Caracterização Dos Pacientes Que Evoluíram Com Lesão Renal Aguda No Hospital De Referência Para Covid-19 No Estado Da Bahia Em 2020

Oliveira, Marcio Sacramento de; Lima, Acácia Mayra Pereira de; Caliari, Lindracy Luara Bollis; Vieira, Caroline Castro; Paste, Áurea Angelica; Souza, Luís Eugênio de; Nunes, Ceuci de Lima Xavier

doi:10.1016/j.bjid.2022.102652

Cited by 2 publications

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“…In addition, data were found in a study carried out in Bahia where 1768 patients were analyzed, of which 329 (18.6%) developed acute kidney injury, and of these patients with AKI, most were hypertensive (63,52%) 33 . Another study carried out in a private hospital in Rio de Janeiro, where 102 patients admitted to the ICU with Covid-19 were evaluated, and showed that 55.9% of these patients evolved to AKI during hospitalization, and of these patients with AKI, 66.7% had a diagnosis of SAH, pointing to it as an independent predictor for the development of acute kidney injury 21 .…”

Section: Discussionmentioning

confidence: 99%

Factors associated with the clinical outcome of patients with Covid-19 admitted to an intensive care unit

Barbosa¹,

Durante²

2023

JHS

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Introduction:The COVID-19 disease is a viral infection that can be complicated by different risk factors and can lead to death. Objective: To analyze the factors associated with the outcome (discharge or death) of patients with Covid-19 admitted to an intensive care unit. Methodology : Retrospective cross-sectional study with data from medical records of patients with Covid-19 admitted to the ICU of a university hospital in Cuiabá-MT, aged ≥ 20 years, of both genders, including pregnant women. Demographic, clinical, nutritional status and patient outcome variables were collected. Bivariate analysis was performed using Fisher's Exact Test and binary logistic regression using SPSS 17.0, with p<0.05 considered significant. Results: A total of 125 patients were evaluated, of which 53.6% were Gender Female and 46.3% were pregnant, with a mean age of 48.66 ± 18.33 years, most adults (71.2%) and of race/color brown (72.0%). Regarding comorbidities, 32.8% of the patients had arterial hypertension, 15.2% diabetes, 9.6% cardiovascular diseases, 5.6% other comorbidities, and 31.2% developed acute kidney injury (AKI). In the bivariate analysis, the outcome death was associated with Age of the elderly (p<0.001), hypertensive (p=0.002), presence of AKI (p=0.014) and two or more comorbidities (p=0.007), and Gestation (p=0.037). In the final multiple analysis, the outcome of death remained associated with the age of the elderly (p=0.004) and the presence of AKI (p=0.006). Conclusion:The presence of comorbidities, older age and the development of AKI were factors significantly associated with death in patients with Covid-19.

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Section: Discussionmentioning

confidence: 99%

Factors associated with the clinical outcome of patients with Covid-19 admitted to an intensive care unit

Barbosa¹,

Durante²

2023

JHS

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“…Em alinhamento com nossos achados, a alta taxa de mortalidade em pacientes internados em UTI com IRA também foi observada em um estudo no nordeste do país em um hospital público, onde dos 1.538 pacientes internados em UTI com COVID-19, 329 apresentaram IRA durante sua internação e destes 78,1% faleceram 36 .…”

Section: Discussionunclassified

Incidence of acute kidney injury in critically ill patients with COVID-19 and 90-day survival: Retrospective Cohort of a Public Intensive Care Unit, Joinville/Brazil

Perito de Aguiar,

de Albuquerque Catelano,

Runcus Kanzler

et al. 2023

Mundo Saúde

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Cerca de um terço dos pacientes com COVID-19 em unidades de terapia intensiva (UTI) apresentam injúria renal aguda (IRA) dialítica. Poucos estudos têm avaliado a sobrevida de pacientes com IRA em UTI exclusivamente pública. O objetivo do estudo foi avaliar a sobrevida intra-hospitalar em 90 dias de pacientes com e sem IRA dialítica internados com COVID-19 grave. Trata-se de uma coorte histórica de um hospital geral em Joinville, Santa Catarina/Brasil. Foram incluídos todos os pacientes admitidos na UTI entre março e dezembro de 2020 com diagnóstico confirmado de COVID-19. Definiu-se IRA como a presença de alteração de função renal aguda com necessidade de hemodiálise. Utilizou-se modelo multivariado por regressão de Cox para avaliar a sobrevida de pacientes com e sem IRA dialítica. Os resultados do estudo demonstraram que dos 187 pacientes incluídos (55,5% homens) com média de idade de 62,8±13,6 anos, 37,4% apresentaram IRA dialítica. Pacientes com IRA dialítica usaram mais drogas vasoativas, tinham maior gravidade na admissão e maior mortalidade (84,3% vs. 63,2%; p=0,002) em relação àqueles sem IRA. O risco de morte nos pacientes com IRA foi maior (RR bruto= 1,60; IC 95% 1,13-2,26; p= 0,007). Após ajustes para idade, sexo, comorbidades e gravidade clínica, a presença de IRA dialítica se manteve associada a uma frequência maior de mortalidade em 90 dias (RR= 1,49; IC 95% 1,03-2.15; p=0,032). A sobrevida de pacientes com COVID-19 grave e IRA dialítica na amostra estudada foi menor em relação a UTIs privadas no Brasil, o que sugere desigualdades no sistema público.

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Caracterização Dos Pacientes Que Evoluíram Com Lesão Renal Aguda No Hospital De Referência Para Covid-19 No Estado Da Bahia Em 2020

Cited by 2 publications

References 0 publications

Factors associated with the clinical outcome of patients with Covid-19 admitted to an intensive care unit

Factors associated with the clinical outcome of patients with Covid-19 admitted to an intensive care unit

Incidence of acute kidney injury in critically ill patients with COVID-19 and 90-day survival: Retrospective Cohort of a Public Intensive Care Unit, Joinville/Brazil

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