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Incidence and Risk Factors for Early Acute Kidney Injury in Nonsurgical Patients: A Cohort Study
المؤلفون المشاركون
Diaztagle, Juan José
Cely, Javier Enrique
Mendoza, Elkin José
Olivares, Carlos Roberto
Sepúlveda, Oscar Julián
Acosta, Juan Sebastián
Barón, Rafael Andrés
المصدر
International Journal of Nephrology
العدد
المجلد 2017، العدد 2017 (31 ديسمبر/كانون الأول 2017)، ص ص. 1-8، 8ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2017-04-11
دولة النشر
مصر
عدد الصفحات
8
التخصصات الرئيسية
الملخص EN
Introduction.
Detecting acute kidney injury (AKI) in the first days of hospitalization could prevent potentially fatal complications.
However, epidemiological data are scarce, especially on nonsurgical patients.
Objectives.
To determine the incidence and risk factors associated with AKI within five days of hospitalization (EAKI).
Methods.
Prospective cohort of patients hospitalized in the Internal Medicine Department.
Results.
A total of 16% of 400 patients developed EAKI.
The associated risk factors were prehospital treatment with nephrotoxic drugs (2.21 OR; 95% CI 1.12–4.36, p=0.022), chronic kidney disease (CKD) in stages 3 to 5 (3.56 OR; 95% CI 1.55–8.18, p<0.003), and venous thromboembolism (VTE) at admission (5.05 OR; 95% CI 1.59–16.0, p<0.006).
The median length of hospital stay was higher among patients who developed EAKI (8 [IQR 5–14] versus 6 [IQR 4–10], p=0.008) and was associated with an increased requirement for dialysis (4.87 OR 95% CI 2.54 to 8.97, p<0.001) and in-hospital death (3.45 OR; 95% CI 2.18 to 5.48, p<0.001).
Conclusions.
The incidence of EAKI in nonsurgical patients is similar to the worldwide incidence of AKI.
The risk factors included CKD from stage 3 onwards, prehospital treatment with nephrotoxic drugs, and VTE at admission.
EAKI is associated with prolonged hospital stay, increased mortality rate, and dialysis requirement.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Cely, Javier Enrique& Mendoza, Elkin José& Olivares, Carlos Roberto& Sepúlveda, Oscar Julián& Acosta, Juan Sebastián& Barón, Rafael Andrés…[et al.]. 2017. Incidence and Risk Factors for Early Acute Kidney Injury in Nonsurgical Patients: A Cohort Study. International Journal of Nephrology،Vol. 2017, no. 2017, pp.1-8.
https://search.emarefa.net/detail/BIM-1167824
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Cely, Javier Enrique…[et al.]. Incidence and Risk Factors for Early Acute Kidney Injury in Nonsurgical Patients: A Cohort Study. International Journal of Nephrology No. 2017 (2017), pp.1-8.
https://search.emarefa.net/detail/BIM-1167824
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Cely, Javier Enrique& Mendoza, Elkin José& Olivares, Carlos Roberto& Sepúlveda, Oscar Julián& Acosta, Juan Sebastián& Barón, Rafael Andrés…[et al.]. Incidence and Risk Factors for Early Acute Kidney Injury in Nonsurgical Patients: A Cohort Study. International Journal of Nephrology. 2017. Vol. 2017, no. 2017, pp.1-8.
https://search.emarefa.net/detail/BIM-1167824
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1167824
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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