在巴基斯坦一家三级护理医院的医学重症监护病房中，使用RIFLE标准确定急性肾损伤的发病率。
Determining the Incidence of Acute Kidney Injury Using the RIFLE Criteria in the Medical Intensive Care Unit in a Tertiary Care Hospital Setting in Pakistan.
作者信息
Hussain Syed Waqar, Qadeer Aayesha, Munawar Kamran, Qureshi Muhammad Shoaib Safdar, Khan Muhammad Tariq, Abdullah Azmat, Bano Sheher, Shad Zahid Siddique
机构信息
Internal Medicine, Khan Research Laboratories Hospital, Islamabad, PAK.
Internal Medicine, Shifa International Hospital, Islamabad, PAK.
出版信息
Cureus. 2019 Feb 13;11(2):e4071. doi: 10.7759/cureus.4071.
Background Acute kidney injury (AKI) is a frequently encountered clinical condition in hospitalized patients, particularly those admitted to intensive care units (ICU). AKI has its systemic sequelae and contributes to the morbidity of underlying diseases. Methods This descriptive case series aimed to determine the frequency of acute kidney injury in critically ill patients admitted to the ICU at Shifa International Hospital, Islamabad, according to the RIFLE (risk, injury, failure, loss, and end-stage) criteria. A total of 124 patients were enrolled in this study. RIFLE criteria were applied to determine the frequency of AKI in critically ill patients. Results The frequency of AKI was 68.55% and mortality was 18.55%. The severity of AKI was found to be significantly associated with mortality (p < 0.001). Conclusion AKI is very common in critically ill patients and contributes to the mortality and morbidity of the patients. Early identification of AKI can reduce mortality in critically ill patients.
背景
急性肾损伤（AKI）是住院患者，尤其是入住重症监护病房（ICU）的患者中常见的临床病症。AKI会引发全身并发症，并加重基础疾病的病情。方法：本描述性病例系列旨在根据RIFLE（风险、损伤、衰竭、丧失和终末期）标准，确定伊斯兰堡希法国际医院ICU收治的重症患者中急性肾损伤的发生率。本研究共纳入124例患者。应用RIFLE标准确定重症患者中AKI的发生率。结果：AKI的发生率为68.55%，死亡率为18.55%。发现AKI的严重程度与死亡率显著相关（p < 0.001）。结论：AKI在重症患者中非常常见，会导致患者的死亡率和发病率上升。早期识别AKI可降低重症患者的死亡率。
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