Leveraging electronic health records for detection of acute kidney injury in critical care units.

Q3 Nursing

Nursing Pub Date : 2025-05-01 Epub Date: 2025-04-21 DOI:10.1097/NSG.0000000000000166

Mays Mohammad Arar, Amani A Khalil

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引用次数: 0

Abstract

Purpose: To assess the incidence of acute kidney injury (AKI) and identify associated risk factors using Kidney Disease Improving Global Outcomes (KDIGO) criteria through the analysis of electronic health record (EHR) data in ICUs.

Methods: A retrospective observational study was conducted using EHR data from 563 adult ICU patients admitted to a large public hospital in Jordan between January and December 2019, analyzing demographic, clinical, and medication variables through univariate and multivariate logistic regression.

Results: The incidence of AKI was 24.5%, with significant risk factors including advanced age, respiratory disorders, post-CPR status, electrolyte imbalances, and use of specific medications such as inotropes, vasopressors, mannitol, angiotensin-converting enzyme inhibitors, angiotensin receptor blockers, and glycopeptide antibiotics.

Conclusion: This study, leveraging EHR data, identified key predictors of AKI in critically ill patients, highlighting the potential of using high-content analytic techniques on comprehensive datasets to improve early detection and prevention strategies in ICU settings.

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利用电子健康记录检测重症监护病房的急性肾损伤。

目的：通过分析icu的电子健康记录（EHR）数据，使用肾脏疾病改善全球结局（KDIGO）标准评估急性肾损伤（AKI）的发生率，并确定相关的危险因素。方法：利用2019年1月至12月在约旦某大型公立医院入住的563例成人ICU患者的电子病历数据进行回顾性观察研究，通过单因素和多因素logistic回归分析人口统计学、临床和药物变量。结果：AKI的发生率为24.5%，主要危险因素包括高龄、呼吸系统疾病、心肺复苏术后状态、电解质失衡和使用特定药物，如肌力药物、血管加压剂、甘露醇、血管紧张素转换酶抑制剂、血管紧张素受体阻滞剂和糖肽抗生素。结论：本研究利用电子病历数据，确定了危重患者AKI的关键预测因素，强调了在综合数据集上使用高含量分析技术来改善ICU设置的早期发现和预防策略的潜力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nursing Medicine-Medicine (all)

CiteScore

0.80

自引率

0.00%

发文量

338

期刊介绍： Nursing2020 (ISSN 0360-4039; online ISSN 1538-8689) published its first issue in November 1971, under founders Gene W. Jackson and Daniel Cheney. In the intervening years, its circulation has grown to over 150,000, making it one of the largest nursing journals in the world. Published monthly, Nursing2020 is widely regarded as offering current, practical contents to its readers, and has won many editorial awards testifying to the quality of its copy and graphics. The editorial and clinical staff, a 19-member Editorial Board of distinguished clinicians and practitioners, and over 100 invited reviewers help ensure the quality of this publication.