score (APACHE II), the simplified acute physiological score (SAPS II) and the multiorgan dysfunction score (MODS) were calculated. It was studied whether there was a relationship between the MACR values and the scores in both groups. In Group M there was no correlation between MACR and APACHE II, SAPS II, MODS, intensive maintenance and mechanical ventilation periods. In group T, a positive correlation between MACR and APACHE II, SAPS II and MODS (p<0.05, p<0.05, p<0.05) was found in all patients between MACR and SAPS II (p<0.05). Compared to living and dead patients, the MACR values and scores in the living were low, the duration of stay in intensive care was long (p<0.05, p<0.01, p<0.01, p<0.05, p<0.05). The mortality rate was higher in those with associated disease (p<0.05). The MACR that rises after acute inflammation is an indicator of the worsening of the prognosis. MACR measurements can be used in the early detection of facts with intensive care requirements, making them practical.

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