Insuficiência renal aguda em pacientes internados por insuficiência cardíaca descompensada - Reincade

Barros, Larissa Cristina Nascimento de; Silveira, Fábio Serra; Silveira, Marcos Serra; Morais, Teresa Christine Pereira; Nunes, Marco Antônio Prado; Bastos, Kleyton de Andrade

doi:10.1590/s0101-28002012000200004

Cited by 11 publications

(13 citation statements)

References 27 publications

(37 reference statements)

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“…E um estudo com incidência superior com 76,5% (12) . Contudo, observa-se que o achado evidencia elevada incidência de desenvolvimento de IRA, decorrente do difícil e tardio diagnóstico, da presença de comorbidades e uso intenso de procedimentos invasivos (10) .…”

Section: Discussionunclassified

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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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Section: Discussionunclassified

“…A média de idade foi de 63,43 anos nos pacientes com insuficiência renal (16) . A idade avançada é reconhecida como um preditor independente para o desenvolvimento da IRA (12,(19)(20) .…”

Section: Discussionunclassified

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

et al. 2017

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“…A ocorrência de LRA em pacientes criticamente enfermos é significativa em todo o mundo, incluindo os países desenvolvidos, alertando para a necessidade dos profissionais de saúde aprofundar seus conhecimentos sobre a terapêutica e o tratamento precoce, otimizando o uso de drogas nefrotóxicas, por exemplo, dentre outras inúmeras condutas (14)(15) .…”

Section: Discussionunclassified

Lesão Renal Aguda Em Unidade De Tratamento Intensivo: Características Clínicas E Desfechos

Luft¹,

Böes²,

Lazzari³

et al. 2016

Cogitare Enferm.

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RESUMO: Estudo quantitativo, documental, retrospectivo, que objetivou caracterizar o perfil clínico-demográfico e o desfecho de pacientes com insuficiência renal, submetidos à terapia dialítica em uma unidade de terapia intensiva adulto de um hospital geral da região sul do Brasil. Os dados foram coletados no período de janeiro a fevereiro de 2013 e a amostra, constituída por 74 prontuários. Identificou-se prevalência do sexo masculino, média de 63,43 ± 14,73 anos, o motivo clínico foi o mais frequente para internação, com uma ou mais comorbidades associadas. A lesão renal com maior prevalência foi a crônica agudizada, pré-renal. CHRONIC KIDNEY INJURY AT AN INTENSIVE CARE SERVICE: CLINICAL CHARACTERISTICS AND OUTCOMES ABSTRACT:The objective in this quantitative and retrospective documentary study was to characterize the clinical-demographic profile and outcome of kidney failure patients submitted to dialysis therapy at an adult intensive care unit of a general hospital in the South of Brazil. The data were collected between January and February 2013 and the sample consisted of 74 patient histories. The prevalence of men was identified, with a mean age of 63.43 ± 14.73 years, clinical motives were the most frequent cause of hospitalization and one or more associated comorbidities. The most prevalent kidney injury was acute chronic, pre-renal injury. The most recurrent motive for the injury was septic shock. The preferred treatment was conventional hemodialysis using a catheter. The most common outcome was death. The, the identification of risk factors and knowledge about the associated factors supports the rapid identification of problems and the implementation of nursing actions. DESCRIPTORS: Inpatients; Renal insufficiency; Critical care; Renal dialysis. LESIÓN RENAL AGUDA EN UNIDAD DE TRATAMIENTO INTENSIVO: CARACTERÍSTICAS CLÍNICAS Y DESFECHOSRESUMEN: Estudio cuantitativo, documental, retrospectivo, con objeto de caracterizar el perfil clínico-demográfico y el desfecho de pacientes con insuficiencia renal, sometidos a la terapia dialítica en una unidad de terapia intensiva adulto de un hospital general de la región sur de Brasil. Los datos fueron recolectados en enero y febrero del 2013 y la muestra incluyó a 74 archivos. Fue identificada prevalencia del sexo masculino, edad media 63,43 ± 14,73 años, el motivo clínico fue el más frecuente para internación, con una o más comorbilidades asociadas. La lesión renal con mayor prevalencia fue la crónica agudizada, pre-renal. Respecto a los motivos de la lesión, el choque séptico fue el más recurrente. El desfecho más común fue el óbito. Así, la identificación de factores de riesgo y el conocimiento de los factores asociadosapoyan la rápida identificación de problemas y la implementación de acciones de enfermería.

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“…In Brazil, epidemiologic studies about AKI are still incipient, but the event is frequent among critically ill patients in the ICUs and the negative outcome rate is high. [9][10][15][16][17] . We carried out a comprehensive analysis of 613 AKI patients diagnosed by KDIGO 1 criteria, with a focus on mortality and its risk factors.…”

Section: Discussionmentioning

confidence: 99%

“…These results are similar to the data observed in other Brazilian studies, as well as in large international cohorts. [5][6][7][8][9][10][15][16][17][31][32] Despite the robust and growing number of studies carried out around the world, the Brazilian literature on AKI in the ICU is still incipient and many aspects need further study in our country. We conducted a comprehensive epidemiologic study to investigate the factors associated with death in AKI patients in the ICU of a Brazilian center.…”

Section: Discussionmentioning

confidence: 99%

Non-recovery of renal function is a strong independent risk factor associated with mortality in AKI patients

et al. 2020

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Introduction: Acute kidney injury (AKI) is a recurrent complication in the intensive care unit (ICU) and is associated with negative outcomes. Objective: To investigate factors associated with mortality in critically ill AKI patients in a South Brazilian ICU. Methods: The study was observational retrospective involving AKI patients admitted to the ICU between January 2011 and December 2016 of at least 18 years old upon admission and who remained in the ICU at least 48 hours. Comparisons between selected characteristics of survivor and non-survivor groups were done using univariate analysis; multivariate logistic regression was applied to determine factors associated with patient mortality. Results: Of 838 eligible patients, 613 participated in the study. Men represented the majority (61.2%) of the patients, the median age was 53 years, and the global mortality rate was 39.6% (n= 243). Non-recovery of renal function after AKI (OR= 92.7 [38.43 - 223.62]; p <0.001), major surgery-associated AKI diagnosis (OR= 16.22 [3.49 - 75.38]; p <0.001), and the use of vasoactive drugs during the ICU stay (OR = 11.49 [2.46 - 53.70]; p <0.002) were the main factors independently associated with patient mortality. Conclusion: The mortality rate observed in this study was similar to that verified in other centers. Non-recovery of renal function was the variable most strongly associated with patient mortality, suggesting that the prevention of factors that aggravate or maintain the AKI episode should be actively identified and mitigated, possibly constituting an important strategy to reduce mortality in AKI patients.

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Insuficiência renal aguda em pacientes internados por insuficiência cardíaca descompensada - Reincade

Cited by 11 publications

References 27 publications

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

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

Lesão Renal Aguda Em Unidade De Tratamento Intensivo: Características Clínicas E Desfechos

Non-recovery of renal function is a strong independent risk factor associated with mortality in AKI patients

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