Incidencia de la injuria renal aguda en unidad de paciente crítico y su mortalidad a 30 días y un año

Background: Acute Kidney Injury (AKI) increases morbidity, mortality and hospital stay in critical patients units (CPU). Aim: To determine the incidence and mortality of AKI in CPU. Material and Methods: Review of electronic medical records of 1,769 patients aged 61 ± 20 years (47% males) discharged...

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Autores principales: Boltansky,Andrés, Bassa,Cristóbal, Melani,Sophia, Sepúlveda,Andrés, Maldonado,Isabel, Postigo,Javiera, Sotta,Esperanza, Vidueira,Paloma, Cavagnaro,Catalina, Cavada,Gabriel, Benavente,Cecilia, Villamizar,Guillermo, Vukusich,Antonio, Irarrázabal,Carlos E
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2015
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872015000900003
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spelling oai:scielo:S0034-988720150009000032015-10-22Incidencia de la injuria renal aguda en unidad de paciente crítico y su mortalidad a 30 días y un añoBoltansky,AndrésBassa,CristóbalMelani,SophiaSepúlveda,AndrésMaldonado,IsabelPostigo,JavieraSotta,EsperanzaVidueira,PalomaCavagnaro,CatalinaCavada,GabrielBenavente,CeciliaVillamizar,GuillermoVukusich,AntonioIrarrázabal,Carlos E Acute Kidney Injury Hospitalization Incidence Mortality Prognosis Background: Acute Kidney Injury (AKI) increases morbidity, mortality and hospital stay in critical patients units (CPU). Aim: To determine the incidence and mortality of AKI in CPU. Material and Methods: Review of electronic medical records of 1,769 patients aged 61 ± 20 years (47% males) discharged from a CPU during one year. Acute Kidney Injury diagnosis and severity was established using the Acute Kidney Injury Network (AKIN) criteria. Results: A history of hypertension and Diabetes Mellitus was present in 44 and 22% of patients, respectively. APACHE II and SOFA scores were 14.6 ± 6.8 and 3.6 ± 2.1 respectively. AKI incidence was 28.9% (stage I, 16.7%, stage II, 5.3% and stage III, 6.9%). Mortality during the first 30 days and during the first year was 8.1 and 20.0% respectively. Patients with stage III AKI had the highest mortality (23.8 and 40.2% at 30 days and one year respectively). Compared with patients without AKI, the Odds ratio for mortality at 30 days and one year of patients with AKI stage III was 3.7 and 2.5, respectively. Conclusions: Thirty percent of patients admitted to UPC develop an AKI, which influences 30 days and one year mortality.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.143 n.9 20152015-09-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872015000900003es10.4067/S0034-98872015000900003
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Acute Kidney Injury
Hospitalization
Incidence
Mortality
Prognosis
spellingShingle Acute Kidney Injury
Hospitalization
Incidence
Mortality
Prognosis
Boltansky,Andrés
Bassa,Cristóbal
Melani,Sophia
Sepúlveda,Andrés
Maldonado,Isabel
Postigo,Javiera
Sotta,Esperanza
Vidueira,Paloma
Cavagnaro,Catalina
Cavada,Gabriel
Benavente,Cecilia
Villamizar,Guillermo
Vukusich,Antonio
Irarrázabal,Carlos E
Incidencia de la injuria renal aguda en unidad de paciente crítico y su mortalidad a 30 días y un año
description Background: Acute Kidney Injury (AKI) increases morbidity, mortality and hospital stay in critical patients units (CPU). Aim: To determine the incidence and mortality of AKI in CPU. Material and Methods: Review of electronic medical records of 1,769 patients aged 61 ± 20 years (47% males) discharged from a CPU during one year. Acute Kidney Injury diagnosis and severity was established using the Acute Kidney Injury Network (AKIN) criteria. Results: A history of hypertension and Diabetes Mellitus was present in 44 and 22% of patients, respectively. APACHE II and SOFA scores were 14.6 ± 6.8 and 3.6 ± 2.1 respectively. AKI incidence was 28.9% (stage I, 16.7%, stage II, 5.3% and stage III, 6.9%). Mortality during the first 30 days and during the first year was 8.1 and 20.0% respectively. Patients with stage III AKI had the highest mortality (23.8 and 40.2% at 30 days and one year respectively). Compared with patients without AKI, the Odds ratio for mortality at 30 days and one year of patients with AKI stage III was 3.7 and 2.5, respectively. Conclusions: Thirty percent of patients admitted to UPC develop an AKI, which influences 30 days and one year mortality.
author Boltansky,Andrés
Bassa,Cristóbal
Melani,Sophia
Sepúlveda,Andrés
Maldonado,Isabel
Postigo,Javiera
Sotta,Esperanza
Vidueira,Paloma
Cavagnaro,Catalina
Cavada,Gabriel
Benavente,Cecilia
Villamizar,Guillermo
Vukusich,Antonio
Irarrázabal,Carlos E
author_facet Boltansky,Andrés
Bassa,Cristóbal
Melani,Sophia
Sepúlveda,Andrés
Maldonado,Isabel
Postigo,Javiera
Sotta,Esperanza
Vidueira,Paloma
Cavagnaro,Catalina
Cavada,Gabriel
Benavente,Cecilia
Villamizar,Guillermo
Vukusich,Antonio
Irarrázabal,Carlos E
author_sort Boltansky,Andrés
title Incidencia de la injuria renal aguda en unidad de paciente crítico y su mortalidad a 30 días y un año
title_short Incidencia de la injuria renal aguda en unidad de paciente crítico y su mortalidad a 30 días y un año
title_full Incidencia de la injuria renal aguda en unidad de paciente crítico y su mortalidad a 30 días y un año
title_fullStr Incidencia de la injuria renal aguda en unidad de paciente crítico y su mortalidad a 30 días y un año
title_full_unstemmed Incidencia de la injuria renal aguda en unidad de paciente crítico y su mortalidad a 30 días y un año
title_sort incidencia de la injuria renal aguda en unidad de paciente crítico y su mortalidad a 30 días y un año
publisher Sociedad Médica de Santiago
publishDate 2015
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872015000900003
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