墨西哥急性肾损伤患病率;大流行前报告的系统审查和荟萃分析。

IF 3 3区 医学 Q1 UROLOGY & NEPHROLOGY
Renal Failure Pub Date : 2025-12-01 Epub Date: 2025-01-30 DOI:10.1080/0886022X.2024.2449573
Jose J Zaragoza, Jonathan S Chavez-Iñiguez, Armando Vazquez-Rangel
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引用次数: 0

摘要

背景:急性肾损伤(AKI)是一个全球性的健康问题,在医院的发病率和死亡率都很高。关于拉丁美洲(LA),特别是墨西哥AKI的特征和发病率的可用信息很少。目的:系统地检索文献并对墨西哥AKI流行病学进行荟萃分析,提供AKI和肾脏替代治疗(KRT)的数据,有助于这方面的一般知识。方法:我们对2000年1月1日至2024年9月30日期间发表的普通病房、急诊室或重症监护病房收治的儿童和成人患者的文章进行了系统检索。检索MEDLINE LILIACS、EMBASE和SciELO,作为增刊、摘要和会议会议的附加报告。我们对临床和方法学上可比较的研究进行了随机效应荟萃分析,以估计AKI和KRT的频率。我们计算了按年龄组、发表年份和环境分层的汇总估计值。结果:纳入83篇全文文章。AKI的百分比计算为35% (95% CI, 28-42)。AKI成人患者的死亡率为36% (95% CI, 28-45)。总体KRT率为7% (95% CI, 6-9),需要KRT的AKI全因死亡率为49% (95% CI, 42-56),全球Ι2估计为99.87% (p结论:AKI在墨西哥很常见,仍然是一个主要的公共卫生问题,需要在各级护理中解决。应努力在墨西哥和洛杉矶重新启动AKI的研究和控制。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Prevalence of acute kidney injury in Mexico; a systematic review and meta-analysis of pre-pandemic reports.

Background: Acute Kidney Injury (AKI) is a health problem worldwide, accounting for high hospital morbidity and mortality. There is little available information regarding the characteristics and incidence of AKI in Latin America (LA), especially in Mexico.

Objectives: Systematically search the literature and perform a meta-analysis of the epidemiology of AKI in Mexico, to provide data on AKI and kidney replacement therapy (KRT) that would contribute to general knowledge in this matter.

Methods: We performed a systematic search for articles in pediatric and adult patients admitted to the general ward, Emergency Room or Intensive Care Unit published between January 1, 2000, and September 30, 2024. MEDLINE LILIACS, EMBASE and SciELO were searched, as additional reports from supplements, abstracts, and conference sessions. We performed a random-effects meta-analysis for clinically and methodologically comparable studies to estimate the frequency of AKI and KRT. We calculated pooled estimates stratified by age group, year of publication, and setting.

Results: 83 full-text articles were included. The percentage of AKI was calculated at 35% (95% CI, 28-42). Mortality for AKI adult patients was 36% (95% CI, 28-45). An overall KRT rate was 7% (95% CI, 6-9), all-cause mortality for AKI requiring KRT was 49% (95% CI, 42-56), with a global Ι2 estimated in 99.87% (p < 0.01).

Conclusion: AKI is common in Mexico and remains a main public health problem that needs to be addressed at every level of care. Efforts should be made to reinitiate AKI research and control in Mexico and LA.

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来源期刊
Renal Failure
Renal Failure 医学-泌尿学与肾脏学
CiteScore
3.90
自引率
13.30%
发文量
374
审稿时长
1 months
期刊介绍: Renal Failure primarily concentrates on acute renal injury and its consequence, but also addresses advances in the fields of chronic renal failure, hypertension, and renal transplantation. Bringing together both clinical and experimental aspects of renal failure, this publication presents timely, practical information on pathology and pathophysiology of acute renal failure; nephrotoxicity of drugs and other substances; prevention, treatment, and therapy of renal failure; renal failure in association with transplantation, hypertension, and diabetes mellitus.
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