IDENTIFICACIÓN Y RECUPERACIÓN DE LA FUNCIÓN RENAL EN PACIENTES NO DIALÍTICOS EN TERAPIA INTENSIVA

Autores/as

  • Tatiane Aguiar Carneiro Fundação de Ensino e Pesquisa em Ciências da Saúde, Brasília DF , Brazil, Enfermeira. Especialista em Terapia Intensiva. Fundação de Ensino e Pesquisa em Ciências da Saúde. Brasília, DF - Brasil
  • Paula Regina de Souza Hermann Universidade de Brasília, Faculdade de Ceilândia, Curso de Enfermagem, Brasília DF , Brazil, Enfermeira. Doutora. Professora. Universidade de Brasília, Faculdade de Ceilândia, Curso de Enfermagem. Brasília, DF - Brasil, Universidade de Brasília
  • Josiane Maria Oliveira de Souza Universidade de Brasília, Faculdade de Ceilândia, Curso de Enfermagem, Brasília DF , Brazil, Enfermeira. Doutora. Professora. Universidade de Brasília, Faculdade de Ceilândia, Curso de Enfermagem. Brasília, DF - Brasil, Universidade de Brasília
  • Marcia Cristina da Silva Magro Universidade de Brasília, Faculdade de Ceilândia, Curso de Enfermagem, Brasília DF , Brazil, Enfermeira. Doutora. Professora. Universidade de Brasília, Faculdade de Ceilândia, Curso de Enfermagem. Brasília, DF - Brasil, Universidade de Brasília

DOI:

https://doi.org/10.35699/2316-9389.2017.49869

Palabras clave:

Lesión Renal Aguda, Unidades de Cuidados Intensivos, Enfermería

Resumen

RESUMEN Objetivos: Determinar el grado de compromiso de la función renal de pacientes con LRA no dialítica e identificar la frecuencia de recuperación de la función renal en la unidad de terapia intensiva (UTI). Método: Estudio observacional, prospectivo y cuantitativo con 90 pacientes después de la admisión a la UTI, durante quince días. Los datos fueron recogidos de los expedientes médicos de los pacientes. Se consideraron significativos los resultados con p <0,05. Resultados: el uso de drogas vasoactivas y de ventilación mecánica fue asociado con la causa de la lesión renal aguda (p = 0,009; p = 0,001). El 95,6% de los pacientes evolucionó a disfunción renal, según la clasificación de Acute Kidney Injury Network (AKIN). En general, el 50% de los pacientes evolucionó a recuperación de la función renal. Conclusión: La mayoría de los pacientes fue identificada con lesión o fallo renal, estadios de mayor gravedad, según la clasificación AKIN. La recuperación de la función renal fue identificada en el 50% de los pacientes.

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Citas

Font S, Martinez J, Calvo C, Díaz P, Calvo S, Clari E, AbreItalicoet al.FechaItalico Prevention of acute kidney injury in Intensive Care Units. Med Intensiva. 2017[cited 2017 Jan 15]41(2):116-26. Available from: https://www.ncbi.nlm.nih.gov/labs/articles/28190602/

Doyle JF, Forni LG. Long-term follow-up of acute kidney injury. Crit Care Clin. 2015[cited 2017 Jan 15]31(4):763-72. Available from: https://www.ncbi.nlm.nih.gov/pubmed/26410143

Bellomo R, Kellum JA, Ronco C. Acute kidney injury. Lancet. 2012[cited 2017 Jan 15]380(9843):756-66. Available from: https://www.ncbi.nlm.nih.gov/pubmed/22617274

Peres LAB, Wandeur V, Matsuo T. Predictors of acute kidney injury and mortality in an intensive care unit. J Bras Nefrol. 2015[cited 2017 Jan 15]37(1):38-46. Available from: https://www.ncbi.nlm.nih.gov/pubmed/25923749

Forni LG, Darmon M, Ostermann M, Straaten HM, Pettilä V, Prowle JR, AbreItalicoet al.FechaItalico Renal recovery after acute kidney injury. Intensive Care Med. 2017[cited 2017 Jan 15]43(6):855-66. Available from: https://www.ncbi.nlm.nih.gov/pubmed/28466146

Pannu N, James M, Hemmelgarn B, Klarenbach S, Alberta Kidney Disease Network. Association between AKI , recovery of renal function, and longterm outcomes after hospital discharge. Clin J Am Soc Nephrol. 2013[cited 2017 Jan 15]8(2):194-202. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3562863/

