MỘT SỐ YẾU TỐ LIÊN QUAN ĐẾN TỔN THƯƠNG THẬN CẤP TẠI KHOA HỒI SỨC TÍCH CỰC, BỆNH VIỆN ĐA KHOA TỈNH THANH HÓA

Abstract

Objective: To identify factors associated with acute kidney injury (AKI) in patients admitted to the Intensive Care Unit (ICU) at Thanh Hoa General Hospital. Methods: A retrospective cross-sectional study was conducted on 358 ICU patients. Data were collected from medical records, including demographics, comorbidities, causes of ICU admission, APACHE II and SOFA scores, mechanical ventilation, vasopressor use, and AKI classification based on KDIGO 2012. Results: The mean age of patients was 64.1 ± 16.2 years; 60.9% were male. Common comorbidities were hypertension (38.5%) and diabetes mellitus (21.2%). Major reasons for ICU admission were respiratory failure (19.6%), acute neurological dysfunction (19.6%), severe infection (14.0%), and shock (10.9%). The incidence of AKI was 34.4%. Significant factors associated with AKI included older age, higher APACHE II and SOFA scores, invasive mechanical ventilation, vasopressor use, severe infection, and shock (p<0.05). Conclusion: AKI in ICU patients was associated with older age, higher APACHE II and SOFA scores, severe infection, shock, as well as invasive mechanical ventilation and vasopressor use.