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Injuria renal aguda en unidad de cuidados intensivos

Authors: Marcet-Franco, Igor Ernesto; Cuevas Benítez, Darío Ramón; Giménez Rolón, Elvira; Romero, Maria del Carmen; Molinas de López, Amalia Beatriz; Ayala Ferrari, Roger Aureliano; Acosta González, Juan Daniel; +1 Authors

Injuria renal aguda en unidad de cuidados intensivos

Abstract

Objetivos: 1) Describir el tipo de población afecta a injuria renal aguda (IRA) en el contexto de una hospitalización en unidad de cuidados intensivos; 2) determinar la etiología de la IRA en la población de estudio, describir los tipos de tratamientos recibidos tanto médicos como de terapias de reemplazo renal; 3) cuantificar la mortalidad intrahospitalaria y el grado de recuperación de la función renal en la población superviviente. Material y método: Este fue un trabajo observacional prospectivo conducido en un hospital universitario de tercer nivel, desde el 1 de enero al 31 de diciembre de 2018. En este lapso se reclutaron 142 pacientes con una creatininemia superior a 2 mg/dl o aumento del 50% sobre sus valores basales. Resultados: En muestra serie se notamos una preponderancia masculina (63%), con comorbilidades (89%). Entre ellas, la diabetes e hipertensión arterial fueron las más frecuentes (76%). Encontramos un contingente considerable de IRA prerrenal (61%) que luego evolucionaría a formas más graves relacionadas con sepsis y choque séptico (68%). Los puntajes de gravedad al ingreso y evolutivos se correlacionaron con una mortalidad elevada (77%). No pudimos descartar el papel de los diuréticos en la mala evolución.

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This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
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