The long-term outcome after acute kidney injury: a narrative review

Pôncio, Luana; Balbi, André Luís; Rocha, Elyrose Sousa Brito; Dias, Dayana Bitencourt; Ponce, Daniela

doi:10.5935/0101-2800.20150016

Cited by 7 publications

(8 citation statements)

References 41 publications

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“… 20 Persistent decline of renal function without recovery can lead to end-stage renal disease and increase the short-term and long-term risk of death. 21 – 23 In our study, we used the Cox regressions model to adjust for potential confounders and revealed that old age, male sex, comorbidities of hypertension, diabetes, COPD, hyperlipidemia, and CHF remained significant risk factors for AKI, which is consistent with previous studies. 21 , 24 , 25 …”

Section: Discussionsupporting

confidence: 88%

Organophosphate Poisoning and Subsequent Acute Kidney Injury Risk

et al. 2015

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Small numbers of the papers have studied the association between organophosphate (OP) poisoning and the subsequent acute kidney injury (AKI). Therefore, we used the National Health Insurance Research Database (NHIRD) to study whether patients with OP poisoning are associated with a higher risk to have subsequent AKI.The retrospective cohort study comprised patients aged ≥20 years with OP poisoning and hospitalized diagnosis during 2000–2011 (N = 8924). Each OP poisoning patient was frequency-matched to 4 control patients based on age, sex, index year, and comorbidities of diabetes, hypertension, hyperlipidemia, chronic obstructive pulmonary disease, coronary artery disease, and stroke (N = 35,696). We conducted Cox proportional hazard regression analysis to estimate the effects of OP poisoning on AKI risk.The overall incidence of AKI was higher in the patients with OP poisoning than in the controls (4.85 vs 3.47/1000 person-years). After adjustment for age, sex, comorbidity, and interaction terms, patients with OP poisoning were associated with a 6.17-fold higher risk of AKI compared with the comparison cohort. Patients with highly severe OP poisoning were associated with a substantially increased risk of AKI.The study found OP poisoning is associated with increased risk of subsequent AKI. Future studies are encouraged to evaluate whether long-term effects exist and the best guideline to prevent the continuously impaired renal function.

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Section: Discussionsupporting

confidence: 88%

Organophosphate Poisoning and Subsequent Acute Kidney Injury Risk

et al. 2015

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“…Patients were evaluated for progression to CKD after 3, 6, 12, 24, 36 and 60 months of follow up. Baseline MDRD was 72 mL/min (52–89 mL/min), at hospital discharge 51 mL/min, after 3 months 57 mL/min, after 6 months 67 mL/min (48–84), and after 12, 24, 36 and 60 months was 64 mL/min (46–81), 58 mL/min (42–79), 55 mL/min (43–76) and 53 mL/min (32–77), respectively. There was significant difference between baseline MDRD and at moments hospital discharge ( P = 0,009), after 3 months ( P = 0.03) and after 24, 36 and 60 months ( P < 0.05).…”

Section: Resultsmentioning

confidence: 97%

“…Recently, new studies have shown that surviving patients after an AKI episode are at increased risk of progression to advanced CKD (stages 4 and 5) . The US Renal Data System 2010 Annual Data Report indicates that survivors of AKI are at risk of developing ESRD within the following year.…”

Section: Discussionmentioning

confidence: 99%

“…GFR remained stable in 51.4% of patients Recently, new studies have shown that surviving patients after an AKI episode are at increased risk of progression to advanced CKD (stages 4 and 5). 13,14,62,63 The US Renal Data System 2010 Annual Data Report indicates that survivors of AKI are at risk of developing ESRD within the following year. This risk increases from less than1% for those without previous CKD to 5% for those with previous CKD.…”

Section: Discussionmentioning

confidence: 99%

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Long‐term outcome of severe acute kidney injury survivors followed by nephrologists in a developing country

et al. 2016

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“…A idade avançada (> 60 anos), a presença de comorbidades e o início tardio da terapia de substituição renal destacam-se entre eles (19) . Além disso, creatinina sérica basal maior que 1,2 mg/dL, o uso prévio de anti-inflamatórios não esteroidais, presença de choque séptico e a hipertensão arterial sistêmica representam também outros fatores relacionados à ocorrência de LRA (10) .…”

Section: Discussionunclassified

Recuperação De Pacientes Com Lesão Renal Aguda Dialítica E Não Dialítica

Cardoso¹,

Carneiro²,

Magro³

2017

Cogitare Enferm.

