临床及外科危重病人急性肾损伤的恢复及严重程度

IF 1.1 Q3 NURSING

Enfermeria Intensiva Pub Date : 2025-03-25 DOI:10.1016/j.enfi.2025.500545

Raquel Teles-Mesquita Graduated , Natália Vieira-Araújo-Cunha MSN , Marcia Cristina-da-Silva-Magro PhD , Kamilla Grasielle-Nunes-da-Silva MSN

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引用次数: 0

摘要

高危患者的识别对临床和外科患者的管理具有重要意义。急性肾损伤（acute kidney injury， AKI）的严重程度对患者的预后和肾功能恢复有负面影响。目的了解重症监护病房临床及外科患者肾恢复情况及严重程度。(ICU)。方法前瞻性、观察性、纵向、定量分析研究。手术是在一所教学医院的重症监护室进行的。样本是非概率的，包括59例外科和临床患者。数据收集采用了包含38个细分问题的结构化问卷，如住院数据；手术数据;当前住院史；血流动力学和实验室参数；阿基严重性。变量分析基于非参数检验。双侧p值<；0.05认为有统计学意义。结果KDIGO （Kidney Disease: improved Global Outcomes）分类中最严重的AKI为3，主要影响临床患者（34.5%）。手术患者主要发展为AKI - KDIGO 2和3（23.3%）。在发生AKI的患者中，住院时间（p = 0.04）和ICU住院时间（p = 0.001）具有显著性。肾脏恢复主要发生在手术患者中（20.3%）。结论ICU住院患者受AKI的影响更严重（KDIGO 3）。大约每5例患者中有2例肾脏恢复，手术患者更明显。

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Recovery and severity of acute kidney injury in critically ill clinical and surgical patients

Introduction

The identification of patients at risk has implications on the management of clinical and surgical patients. The severity of acute kidney injury (AKI) has a negative impact on the patient's prognosis and effects on kidney function recovery.

Objective

To determine the cases of renal recovery and level of severity of AKI in clinical and surgical patients admitted to the intensive care unit. (ICU).

Method

Prospective, observational, longitudinal, and quantitative analytical study. It was carried out in an ICU of a teaching hospital. The sample was non-probabilistic, consisting of 59 surgical and clinical patients. A structured questionnaire consisting of 38 questions subdivided into sections was used for data collection such as hospitalization data; surgery data; history of current hospitalization; hemodynamic and laboratory parameters; AKI severity. Variable analysis was based on non-parametric tests. Two-sided p values < 0.05 were considered statistically significant.

Results

The most severe AKI according to the classification KDIGO (Kidney Disease: Improving Global Outcomes) was 3 and mainly affected clinical patients (34.5%). Surgical patients predominantly developed AKI – KDIGO 2 and 3 (23.3%). The length of hospital stay (p = 0.04), and ICU stay (p = 0.001) was significant in patients who developed AKI. Renal recovery occurred predominantly in surgical patients (20.3%).

Conclusions

Clinical patients admitted to the ICU are more affected by more severe AKI (KDIGO 3). Renal recovery was observed in approximately two out of every five patients, being more significant in surgical patients.

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来源期刊

Enfermeria Intensiva NURSING-

CiteScore

2.50

自引率

23.10%

发文量

期刊介绍： Enfermería Intensiva es el medio de comunicación por antonomasia para todos los profesionales de enfermería españoles que desarrollan su actividad profesional en las unidades de cuidados intensivos o en cualquier otro lugar donde se atiende al paciente crítico. Enfermería Intensiva publica cuatro números al año, cuyos temas son específicos para la enfermería de cuidados intensivos. Es la única publicación en español con carácter nacional y está indexada en prestigiosas bases de datos como International Nursing Index, MEDLINE, Índice de Enfermería, Cuiden, Índice Médico Español, Toxline, etc.