An epidemiologic overview of acute kidney injury in intensive care units

Detalhes bibliográficos
Autor(a) principal: Santos,Reginaldo Passoni dos
Data de Publicação: 2019
Outros Autores: Carvalho,Ariana Rodrigues Silva, Peres,Luis Alberto Batista, Ronco,Claudio, Macedo,Etienne
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista da Associação Médica Brasileira (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302019000801094
Resumo: SUMMARY INTRODUCTION Acute kidney injury (AKI) is a frequent event among critically ill patients hospitalized in intensive care units (ICU) and represents a global public health problem, being imperative an interdisciplinary approach. OBJECTIV To investigate, through literature review, the AKI epidemiology in ICUs. METHODS: Online research in Medline, Scientific Electronic Library Online, and Latin American and Caribbean Literature in Health Sciences databases, with analysis of the most relevant 47 studies published between 2010 and 2017. RESULTS Data of the 67,033 patients from more than 300 ICUs from different regions of the world were analyzed. The overall incidence of AKI ranged from 2.5% to 92.2%, and the mortality from 5% to 80%. The length of ICU stay ranged from five to twenty-one days, and the need for renal replacement therapy from 0.8% to 59.2%. AKI patients had substantially higher mortality rates and longer hospital stays than patients without AKI. CONCLUSION AKI incidence presented high variability among the studies. One of the reasons for that were the different criteria used to define the cases. Availability of local resources, renal replacement therapy needs, serum creatinine at ICU admission, volume overload, and sepsis, among others, influence mortality rates in AKI patients.
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spelling An epidemiologic overview of acute kidney injury in intensive care unitsAcute kidney injuryIntensive care unitsEpidemiologyRisk factorsSUMMARY INTRODUCTION Acute kidney injury (AKI) is a frequent event among critically ill patients hospitalized in intensive care units (ICU) and represents a global public health problem, being imperative an interdisciplinary approach. OBJECTIV To investigate, through literature review, the AKI epidemiology in ICUs. METHODS: Online research in Medline, Scientific Electronic Library Online, and Latin American and Caribbean Literature in Health Sciences databases, with analysis of the most relevant 47 studies published between 2010 and 2017. RESULTS Data of the 67,033 patients from more than 300 ICUs from different regions of the world were analyzed. The overall incidence of AKI ranged from 2.5% to 92.2%, and the mortality from 5% to 80%. The length of ICU stay ranged from five to twenty-one days, and the need for renal replacement therapy from 0.8% to 59.2%. AKI patients had substantially higher mortality rates and longer hospital stays than patients without AKI. CONCLUSION AKI incidence presented high variability among the studies. One of the reasons for that were the different criteria used to define the cases. Availability of local resources, renal replacement therapy needs, serum creatinine at ICU admission, volume overload, and sepsis, among others, influence mortality rates in AKI patients.Associação Médica Brasileira2019-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302019000801094Revista da Associação Médica Brasileira v.65 n.8 2019reponame:Revista da Associação Médica Brasileira (Online)instname:Associação Médica Brasileira (AMB)instacron:AMB10.1590/1806-9282.65.8.1094info:eu-repo/semantics/openAccessSantos,Reginaldo Passoni dosCarvalho,Ariana Rodrigues SilvaPeres,Luis Alberto BatistaRonco,ClaudioMacedo,Etienneeng2020-01-20T00:00:00Zoai:scielo:S0104-42302019000801094Revistahttps://ramb.amb.org.br/ultimas-edicoes/#https://old.scielo.br/oai/scielo-oai.php||ramb@amb.org.br1806-92820104-4230opendoar:2020-01-20T00:00Revista da Associação Médica Brasileira (Online) - Associação Médica Brasileira (AMB)false
dc.title.none.fl_str_mv An epidemiologic overview of acute kidney injury in intensive care units
title An epidemiologic overview of acute kidney injury in intensive care units
spellingShingle An epidemiologic overview of acute kidney injury in intensive care units
Santos,Reginaldo Passoni dos
Acute kidney injury
Intensive care units
Epidemiology
Risk factors
title_short An epidemiologic overview of acute kidney injury in intensive care units
title_full An epidemiologic overview of acute kidney injury in intensive care units
title_fullStr An epidemiologic overview of acute kidney injury in intensive care units
title_full_unstemmed An epidemiologic overview of acute kidney injury in intensive care units
title_sort An epidemiologic overview of acute kidney injury in intensive care units
author Santos,Reginaldo Passoni dos
author_facet Santos,Reginaldo Passoni dos
Carvalho,Ariana Rodrigues Silva
Peres,Luis Alberto Batista
Ronco,Claudio
Macedo,Etienne
author_role author
author2 Carvalho,Ariana Rodrigues Silva
Peres,Luis Alberto Batista
Ronco,Claudio
Macedo,Etienne
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Santos,Reginaldo Passoni dos
Carvalho,Ariana Rodrigues Silva
Peres,Luis Alberto Batista
Ronco,Claudio
Macedo,Etienne
dc.subject.por.fl_str_mv Acute kidney injury
Intensive care units
Epidemiology
Risk factors
topic Acute kidney injury
Intensive care units
Epidemiology
Risk factors
description SUMMARY INTRODUCTION Acute kidney injury (AKI) is a frequent event among critically ill patients hospitalized in intensive care units (ICU) and represents a global public health problem, being imperative an interdisciplinary approach. OBJECTIV To investigate, through literature review, the AKI epidemiology in ICUs. METHODS: Online research in Medline, Scientific Electronic Library Online, and Latin American and Caribbean Literature in Health Sciences databases, with analysis of the most relevant 47 studies published between 2010 and 2017. RESULTS Data of the 67,033 patients from more than 300 ICUs from different regions of the world were analyzed. The overall incidence of AKI ranged from 2.5% to 92.2%, and the mortality from 5% to 80%. The length of ICU stay ranged from five to twenty-one days, and the need for renal replacement therapy from 0.8% to 59.2%. AKI patients had substantially higher mortality rates and longer hospital stays than patients without AKI. CONCLUSION AKI incidence presented high variability among the studies. One of the reasons for that were the different criteria used to define the cases. Availability of local resources, renal replacement therapy needs, serum creatinine at ICU admission, volume overload, and sepsis, among others, influence mortality rates in AKI patients.
publishDate 2019
dc.date.none.fl_str_mv 2019-08-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302019000801094
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/1806-9282.65.8.1094
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dc.publisher.none.fl_str_mv Associação Médica Brasileira
publisher.none.fl_str_mv Associação Médica Brasileira
dc.source.none.fl_str_mv Revista da Associação Médica Brasileira v.65 n.8 2019
reponame:Revista da Associação Médica Brasileira (Online)
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