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RESUMO: O objetivo do estudo foi identificar a recuperação da função renal de pacientes com lesão renal aguda dialítica e não dialítica. Estudo observacional prospectivo e quantitativo, desenvolvido em unidade de terapia intensiva geral adulta de um hospital público do Distrito Federal, de janeiro a junho de 2015. Os dados foram coletados a partir de informações do prontuário eletrônico. Foram acompanhados 109 pacientes, desses 19 eram dialíticos, 10 (52,6%) do sexo feminino, com idade média de 54±19 anos. O grupo não dialítico constituiu-se por 90 pacientes predominantemente do sexo masculino 47 (52,2%), idade média de 55±21 anos. Entre os dois grupos, o dialítico apresentou como desfecho maior taxa de óbito (73,7%; p=0,009) e maior valor de Simplified Acute Physiology Score III (83,0 ± 10,2; p=0,0001). Apesar de o grupo dialítico acumular maior gravidade, o percentual de recuperação da função renal ocorreu em mais de 50% dos pacientes em ambos os grupos. DESCRITORES: Lesão renal aguda; Unidade de terapia intensiva; Recuperação de função fisiológica; Enfermagem. RECUPERAÇÃO DE PACIENTES COM LESÃO RENAL AGUDA DIALÍTICA E NÃO DIALÍTICA RECOVERY OF PATIENTS WITH ACUTE KIDNEY INJURY REQUIRING DIALYSIS OR NOTABSTRACT: The research objective was to identify the recovery of the kidney function in patients with acute kidney injury requiring dialysis or not. Prospective and quantitative observational study, developed at an adult general intensive care unit of a public hospital in the Federal District, Brazil, between January and June 2015. The data were collected based on information from the electronic patient history. One hundred and nine patients were monitored, 19 of whom required dialysis and 10 (52.6%) were female, with a mean age of 54±19 years. The group that did not require dialysis consisted of 90 patients, predominantly male with 47 (52.2%) and a mean age of 55±21 years. Among the two groups, the outcomes in the dialysis group were a higher death rate (73.7%; p=0.009) and higher Simplified Acute Physiology Score III (83.0±10.2; p=0.0001). Although the dialysis group accumulates more severe patients, the recovery percentage of the kidney function corresponded to more than 50% of the patients in both groups. DESCRIPTORS: Acute kidney injury; Intensive care units; Recovery of function; Nursing. El objetivo del estudio fue identificar la recuperación de la función renal de pacientes con lesión renal aguda dialítica y no dialítica. Estudio observacional prospectivo y cuantitativo, desarrollado en unidad de terapia intensiva general adulta de un hospital público del Distrito Federal, Brasil, de enero a junio del 2015. Los datos fueron recolectados a partir de informaciones del archivo electrónico. Fueron seguidos 109 pacientes, de los cuales 19 eran dialíticos, 10 (52,6%) del sexo femenino, con promedio de 54±19 años. El grupo no dialítico fue constituido por 90 pacientes predominantemente del sexo masculino 47 (52,2%), promedio de edad 55±21 años. Entre los dos grupos, el desfecho en el dialítico fue mayor tasa de...

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The long-term outcome after acute kidney injury: a narrative review

Cited by 7 publications

References 41 publications

Organophosphate Poisoning and Subsequent Acute Kidney Injury Risk

Organophosphate Poisoning and Subsequent Acute Kidney Injury Risk

Long‐term outcome of severe acute kidney injury survivors followed by nephrologists in a developing country

Recuperação De Pacientes Com Lesão Renal Aguda Dialítica E Não Dialítica

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