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预防和应对急性肾损伤:如何识别肾功能的逐渐变化,这些变化会对患者的预后产生不利影响。

Preventing and responding to acute kidney injury: how to recognize the incremental changes in kidney function that adversely affect patient outcomes.

机构信息

Aperio Medical Legal Consultants, Front Royal, VA, USA.

出版信息

Am J Nurs. 2013 Apr;113(4):38-47: quiz 48. doi: 10.1097/01.NAJ.0000428738.33180.2f.

DOI:10.1097/01.NAJ.0000428738.33180.2f
PMID:23492807
Abstract

Acute kidney injury is an independent risk factor for both prolonged length of hospital stay and in-hospital mortality. Recent analysis shows that over the past decade the incidence of acute kidney injury requiring dialysis rose rapidly in the United States, with associated death more than doubling. In 2007, the Acute Kidney Injury Network proposed a new classification system for acute kidney injury, which recognized that incremental changes in kidney function may adversely affect outcomes. By identifying the signs and symptoms of acute kidney injury in its early stages, nurses may be able to help reduce the severity of injury and contribute to improved outcomes.

摘要

急性肾损伤是延长住院时间和院内死亡的独立危险因素。最近的分析显示,在过去十年中,美国需要透析的急性肾损伤的发病率迅速上升,相关死亡率更是增加了一倍多。2007 年,急性肾损伤网络提出了一种新的急性肾损伤分类系统,该系统认识到肾功能的逐渐变化可能对预后产生不利影响。通过在早期识别急性肾损伤的迹象和症状,护士可以帮助减轻损伤的严重程度,并有助于改善预后。

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