Evolução clínica de pacientes com insuficiência renal aguda em unidade de terapia intensiva

Bernardina, Lucienne Dalla; Diccini, Solange; Belasco, Angélica Gonçalves Silva; Bittencourt, Ana Rita de Cássia; Barbosa, Dulce Aparecida

doi:10.1590/s0103-21002008000500007

Cited by 15 publications

(20 citation statements)

References 17 publications

(36 reference statements)

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“…15 In this study, most of the infected patients were male and were hospitalized in the ICU, characteristics that are similar to the results of other studies. [16][17] The superiority of the hemodialysis temporary catheter insertion due to ARF was about five-fold higher compared with CRF, which was also observed in other studies. [18][19] This is possibly caused by the delay in the referral of these patients to the nephrologist, with a need for emergency hemodialysis and cases of ARF that is secondary to other diseases.…”

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confidence: 72%

Risk Factors Associated With Temporary Catheter-Related Infection in Patients on Dialysis Treatment

Borges¹,

Bedendo

2015

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ABSTRACT:This study aims to identify risk factors associated with temporary hemodialysis catheter-related infection, in patients on dialysis treatment in a teaching hospital. This is a prospective study performed from November of 2012 to May of 2013, with 129 patients. Sociodemographic, clinical and biochemical data were collected from patient charts. In patients with a catheter,, 48.8% had catheter-related infection, 65% were male, 65% were 60 years of age or older, 85.3% had the catheter because they were diagnosed with acute renal failure, and 88% were hospitalized in an intensive care unit. There was a significant correlation between the independent variables and the outcome of infection. The risk factors associated with temporary hemodialysis catheter-related infection were: length of time of catheter use, the change of device, death, and complications during a hemodialysis session. DESCRIPTORS:Risk factors. Catheter-related infections. Renal insufficiency. Renal dialysis. FATORES DE RISCO ASSOCIADOS À INFECÇÃO DE CATETER PROVISÓRIO EM PACIENTES SOB TRATAMENTO DIALÍTICORESUMO: Este estudo objetivou identificar os fatores de risco associados à infecção de cateter provisório para hemodiálise em pacientes em tratamento dialítico em um hospital escola. Trata-se de um estudo prospectivo, realizado no período de novembro de 2012 a maio de 2013, com 129 pacientes. Os dados sóciodemograficos, clínicos e bioquímicos dos participantes foram coletados dos prontuários. Entre os pacientes que foram submetidos à implantação do cateter, 48,8% apresentaram infecção relacionada ao cateter, 65% eram do sexo masculino, 65% possuíam idade igual ou superior a 60 anos, 85,3% utilizaram o cateter por terem sido diagnosticados com insuficiência renal aguda e 88% foram internados em unidade de terapia intensiva. Houve correlação significativa entre as variáveis independentes e o desfecho infecção. Os fatores de risco que se associaram à infecção relacionada à implantação do dispositivo foram: tempo de permanência do cateter, troca do dispositivo, óbito e intercorrências durante a sessão de hemodiálise. DESCRITORES: FACTORES DE RIESGO ASOCIADOS A LA INFECCIÓN DE CATÉTER PROVISORIO EN PACIENTES EN TRATAMIENTO DIALÍTICO RESUMEN:Este estudio tuvo como objetivo identificar los factores de riesgo asociados a la infección de catéter provisorio para hemodiálisis en pacientes en tratamiento dialítico en un hospital escuela. Se trata de un estudio prospectivo, realizado en el período entre noviembre de 2012 y mayo de 2013, con 129 pacientes. Fueron colectados: registros sociodemográficos, clínicos y bioquímicos de los participantes se obtuvieron de los registros médicos. Entre los pacientes que fueron sometidos a la implantación del catéter, el 48,8% presentaron infección relacionada con catéter, el 65% eran del sexo masculino, el 65% tenían edad igual a 60 años o más, el 85,3% utilizaron el catéter porque hubieran sido diagnosticados con insuficiencia renal aguda y el 88% fueron hospitalizados en la unidad de terapia intensiva. Hubo correl...

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supporting

confidence: 72%

Risk Factors Associated With Temporary Catheter-Related Infection in Patients on Dialysis Treatment

Borges¹,

Bedendo

2015

Texto contexto - enferm.

