Outcome of patients with acute kidney injury in severe sepsis and septic shock treated with early goal-directed therapy in an intensive care unit
المؤلفون المشاركون
Ahmad, Wasim
Memon, Javed I.
Rahmani, Rifat
al-Juhayman, Abd al-Majid
المصدر
Saudi Journal of Kidney Diseases and Transplantation
العدد
المجلد 25، العدد 3 (30 يونيو/حزيران 2014)، ص ص. 544-551، 8ص.
الناشر
تاريخ النشر
2014-06-30
دولة النشر
السعودية
عدد الصفحات
8
التخصصات الرئيسية
الموضوعات
الملخص EN
Acute kidney injury (AKI) in the intensive care unit (ICU) is commonly caused by severe sepsis and septic shock.
There is limited data regarding the incidence and outcomes of patients developing AKI treated with early goal-directed therapy (EGDT).
Our aim was to observe the incidence and outcomes of patients with AKI in severe sepsis and septic shock, treated with EGDT as compared with historic controls.
Study subjects included all adults admitted to the ICU with a diagnosis of severe sepsis and septic shock prior to (historic controls) and after introduction of EGDT (intervention group).
Two groups were compared for incidence of AKI, length of ICU and hospital stay, incidence and requirement for renal replacement therapy, serum creatinine at discharge, maximum RIFLE (Risk, injury, failure, loss, end stage) in each group and 28-day mortality.
Two groups were well matched for age, sex, (April 16, 2014) and acute physiological and chronic health evaluation (APACHE) II scores.
We found no significant difference in the incidence of AKI (51 % vs.
46 %).
There was no statistical difference in any of the above outcomes, including 28-day mortality in historic controls versus patients treated with EGDT.
Septic AKI is a complex syndrome.
The incidence and outcomes have not improved despite advances in sepsis management and EGDT.
Very early detection of septic AKI and targeted therapies may improve outcomes.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Ahmad, Wasim& Memon, Javed I.& Rahmani, Rifat& al-Juhayman, Abd al-Majid. 2014. 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 Journal of Kidney Diseases and Transplantation،Vol. 25, no. 3, pp.544-551.
https://search.emarefa.net/detail/BIM-370900
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Ahmad, Wasim…[et al.]. 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 Journal of Kidney Diseases and Transplantation Vol. 25, no. 3 (2014), pp.544-551.
https://search.emarefa.net/detail/BIM-370900
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Ahmad, Wasim& Memon, Javed I.& Rahmani, Rifat& al-Juhayman, Abd al-Majid. 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 Journal of Kidney Diseases and Transplantation. 2014. Vol. 25, no. 3, pp.544-551.
https://search.emarefa.net/detail/BIM-370900
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 550-551
رقم السجل
BIM-370900
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر