重症监护病房患者急性肾损伤的患病率及相关因素
Prevalence and factors associated with acute kidney injury in patients in intensive care units.
作者信息
Santana Karla Yasmim de Andrade, Santos Ana Paula Aragão, Magalhães Fernanda Barbosa, Oliveira Jussiely Cunha, Pinheiro Fernanda Gomes de Magalhães Soares, Santos Eduesley Santana
机构信息
Universidade Federal de Sergipe. Aracaju, Sergipe, Brazil.
出版信息
Rev Bras Enferm. 2021 May 21;74(2):e20200790. doi: 10.1590/0034-7167-2020-0790. eCollection 2021.
OBJECTIVES
to identify the prevalence and factors associated with the development of acute kidney injury in critically ill patients.
METHODS
a cross-sectional study, conducted from June 2018 to August 2019. The Kidney Disease Improving Global Outcomes was used to classify acute kidney injury. A significant value was set at p<0.05.
RESULTS
a total of 212 patients were included, of whom 35.8% evolved into an acute kidney injury. Patients with acute kidney injury had hypertension, higher levels on severity scores and a higher baseline creatinine rate> 1.5 mg/dL, also, when applied logistic regression, were 7 times more likely to develop acute kidney injury, Odds Ratio 7.018. More than half (56.6%) of the patients with acute kidney injury died. Moreover, 26.7% of these patients developed pressure sore.
CONCLUSIONS
the prevalence of kidney injury was high (35.8%). The patients who developed it had a higher severity, mortality, and pressure sore index.
目的
确定危重症患者急性肾损伤的发生率及其相关因素。
方法
一项横断面研究，于2018年6月至2019年8月进行。采用改善全球肾脏病预后组织（KDIGO）的标准对急性肾损伤进行分类。设定p<0.05为有统计学意义。
结果
共纳入212例患者，其中35.8%发展为急性肾损伤。急性肾损伤患者患有高血压，严重程度评分较高，基线肌酐水平>1.5mg/dL，此外，经逻辑回归分析，发生急性肾损伤的可能性高出7倍，比值比为7.018。超过一半（56.6%）的急性肾损伤患者死亡。此外，这些患者中有26.7%发生了压疮。
结论
肾损伤的发生率较高（35.8%）。发生肾损伤的患者具有更高的严重程度、死亡率和压疮指数。
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