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儿科急性肾损伤流行病学

Acute Kidney Injury Epidemiology in pediatrics.

作者信息

Cleto-Yamane Thais Lira, Gomes Conrado Lysandro Rodrigues, Suassuna Jose Hermogenes Rocco, Nogueira Paulo Koch

机构信息

Universidade do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brasil.

Universidade Federal de São Paulo, São Paulo, SP, Brasil.

出版信息

J Bras Nefrol. 2019 Apr-Jun;41(2):275-283. doi: 10.1590/2175-8239-JBN-2018-0127. Epub 2018 Nov 14.

Abstract

We performed a search in the MEDLINE database using the MeSH term: "Acute Kidney Injury", selecting the subtopic "Epidemiology", and applying age and year of publication filters. We also searched for the terms: "acute renal failure" and "epidemiology" "acute tubular necrosis" and "epidemiology" in the title and summary fields with the same filters. In a second search, we searched in the LILACS database, with the terms: "acute renal injury", or "acute renal failure" or "acute kidney injury" and the age filter. All abstracts were evaluated by the authors and the articles considered most relevant, were examined in their entirety. Acute Kidney Injury (AKI) -related mortality ranged from 3-63% in the studies included in this review. AKI etiology has marked regional differences, with sepsis being the main cause in developed countries. In developing countries, primary renal diseases and hypovolemia are still a common cause of AKI.

摘要

我们使用医学主题词(MeSH)术语“急性肾损伤”在MEDLINE数据库中进行检索,选择“流行病学”子主题,并应用年龄和出版年份筛选条件。我们还在标题和摘要字段中使用相同的筛选条件,检索了“急性肾衰竭”和“流行病学”以及“急性肾小管坏死”和“流行病学”等术语。在第二次检索中,我们在LILACS数据库中检索了“急性肾损伤”、“急性肾衰竭”或“急性肾脏损伤”以及年龄筛选条件。所有摘要均由作者进行评估,对认为最相关的文章进行了全文审查。本综述纳入的研究中,急性肾损伤(AKI)相关死亡率在3%至63%之间。AKI的病因存在显著的地区差异,脓毒症是发达国家的主要病因。在发展中国家,原发性肾脏疾病和血容量不足仍然是AKI的常见病因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df05/6699449/8c13c6af1431/2175-8239-jbn-2018-0127-gf01.jpg

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