CHARACTERISTICS OF ACUTE KIDNEY INJURY IN PATIENTS ADMITTED TO INTENSIVE CARE UNIT AT PEOPLE’S HOSPITAL 115
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Abstract
Objects: Determine clinical characteristics, incidence, stage and outcomes of acute kidney injury in patients admitted to intensive care unit. Methods: Cross sectional descriptive study on 150 patients admitted to the ICU, 115 people’s Hospital, from January 2020 to June 2020. Results: AKI occurred in 53,33% ICU patients, with KDIGO stage 3 AKI accounted for the highest proportion: 40%. Patients with AKI had median age of 66, median APACHE II score and SOFA score in the first 24 hours admitted of 25 and 7, respectively. Sepsis occurred in 68,75% patients with AKI, and 85% of AKI patients was treated with vasopressors. Mortality rate of patients with AKI was 65%, significantly higher (p< 0,001) than those without AKI: 28,57%. The rate of renal replacement therapy in patients with AKI is 40%, the majority of which were treated by continuous modality, accounting for 90,6%. Conclusion: AKI is common in the ICU, patients with AKI were critically ill with increased mortality.
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Keywords
Acute kidney injury (AKI), intensive care unit (ICU)
References
2. Phan Thị Xuân (2015), "Tỷ lệ tổn thương thận cấp và các yếu tố nguy cơ tổn thương thận cấp ở bênh nhân hồi sức sử dụng colistin đường tĩnh mạch", Tạp chí Y học Thành phố Hồ Chí Minh. 16, tr. 25-29.
3. De Mendonça A., Vincent J., Suter P., et al (2000), "Acute renal failure in the ICU: risk factors and outcome evaluated by the SOFA score", Intensive Care Med. 26(7), pp. 915-921.
4. Hoste E.A., Bagshaw S.M., Bellomo R., et al (2015), "Epidemiology of acute kidney injury in critically ill patients: the multinational AKI-EPI study", Intensive Care Med. 41(8), pp. 1411-1423.
5. Kellum J.A., Lameire N., Aspelin P., et al (2012), "Kidney disease: improving global outcomes (KDIGO) acute kidney injury work group. KDIGO clinical practice guideline for acute kidney injury", Kidney International Supplements. 2(1), pp. 1-138.
6. Linder A., Fjell C., Levin A., et al (2014), "Small acute increases in serum creatinine are associated with decreased long-term survival in the critically ill", Am J Respir Crit Care Med. 189(9), pp. 1075-1081.
7. Nisula S., Kaukonen K.M., Vaara S.T., et al (2013), "Incidence, risk factors and 90-day mortality of patients with acute kidney injury in Finnish intensive care units: the FINNAKI study", Intensive Care Med. 39(3), pp. 420-428.
8. Srisawat N., Kulvichit W., Mahamitra N., et al (2019), "The epidemiology and characteristics of acute kidney injury in the Southeast Asia intensive care unit: a prospective multicentre study", Nephrol Dial Transplant. 35(10), pp. 1729-1738.