Acute kidney injury in Latin America: a view on renal replacement therapy resources

Abstract

To our knowledge, this report was the first available study of the equipment and human resources utilized for RRT in AKI patients in Latin America.

Intermittent Hemodialysis Low Intensity vs. on Line Hemodiafiltration in Critically Ill Patients with Sepsis and Acute Kidney Injury. Choosing the Best Treatment in a Developing Country

“…The intermittent hemodialysis is the treatment most frequently used in all units, also extended slow dialysis (SLED) was developed 40%, and only 23% provided continuous renal replacement therapy (CRRT); Peritoneal Dialysis is available only in one-third of the units, and is used in less than 20% in patients with AKI [7]. In Ecuador CRRT is not available.…”

Nurses' knowledge to identify early acute kidney injury

“…Sepsis is the most common cause of AKI in critical patients and is associated with higher severity, increasing risk of death and hospital admissions, compared to non-septic patients (2) . In intensive care units (ICU), its incidence may reach 20%, and 49% to 70% of patients need dialytic treatment (3)(4) .…”

“…It is very difficult to establish AKI incidence due to the lack of a standard definition (3) . Experts from an international network proposed a new AKI definition and classification, the Acute Kidney Injury Network (AKIN), with the aim of standardizing this concept for clinical study purposes and, particularly, facilitating the diagnosis of this syndrome, in an attempt to reduce high morbidity and mortality still currently found (5)(6) .…”

“…The lack of properly trained professionals aware of the problem may delay the detection and referral to specialized services, leading to worse results (1)(2)(3)(4)(5)(6)(7)(8) .…”

Epidemiologia da injúria renal aguda: estudo prospectivo, multicêntrico e populacional no estado do Acre

“…(161) A incidência da IRA em UTIs foi bastante semelhante nos estudos dos dois grupos de países e foi de até 40% na maioria deles, embora a variação entre os extremos tenha sido alta (0,5 a 78%). A semelhança na incidência da IRA havia sido observada por Lombardi (162) As características geográficas da região com rios pouco navegáveis cujo curso é vertical (num estado predominantemente vertical) e com poucas e má conservadas estradas, dificultam o acesso à regiões como o Vale do Juruá o que explica a predominância do atendimento médico na capital do estado.…”