Goldstein SL, Chawla L, Ronco C, Kellum JA. Renal recovery. Crit Care. 2014[cited 2017 Jan 15]18(1):301. Available from: https://ccforum.biomedcentral.com/articles/10.1186/cc13180

Gill SL, Sileanu FE, Murugan R, Trietley GS, Handler SM, Kellum JA. Risk factors for acute kidney injury in older adults with critical illness: a retrospective cohort study. Am J Kidney Dis. 2015[cited 2017 Jan 15]65(6):860- 9. Available from: https://www.ncbi.nlm.nih.gov/pubmed/25488106

Thomas ME, Blaine C, Dawnay A, Devonald MA, Ftouh S, Laing C, AbreItalicoet al.FechaItalico The definition of acute kidney injury and its use in practice. Kidney Int. 2015[cited 2017 Jan 15]87(1):62-73. Available from: https://www.ncbi.nlm.nih.gov/pubmed/25317932

Lwanga SK, Lemeshow S. Sample size determination in health studies - a practical manual. Genebra: World Health Organization; 1991.

Kidney Disease: Improving Global Outcomes (KDIGO). Clinical Practice Guideline for Acute Kidney Injury. Kidney Int. 2012[cited 2017 Jan 15]2(Suppl 1):1-138. Available from: http://www.kidney-international.org/issueno/S0085-2538(12)X7400-3

Macedo E, Bouchard J, Mehta RL. Renal recovery following acute kidney injury. Curr Opin Crit Care. 2008[cited 2017 Jan 15]14(6):660-5. Available from: https://www.ncbi.nlm.nih.gov/pubmed/19005306

Moreno RP, Metnitz PGH, and on behalf of the SAPS 3 Investigators. SAPS 3 From evaluation of the patient to evaluation of the intensive care unit. Part 2: Development of a prognostic model for hospital mortality at ICU admission. Intensive Care Med. 2005[cited 2017 Jan 15]31:1345-55. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1315315/

Hoste EA, Bagshaw SM, Bellomo R, Cely CM, Colman R, Cruz DN, AbreItalicoet al.FechaItalico Epidemiology of acute kidney injury in critically ill patients: the multinational AKI-EPI study. Intensive Care Med. 2015[cited 2017 Jan 15]41:1411-23. Available from: https://www.ncbi.nlm.nih.gov/pubmed/26162677

Karim HM, Yunus M, Saikia MK, Kalita JP, Mandal M. Incidence and progression of cardiac surgery-associated acute kidney injury and its relationship with bypass and cross clamp time. Ann Card Anaesth. 2017[cited 2017 Jan 15]20(1):22-7. Available from: https://www.ncbi.nlm.nih.gov/pubmed/28074790

Pickkers P, Ostermann M, Joannidis M, Zarbock A, Hoste E, Bellomo R, AbreItalicoet al.FechaItalico The intens care medicine on acute kidney injury. Intens Care Med. 2017[cited 2017 Jan 15]. Available from: https://www.ncbi.nlm.nih.gov/pubmed/28138736

Karapanagiotou A, Dimitriadis C, Papadopoulos S, Kydona C, Kefsenidis S, Papanikolaou V, AbreItalicoet al.FechaItalico Comparison of RIFLE and AKIN criteria in the evaluation of the frequency of acute kidney injury in post-liver transplantation patients. Transplant Proc. 2014[cited 2017 Jan 15]46(9):3222-7. Available from: https://www.ncbi.nlm.nih.gov/pubmed/25420865

Liborio AB, Leite TT, Neves FMO, Teles F, Bezerra, CTM. AKI Complications in critically ill patients: association with mortality rates and RRT . Clin J Am Soc Nephrol. 2015[cited 2017 Jan 15]10(1):21-8. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4284413/

Suh SH, Kim CS, Choi JS, Bae EH, Ma SK, Kim SW. Acute kidney injury in patients with sepsis and septic shock: risk factors and clinical outcomes. Yonsei Med J. 2013[cited 2017 Jan 15]54(4):965-72. Available from: https://www.ncbi.nlm.nih.gov/pubmed/23709433

Ahmed W, Memon JI, Rehmani R, Juhaiman A. Outcome of patients with acute kidney injury in severe sepsis and septic shock treated with early goal-directed therapy in an intensive care unit. Saudi J Kidney Dis Transpl. 2014[cited 2017 Jan 15]25(3):544-51. Available from: https://www.ncbi.nlm.nih.gov/pubmed/24821150

