ĐÁNH GIÁ MỐI LIÊN QUAN GIỮA TỔN THƯƠNG THẬN CẤP VỚI MỘT SỐ YẾU TỐ NGUY CƠ Ở NGƯỜI BỆNH ĐIỀU TRỊ TẠI KHOA HỒI SỨC TÍCH CỰC BỆNH VIỆN ĐA KHOA TỈNH PHÚ THỌ

Abstract

Objective: Evaluation of the relationship between acute kidney injury and some risk factors in patients treated in the intensive care unit. Subjects and methods: A prospective, descriptive, longitudinal study on 273 patients treated at the ICU of Phu Tho Provincial General Hospital from October 2021 to June 2022. Results: The mean age of patients with acute kidney injury was higher than that of patients without acute kidney injury (58.61 ± 17.88 versus 52.28 ± 18.37, p<0.05). Elderly patients ≥ 65 years old had a 10.34 times higher risk of developing acute kidney injury compared with patients under 65 years old (95% confidence interval: 1.98 - 39.22 with p < 0. 05). Patients with SOFA scores above 15 at the time of admission have a higher risk of acute kidney injury than patients with SOFA scores below 15, which is 7.87 times (p < 0.05). Patients with rhabdomyolysis have a 2.45 times higher risk of acute kidney injury than patients without rhabdomyolysis (p<0.05). Patients with shock, MAP < 65 mmHg, CVP < 8 cm H2O at the time. hospitalized have a higher risk of acute kidney injury than the rest of the subjects, respectively, 4.41; 5.01 and 8.27 times, the difference is statistically significant (p < 0.05).Patients with hemoglobin less than 90 g/L at the time of admission have a higher risk of acute kidney injury. patients with HST ≥ 90g/L 7.02 times (p < 0.05). Patients with acute kidney injury have a 4.14 times higher risk of death than patients without acute kidney injury (95% CI: 1.38 - 16.2 with p < 0.05). Conclusion: Risk factors that made increase the risk of morbidity and prevalence are: Age ≥ 65 years, SOFA score > 15 points, rhabdomyolysis, SBP < 65 mmHg, CVP less than 8cm H2O, HST amount <90g/L is valuable for predicting mortality in patients treated in ICU.