TÌNH HÌNH TỔN THƯƠNG THẬN CẤP VÀ MỘT SỐ YẾU TỐ LIÊN QUAN Ở BỆNH NHÂN SUY TIM MẠN MẤT BÙ CẤP

Abstract

Background: Acute kidney injury is a common condition in patients with acute decompensated heart failure, which leads to a longer hospital stay and negatively affects the patient's prognosis. Objectives: This study aims to determine the rate, stage, and factors associated with acute kidney injury in patients with acute decompensated heart failure at Can Tho Central General Hospital. Materials and Methods: We conducted a cross-sectional descriptive study on 81 patients diagnosed with acute decompensated heart failure at the Department of Cardiovascular Internal Medicine- Can Tho General Hospital from 2022 to 2024. Results: In 81 patients with acute decompensated heart failure, acute kidney injury was identified in 58%, with the majority in stage 1 (74.5%). After multivariate regression analysis, blood creatinine concentration at admission and the use of dobutamine were independently associated with a statistically significant increase in the incidence of acute kidney injury in these patients (p<0.05). Conclusion: Our study found that acute kidney injury occurs in a relatively high proportion of patients with acute decompensated heart failure, mostly in stage 1. Blood creatinine concentration and the use of dobutamine are independent factors that increase the risk of acute kidney injury in these patients.