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This version was published on September 1, 2007
American Journal of Hospice and Palliative Medicine®, Vol. 24, No. 4, 264-269 (2007)
DOI: 10.1177/1049909107302298
© 2007 SAGE Publications

Azotemia in Cancer Patients During Inpatient Rehabilitation

Ying Guo, MD

Department of Palliative Care and Rehabilitation Medicine, University of Texas M. D. Anderson Cancer Center, Unit 08, Houston, Texas, USA, yguo{at}mdanderson.org

Susan Hainley, APN

Department of Palliative Care and Rehabilitation Medicine, University of Texas M. D. Anderson Cancer Center, Unit 08, Houston, Texas, USA

J. Lynn Palmer, PhD

Department of Palliative Care and Rehabilitation Medicine, University of Texas M. D. Anderson Cancer Center, Unit 08, Houston, Texas, USA

Eduardo Bruera, MD

Department of Palliative Care and Rehabilitation Medicine, University of Texas M. D. Anderson Cancer Center, Unit 08, Houston, Texas, USA

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 ≥ 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.

Key Words: azotemia • rehabilitation • cancer • length of stay


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