Lesión renal aguda en Latinoamérica en la era del big data

Lombi, Fernando; Varela, Carlos Federico; Martínez, Ricardo; Greloni, Gustavo; Girard, Vicente Cámpolo; Diez, Guillermo Rosa

doi:10.1016/j.nefro.2017.03.010

Cited by 4 publications

(10 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…As with the incidence, there was a heterogeneous decrease in mortality among regions, which could be associated with a shortage of healthcare staff, limited access to healthcare services, and limitations in the diagnosis and treatment options 9,17 , especially because nephrologists and treatment centers are concentrated in Lima 17,22 . Madre de Dios reported the greatest mortality rate due to AKI (Tables 2 and 3, and Figure 2), this could be related to the harmful effects of illegal mining activities in this region 23,24 .…”

Section: Discussionmentioning

confidence: 99%

“…Third, no patient from private health establishments or the social security system were included, which could underestimate the incidence of AKI. Despite these limitations, the strength of our study is that it reports national and regional trends of AKI epidemiology, and the results may be used as a preliminary study for further studies in Latin America to address other aspects related to this illness 9 .…”

Section: Discussionmentioning

confidence: 99%

“…Latin America is one of the most unequal regions worldwide (Gini Index of 52.9, only overcome by Sub-Saharan Africa) and is underrepresented in AKI epidemiology studies 3,6,9 . Peru is a Latin American middle-income country.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

National trends in age-standardized incidence and mortality rates of acute kidney injury in Peru

et al. 2020

View full text Add to dashboard Cite

Introduction: Acute kidney injury (AKI) is a common disorder that causes high healthcare costs. There are limited epidemiological studies of this disorder in low- and middle-income countries. The aim of this study was to describe trends in the age-standardized incidence and mortality rates of AKI in Peru. Methods: We conducted an ecological study based on a secondary data sources of the basic cause of death from healthcare and death records obtained from establishments of the Ministry of Health of Peru for the period 2005-2016. The age-standardized incidence and mortality rates of AKI were described by region and trend effects were estimated by linear regression models. Results: During the period 2005-2016, 26,633 cases of AKI were reported nationwide. The age-standardized incidence rate of AKI per 100,000 people increased by 15.2%, from 10.5 (period 2005-2010) to 12.1 (period 2011-2016). During the period 2005-2016, 6,812 deaths due to AKI were reported, which represented 0.49% of all deaths reported for that period in Peru. The age-standardized mortality rate of AKI per 100,000 people decreased by 11.1%, from 2.7 (period 2005-2010) to 2.4 (period 2011-2016). The greatest incidence and mortality rates were observed in the age group older than 60 years. Conclusions: During the study period, incidence of AKI increased and mortality decreased, with heterogeneous variations among regions.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

National trends in age-standardized incidence and mortality rates of acute kidney injury in Peru

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Consenso (C): 8 de 8 presentes (100%); grado de evidencia (GE): moderada; grado de recomendación (GR): fuerte. A pesar de la escasa información disponible sobre el comportamiento de la LRA en República Dominicana 12,13 , la implementación del IAR posibilita la detección oportuna de LRA y por añadidura los beneficios potenciales de esta acción: control en el uso de recursos (días de hospitalización, secuelas, costos de atención, etc.) 4,14 .…”

Section: Recomendacionesunclassified

“…C: 8 de 8 presentes (100%): GE: baja; GR: fuerte. Nuestra región se caracteriza por gran desigualdad social e inequitativa repartición de recursos 13 , afectando a los servicios de salud y puede constituir una barrera para la introducción de nuevas tecnologías tanto para diagnóstico como tratamiento. -Consideramos al IAR descrito por Matsuura et al 14 como el sistema de estratificación de riesgo para LRA de mayor potencial para su implementación dentro de las UCI polivalentes dentro de República Dominicana.…”

Section: Recomendacionesunclassified

Consenso para el uso del índice de angina renal en adultos de República Dominicana

Granado¹,

Rizo-Topete²,

Molano-Triviño³

et al. 2022

NEFRO

View full text Add to dashboard Cite

El poder predecir la lesión renal aguda severa puede optimizar el tiempo de detección y el tratamiento y con ello la posibilidad de mejorar desenlaces a corto y largo plazo. Con ese objetivo, en 2010, se diseñó un modelo conceptual para identificar tempranamente a los pacientes en estado crítico con riesgo de sufrir una lesión renal aguda grave al ingresar en la unidad de cuidados intensivos; este modelo se denominó índice de angina renal (IAR). El IAR desde sus trabajos iniciales ha mostrado ser clínicamente factible y fácilmente aplicable para identificar a los pacientes pediátricos en estado crítico con riesgo de lesión renal aguda grave que persiste más allá de la lesión funcional. Si bien en sus orígenes el IAR se diseñó en población pediátrica, su aplicación en adultos críticamente enfermos es enteramente factible. Para familiarizar a intensivistas y nefrólogos con esta herramienta diagnóstica y facilitar su aplicación en pacientes adultos, se realizó una revisión de la literatura y se convocó a ocho especialistas a una reunión de consenso, que dio como resultado 10 recomendaciones para la aplicación del IAR en pacientes adultos en estado crítico. Estas recomendaciones se elaboraron teniendo en cuenta las características de los sistemas de salud no solo de República Dominicana, sino también de Latinoamérica.

show abstract