Caracterización de la injuria renal aguda en pacientes cirroticos del Hospital Teodoro Maldonado Carbo en el período 2016 Dcieiembre 2020
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2022
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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Introducción: La injuria renal aguda (AKI) es una complicación usual en pacientes cirróticos, especialmente en los que se encuentran hospitalizados, se manifiesta por aumento de la creatinina sérica ≥ 0,3 mg/dl en 48 h o ≥ 50 % del valor basal y/o un gasto urinario ≤0.5ml/kg peso ≥6 horas, su etiología puede ser multifactorial y se asocia a complicaciones graves y pronóstico desfavorable. Objetivo: Caracterizar la injuria renal aguda en pacientes cirróticos hospitalizados en el hospital de especialidades “Teodoro Maldonado Carbo”. Materiales y métodos: Se realizó un estudio descriptivo de corte transversal retrospectivo de diseño no experimental durante el período enero 2016 a diciembre 2020, en pacientes cirróticos con alteración de la función renal. Los datos de los pacientes fueron analizados en planillas de Excel y los resultados en la plataforma estadística SPSS 26 para su estudio y elaboración de cuadros de resumen. Resultados: 204 pacientes (48% de los cirróticos hospitalizados) presentaron injuria renal aguda. El 41% pertenecieron al servicio de emergencia, 58% tuvieron criterios de AKI grado II, la edad de presentación más frecuente es entre los 61 y 70 años (40%), y las complicaciones asociadas más frecuentes fueron ascitis (35%) y encefalopatía (24%). La supervivencia al año fue del 10% pese a medidas terapéuticas establecidas. Conclusiones: La injuria renal aguda es una complicación muy frecuente en cirróticos hospitalizados, se asocia con descompensaciones graves de la enfermedad y con mal pronóstico
Introduction: Acute kidney injury (AKI) is a common complication in cirrhotic patients, especially those who are hospitalized, manifested by an increase in serum creatinine ≥ 0.3 mg/dl in 48 h or ≥ 50% of the baseline value and /or urinary output ≤0.5ml/kg weight ≥ 6 hours, its etiology can be multifactorial and is associated with serious complications and unfavorable prognosis. Objective: To characterize acute kidney injury in cirrhotic patients hospitalized at the "Teodoro Maldonado Carbo" specialty hospital. Materials and methods: A retrospective cross-sectional descriptive study of non-experimental design was carried out during the period from January 2016 to December 2020, in cirrhotic patients with impaired renal function. Patient data was analyzed in Excel spreadsheets and the results in the statistical platform SPSS 26 for study and preparation of summary tables. Results: 204 patients (48% of hospitalized cirrhotics) presented acute kidney injury. 41% belonged to the emergency service, 58% had AKI grade II criteria, the most frequent age of presentation is between 61 and 70 years (40%), and the most frequent associated complications were ascites (35%) and encephalopathy (24%). Survival at one year was 10% despite established therapeutic measures. Conclusions: Acute kidney injury is a very common complication in hospitalized cirrhotic patients, it is associated with serious decompensation of the disease and with a poor prognosis
Introduction: Acute kidney injury (AKI) is a common complication in cirrhotic patients, especially those who are hospitalized, manifested by an increase in serum creatinine ≥ 0.3 mg/dl in 48 h or ≥ 50% of the baseline value and /or urinary output ≤0.5ml/kg weight ≥ 6 hours, its etiology can be multifactorial and is associated with serious complications and unfavorable prognosis. Objective: To characterize acute kidney injury in cirrhotic patients hospitalized at the "Teodoro Maldonado Carbo" specialty hospital. Materials and methods: A retrospective cross-sectional descriptive study of non-experimental design was carried out during the period from January 2016 to December 2020, in cirrhotic patients with impaired renal function. Patient data was analyzed in Excel spreadsheets and the results in the statistical platform SPSS 26 for study and preparation of summary tables. Results: 204 patients (48% of hospitalized cirrhotics) presented acute kidney injury. 41% belonged to the emergency service, 58% had AKI grade II criteria, the most frequent age of presentation is between 61 and 70 years (40%), and the most frequent associated complications were ascites (35%) and encephalopathy (24%). Survival at one year was 10% despite established therapeutic measures. Conclusions: Acute kidney injury is a very common complication in hospitalized cirrhotic patients, it is associated with serious decompensation of the disease and with a poor prognosis
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CIRROSIS, ESTUDIOS DESCRIPTIVOS, INSUFICIENCIA RENAL, HOSPITAL DE ESPECIALIDADES DR. TEODORO MALDONADO CARBO, CANTON GUAYAQUIL, ECUADOR