TIẾN TRIỂN CỦA TỔN THƯƠNG THẬN CẤP Ở BỆNH NHÂN NGỘ ĐỘC CẤP TẠI TRUNG TÂM CHỐNG ĐỘC, BỆNH VIỆN BẠCH MAI

Abstract

Objective: aimed to investigate the progression of acute kidney injury and some related factors in patients with acute poisoning at the Poison Control Center, Bach Mai Hospital. Subjects and Methods: A cross-sectional, prospective study on 73 acute poisoning patients with acute kidney injury at the Poison Control Center, Bach Mai Hospital was conducted from July 2019 to 7/2020. The study variables were collected according to consistent medical records, acute kidney injury was diagnosed when blood creatinine level ≥ 130 µmol/l and divided into 3 severity according to KDIGO. Results: The time of admission, the proportion of patients with level 1 of kidney injury was 24.7%; level 3 was 17.8% and the lowest was level 2 (9.6%); 47.9% of patients have no acute kidney injury. There are 60.3% of patients with kidney injury progresses up during treatment. 60.3% of patients with renal function recovered upon discharge from the hospital, the highest recovery rate was in the first level group of kidney damage at hospital admission (100%). The more severe the poisoning (on a PSS scale), the more severe the incidence of kidney injury. Living patients had a higher rate of kidney recovery compared to the death group. Conlusion: the severity of kidney damage at admission was less correlated with the severity of kidney damage during treatment and the prognosis of renal recovery.