体外膜肺氧合患者急性肾损伤的相关因素：回顾性队列研究。
Factors associated with acute kidney injury in patients undergoing extracorporeal membrane oxygenation: retrospective cohort.
机构信息
Universidade de São Paulo, Escola de Enfermagem, São Paulo, SP, Brazil.
Hospital Israelita Albert Einstein, Departamento de pacientes graves, São Paulo, SP, Brazil.
出版信息
Rev Esc Enferm USP. 2023 Apr 17;57:e20220299. doi: 10.1590/1980-220X-REEUSP-2022-0299en. eCollection 2023.
OBJECTIVE
To identify factors associated with acute kidney injury in patients undergoing extracorporeal membrane oxygenation.
METHOD
Retrospective cohort study conducted in an adult Intensive Care Unit with patients undergoing extracorporeal membrane oxygenation from 2012 to 2021. The research used the Kidney Disease Improving Global Outcomes as criteria for definition and classification of acute kidney injury. A multiple logistic regression model was developed to analyze the associated factors.
RESULTS
The sample was composed of 122 individuals, of these, 98 developed acute kidney injury (80.3%). In multiple regression, the associated factors found were vasopressin use, Nursing Activities Score, and glomerular filtration rate.
CONCLUSION
The use of vasopressin, the Nursing Activities Score, and the glomerular filtration rate were considered as factors related to the development of acute kidney injury in patients undergoing extracorporeal membrane oxygenation.
目的
确定体外膜肺氧合患者发生急性肾损伤的相关因素。
方法
对 2012 年至 2021 年间在成人重症监护病房进行体外膜肺氧合的患者进行回顾性队列研究。该研究使用肾脏疾病改善全球结局标准来定义和分类急性肾损伤。采用多因素逻辑回归模型分析相关因素。
结果
该样本由 122 名患者组成，其中 98 名（80.3%）患者发生急性肾损伤。在多因素回归中，发现的相关因素为血管加压素的使用、护理活动评分和肾小球滤过率。
结论
血管加压素的使用、护理活动评分和肾小球滤过率被认为是与体外膜肺氧合患者发生急性肾损伤相关的因素。
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