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“…No estudo, foi encontrada a incidência de 44,7% de desenvolvimento de IRA em pacientes internados em UTI, sendo que na literatura científica existem estudos com incidência inferior, tais como 29% (9) , 29,7% (10) , 31,2% (2) e 35,7% (11) . E um estudo com incidência superior com 76,5% (12) .…”

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Incidência E Fatores Predisponentes De Insuficiência Renal Aguda Em Unidade De Terapia Intensiva

et al. 2017

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INCIDENCE AND RISK FACTORS ASSOCIATED WITH ACUTE KIDNEY INJURY IN INTENSIVE CARE UNIT ABSTRACT:The study aims to identify the incidence, classification and risk factors for acute kidney injury in patients admitted to an intensive care unit. Descriptive documentary study with a quantitative approach, conducted from January to February 2016, based on the analysis of 114 medical records of hospitalized patients. The diagnosis was based on the criterion of the Acute Dialysis Quality Initiative. Incidence and the classification of acute kidney injury were assessed. Also, correlation was assessed using the Chi-square test (p<0.05) and Prevalence Ratio (p<0.05). The incidence rate of the disease is 44.7% (51 patients). Of these, most were at the risk class: 41% (20 patients).The development of disease is associated with changes in blood pressure levels, body fluid balance, inability of the kidneys to produce sufficient amounts of urine, and elevated blood urea and creatinine levels, and when complicated by the occurrence of acute respiratory diseases, mortality increases substantially. Strict monitoring of the identified factors is necessary, aiming at the early detection of acute kidney injury and decrease in mortality rates.

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“…Yet, the 2007 National Census showed that 73,605 patients were in dialytic treatment, of which 90.8% were undergoing hemodialytic treatment (7) . During the dialytic treatment, patient comorbidity is high and associated with cardiovascular diseases, systemic arterial hypertension, anemia, susceptibility to infection, high prevalence of types B and C hepatitis, bone diseases, malnutrition and other less-defined causes (8) .…”

Section: Introductionmentioning

confidence: 99%

Co-morbidades e mortalidade de pacientes com doença renal: atendimento terceirizado de nefrologia

2009

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Objectives: To identify the causes of co-morbidities and mortality among patients with renal disease who attended the SARA clinic in 2007, and to examine the relationships among personal factors, comorbidities, and risk factors for mortality. Methods: This descriptive retrospective study reviewed medical records of 232 patients with acute renal failure (ARF) on hemodialysis. Results: The majority of patients were males (60.3%). A greater number of them were between 61 to 80 years old (37%) and the hemodialysis was performed in Critical Care Units. ARF was the main cause of hospitalization (87.9%). Conclusion: Common comorbidities included respiratory failure, respiratory infection, high blood pressure, and sepsis. The main causes of death were respiratory failure and sepsis. Keywords: Renal dialysis; Renal insufficiency, chronic; Morbidity; Mortality RESUMOObjetivos: Identificar as causas de co-morbidades e mortalidade de pacientes com insuficiência renal aguda atendidos na Clínica SARA no ano de 2007; analisar as variáveis pessoais, as co-morbidades e os fatores de risco para mortalidade desses pacientes. Métodos: Estudo descritivo, retrospectivo, quantitativo, abrangendo 232 portadores de insuficiência renal aguda (IRA), em terapia hemodialítica no ano de e, os dados foram coletados através dos prontuários desses pacientes. Resultados: Do total de 232 pacientes, 140 (60,3%) pacientes eram do sexo masculino; houve predominância de pacientes com idade entre 61 a 80 anos (37%) e o atendimento, na maioria das vezes, foi em Unidade de Terapia Intensiva (66,4%). Dentre as causas de internamento, houve predominância das IRA (87,9%). Conclusão: Destacam-se, entre as co-morbidades, a insuficiência, infecção respiratória, a hipertensão arterial sistêmica e sepse. As principais causas de óbitos foram a insuficiência respiratória e a sepse. Descritores: Diálise renal; Insuficiência renal crônica; Morbidade; Mortalidade RESUMENObjetivos: Identificar las causas de comorbidades y mortalidad de pacientes con insuficiencia renal aguda atendidos en la Clínica SARA en el año 2007; analizar las variables personales, las comorbidades y los factores de riesgo de la mortalidad de esos pacientes. Métodos: Estudio descriptivo, retrospectivo, cuantitativo, en la que participaron 232 portadores de insuficiencia renal aguda (IRA), en terapia de hemodiálisis en el año de 2007 y, los datos fueron recolectados de las historias clínicas de esos pacientes. Resultados: Del total de 232 pacientes, 140 (60,3%) pacientes eran del sexo masculino; hubo predominio de pacientes con edad entre 61 a 80 años (37%) y la atención, en la mayoría de veces, fue en la Unidad de Cuidados Intensivos (66,4%). Entre las causas de internamiento, hubo predominio de las IRA (87,9%). Conclusión: Se destacan, entre las comorbidades, la insuficiencia, infección respiratoria, la hipertensión arterial sistémica y la sepsis. Las principales causas de óbitos fueron la insuficiencia respiratoria y la sepsis.

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Evolução clínica de pacientes com insuficiência renal aguda em unidade de terapia intensiva

Cited by 15 publications

References 17 publications

Risk Factors Associated With Temporary Catheter-Related Infection in Patients on Dialysis Treatment

Risk Factors Associated With Temporary Catheter-Related Infection in Patients on Dialysis Treatment

Incidência E Fatores Predisponentes De Insuficiência Renal Aguda Em Unidade De Terapia Intensiva

Co-morbidades e mortalidade de pacientes com doença renal: atendimento terceirizado de nefrologia

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