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Date Published: 05/01/2022
Abstract Views: 902
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DOI: https://doi.org/10.51298/vmj.v508i1.1478
Issue
Vol. 508 No. 1 (2021)
Section
Các bài báo
How to Cite
Thế Anh, N. ., & Hoàng Dương, T. . (2022). ASSESSMENT OF THE CURRENT SITUATION OF ACUTE KIDNEY INJURY BY RIFLE SCOPE INPATIENTS TREATED AT CRITICAL CARE AND POISONING CONTROL DEPARTMENT. Vietnam Medical Journal, 508(1). https://doi.org/10.51298/vmj.v508i1.1478

ASSESSMENT OF THE CURRENT SITUATION OF ACUTE KIDNEY INJURY BY RIFLE SCOPE INPATIENTS TREATED AT CRITICAL CARE AND POISONING CONTROL DEPARTMENT

Nguyễn Thế Anh1, Tô Hoàng Dương1,
1 Friendship Hospital

Main Article Content

Abstract

Objectives: To analyze the characteristics, risk factors and mortality prognosis of patients with acute kidney injury. Subjects and method: 201 patients treated at the critical care and poisoning control department from March to September 2020. Descriptive prospective. Results: Average age 80.1; 84.1% were male, the ICU treatment day was 14.6, the rate of mortality was 3.6 times higher in the AKI group than in the NAKI group. The rate of AKI was 34.3%; 19.4% new cases; recovered 31.9%; mortality: 40.6%. Causes: septic shock (52.2%), fluid deficiency (14.5%), heart failure (13%), nephrotoxic drugs (8.7%). Risk factors for AKI: multiple organ failure (OR 6.8), shock (OR 4.6), severe infection (OR 3.2). Risk of death: shock (OR 13.0), multiple organ failure (OR 11.3), mechanical ventilation (OR 8.4), liver failure, coagulopathy (OR 4.4). The most severe AKI was associated with mortality: R (OR 2.3), I (OR 3.7), F (OR 4.5). Septic shock increased mortality in patients with AKI by 3.5 times (p<0.05), heart failure by 2.6 times (p<0.05) and nephrotoxic drugs by 1.5 times (p<0.05) compared with NAKI group. Conclusion: The RIFLE classification is simple, well applied in intensive care units to assess the extent and progression of acute kidney injury.

Article Details

Keywords

Characteristics, risk factors, mortality prognosis, acute kidney injury

References

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