Soto GJ, Frank AJ, Christiani DC, Gong MN. Body mass index and acute kidney injury in the acute respiratory distress syndrome. Crit Care Med. 2012[cited 2017 Jan 15]40(9):2601-8. Available from: https://www.ncbi.nlm.nih.gov/pubmed/22732288

Breslow MJ, Badawi O. Severity Scoring in the Critically Ill: Part 1-Interpretation and Accuracy of Outcome Prediction Scoring Systems. Chest. 2012[cited 2017 Jan 15]141(1):245-52. Available from: https://www.ncbi.nlm.nih.gov/pubmed/22215834

Korenkevych D, Baslanti T, Thottakkara P, Hobson CE, Pardalos P, Momcilovic P, AbreItalicoet al.FechaItalico The pattern of longitudinal change in serum creatinine and 90-day mortality after major surgery. Ann Surg. 2016[cited 2017 Jan 15]263(6):1219-27. Available from: https://www.ncbi.nlm.nih.gov/pubmed/26181482

Chawla LS, Abell L, Mazhari R, Egan M, Kadambi N, Burke HB, AbreItalicoet al.FechaItalico Identifying critically ill patients at high risk for developing acute renal failure: a pilot study. Kidney Int. 2005[cited 2017 Jan 15]68(5):2274-80. Available from: https://www.ncbi.nlm.nih.gov/pubmed/16221229

Peres LAB, Wandeur V, Matsuo T. Predictors of acute kidney injury and mortality in an Intensive Care Unit. J Bras Nefrol. 2015[cited 2017 Jan 15]37(1):38-46. Available from: http://www.scielo.br/scielo.php?pid=S0101-28002015000100038&script=sci_arttext&tlng=en

Macedo E. Urine output assessment as a clinical quality measure. Nephron. 2015[cited 2017 Jan 15]131(4):252-4. Available from: https://www.ncbi.nlm.nih.gov/labs/articles/26673635/

Stieff KV, Lim F, Chen L. Factors influencing weaning older adults from mechanical ventilation: an integrative review. Crit Care Nurs Q. 2017[cited 2017 Jan 15]40(2):165-77. Available from: https://www.ncbi.nlm.nih.gov/pubmed/28240700

Liang KV, Sileanu FE, Clermont G, Murugan R, Pike F, Palevsky PM, AbreItalicoet al.FechaItalico Modality of RRT and recovery of kidney function after aki in patients surviving to hospital discharge. Clin J Am Soc Nephrol. 2016[cited 2017 Jan 15]11(1):30-8. Available from: https://www.ncbi.nlm.nih.gov/pubmed/26681135

Kellum JA, Sileanu FE, Bihorac A, Hoste EA, Chawla LS. Recovery after acute kidney injury. Am J Respir Crit Care Med. 2017[cited 2017 Jan 15]195:784-91. Available from: http://www.atsjournals.org/doi/abs/10.1164/rccm.201604-0799OC?journalCode=ajrccm

Heung M, Steffick DE, Zivin K, Gillespie BW, Banerjee T, Hsu CY, AbreItalicoet al.FechaItalico Centers for Disease Control and Prevention CKD Surveillance Team Acute kidney injury recovery pattern and subsequent risk of CKD: an analysis of veterans health administration data. Am J Kidney Dis. 2016[cited 2017 Jan 15]67:742- 52. Available from: https://www.ncbi.nlm.nih.gov/pubmed/26690912

Bernardi MH, Schmidlin D, Ristl R, Heitzinger C, Schiferer A, Neugebauer T, AbreItalicoet al.FechaItalico Serum creatinine backestimation in cardiac surgery patients: misclassification of AKI using existing formulae and a data-driven model. Clin J Am Soc Nephrol. 2016[cited 2017 Jan 15]11:395-404. Available from: https://www.ncbi.nlm.nih.gov/pubmed/26801479

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Publicado

2017-11-09

Cómo citar

1.
Carneiro TA, Hermann PR de S, Souza JMO de, Magro MC da S. IDENTIFICACIÓN Y RECUPERACIÓN DE LA FUNCIÓN RENAL EN PACIENTES NO DIALÍTICOS EN TERAPIA INTENSIVA. REME Rev Min Enferm. [Internet]. 9 de noviembre de 2017 [citado 17 de mayo de 2024];21(1). Disponible en: https://periodicos.ufmg.br/index.php/reme/article/view/49869

Número

Vol. 21 Núm. 1 (2017)

Sección

Investigación

Licencia

Derechos de autor 2017 Reme: Revista Mineira de Enfermagem

Creative Commons License

Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.

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