Abraão Alves Dos Reis, Tayse Tâmara da Paixão Duarte, Michelle Zampieri Ipolito, Kamilla Grasielle Nunes da Silva, Paulo Percio Mota Magro, Marcia Cristina da Silva Magro
{"title":"预后评分对心肌血运重建术后急性肾损伤评估的影响。","authors":"Abraão Alves Dos Reis, Tayse Tâmara da Paixão Duarte, Michelle Zampieri Ipolito, Kamilla Grasielle Nunes da Silva, Paulo Percio Mota Magro, Marcia Cristina da Silva Magro","doi":"10.1590/1980-220X-REEUSP-2024-0410en","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To determine the impact of the Simplified Acute Physiology Score 3 and the Sequential Organ Failure Assessment in assessing the severity of acute kidney injury in patients after cardiopulmonary bypass.</p><p><strong>Method: </strong>A retrospective cohort study with a non-probabilistic sample. Inferential analysis was performed using Pearson's chi-square, Fisher's exact and Mann-Whitney tests, with a significance level of 5%.</p><p><strong>Results: </strong>The prevalence of acute kidney injury was 31.4%. The Simplified Acute Physiology Score 3 and the Sequential Organ Failure Assessment showed higher scores in patients with kidney injury (58 (48-64) versus 48 (37-57), p = 0.02; 7 (6-9) versus 6 (5-7), p = 0.003), in addition to a longer stay in intensive care, 8 (6-16) versus 6 (5-8) (p = 0.02) days, respectively.</p><p><strong>Conclusion: </strong>Patients with acute kidney injury remained in intensive care longer, and the Simplified Acute Physiology Score 3 and the Sequential Organ Failure Assessment showed good performance, evidencing greater severity among patients with acute kidney injury in the postoperative period of coronary artery bypass grafting.</p>","PeriodicalId":94195,"journal":{"name":"Revista da Escola de Enfermagem da U S P","volume":"59 ","pages":"e20240410"},"PeriodicalIF":0.0000,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11999537/pdf/","citationCount":"0","resultStr":"{\"title\":\"Impact of prognostic scores on acute kidney injury assessment in the postoperative period of myocardial revascularization.\",\"authors\":\"Abraão Alves Dos Reis, Tayse Tâmara da Paixão Duarte, Michelle Zampieri Ipolito, Kamilla Grasielle Nunes da Silva, Paulo Percio Mota Magro, Marcia Cristina da Silva Magro\",\"doi\":\"10.1590/1980-220X-REEUSP-2024-0410en\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>To determine the impact of the Simplified Acute Physiology Score 3 and the Sequential Organ Failure Assessment in assessing the severity of acute kidney injury in patients after cardiopulmonary bypass.</p><p><strong>Method: </strong>A retrospective cohort study with a non-probabilistic sample. Inferential analysis was performed using Pearson's chi-square, Fisher's exact and Mann-Whitney tests, with a significance level of 5%.</p><p><strong>Results: </strong>The prevalence of acute kidney injury was 31.4%. The Simplified Acute Physiology Score 3 and the Sequential Organ Failure Assessment showed higher scores in patients with kidney injury (58 (48-64) versus 48 (37-57), p = 0.02; 7 (6-9) versus 6 (5-7), p = 0.003), in addition to a longer stay in intensive care, 8 (6-16) versus 6 (5-8) (p = 0.02) days, respectively.</p><p><strong>Conclusion: </strong>Patients with acute kidney injury remained in intensive care longer, and the Simplified Acute Physiology Score 3 and the Sequential Organ Failure Assessment showed good performance, evidencing greater severity among patients with acute kidney injury in the postoperative period of coronary artery bypass grafting.</p>\",\"PeriodicalId\":94195,\"journal\":{\"name\":\"Revista da Escola de Enfermagem da U S P\",\"volume\":\"59 \",\"pages\":\"e20240410\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-04-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11999537/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Revista da Escola de Enfermagem da U S P\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1590/1980-220X-REEUSP-2024-0410en\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista da Escola de Enfermagem da U S P","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1590/1980-220X-REEUSP-2024-0410en","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
Impact of prognostic scores on acute kidney injury assessment in the postoperative period of myocardial revascularization.
Objective: To determine the impact of the Simplified Acute Physiology Score 3 and the Sequential Organ Failure Assessment in assessing the severity of acute kidney injury in patients after cardiopulmonary bypass.
Method: A retrospective cohort study with a non-probabilistic sample. Inferential analysis was performed using Pearson's chi-square, Fisher's exact and Mann-Whitney tests, with a significance level of 5%.
Results: The prevalence of acute kidney injury was 31.4%. The Simplified Acute Physiology Score 3 and the Sequential Organ Failure Assessment showed higher scores in patients with kidney injury (58 (48-64) versus 48 (37-57), p = 0.02; 7 (6-9) versus 6 (5-7), p = 0.003), in addition to a longer stay in intensive care, 8 (6-16) versus 6 (5-8) (p = 0.02) days, respectively.
Conclusion: Patients with acute kidney injury remained in intensive care longer, and the Simplified Acute Physiology Score 3 and the Sequential Organ Failure Assessment showed good performance, evidencing greater severity among patients with acute kidney injury in the postoperative period of coronary artery bypass grafting.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
