INCIDENCE OF THE DEVELOPMENT OF ACUTE KIDNEY INJURIES IN PATIENTS ADMITTED TO THE ICU: INTEGRATIVE REVIEW
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Brazilian Journal of Implantology and Health Sciences |
Texto Completo: | https://bjihs.emnuvens.com.br/bjihs/article/view/994 |
Resumo: | Acute renal failure (ARF) is the loss of kidney function that begins suddenly, regardless of the cause or mechanism, which can cause the accumulation of nitrogenous substances and may lead to a decrease in diuresis. The main risk factors for the development of AKI in the intensive care unit include ischemic, nephrotoxic, infectious and obstructive events, arterial hypotension, cardiovascular failure, liver failure, respiratory failure and neoplasia. Methodology: This integrative review aimed to identify the incidence of acute kidney injuries in patients hospitalized in Intensive Care Units (ICU). Primary articles were included, without time or language limitations, that answered the question: “What is the incidence of acute kidney injuries in patients admitted to the ICU?” The bibliographic search took place in November 2023, using the LILACS, SciELO and PubMed databases. Search terms were used, such as “Acute Kidney Injury”, “Intensive Care Unit” and “Nephrology”, combined with the Boolean operators AND and OR, according to the particularities of each database. Results: The incidence of developing acute kidney injuries in patients admitted to Intensive Care Units (ICUs) varies considerably and can be affected by a series of factors, such as previous clinical conditions, severity of the underlying disease, presence of shock, sepsis or use of nephrotoxic medications. It is a common complication associated with unfavorable clinical outcomes, including increased mortality and prolonged hospital stay. Early identification and appropriate management of these kidney injuries are crucial to reduce the negative impact on the health of patients admitted to the ICU. Conclusion: The study of certain risk factors can contribute to the intervention and prevention of renal dysfunction and thus minimize possible complications in these patients. The main causes of AKI development in patients admitted to intensive care units include sepsis, septic shock, respiratory disease and cardiovascular disease. |
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INCIDENCE OF THE DEVELOPMENT OF ACUTE KIDNEY INJURIES IN PATIENTS ADMITTED TO THE ICU: INTEGRATIVE REVIEWINCIDÊNCIA DO DESENVOLVIMENTO DE LESÕES RENAIS AGUDAS EM PACIENTES INTERNADOS NA UTI: REVISÃO INTEGRATIVAInsuficiência Renal. Lesão Renal Aguda. Fatores de Risco. Unidade de Tratamento Intensivo.Renal insufficiency. Acute Kidney Injury. Risk factors. ICU.Acute renal failure (ARF) is the loss of kidney function that begins suddenly, regardless of the cause or mechanism, which can cause the accumulation of nitrogenous substances and may lead to a decrease in diuresis. The main risk factors for the development of AKI in the intensive care unit include ischemic, nephrotoxic, infectious and obstructive events, arterial hypotension, cardiovascular failure, liver failure, respiratory failure and neoplasia. Methodology: This integrative review aimed to identify the incidence of acute kidney injuries in patients hospitalized in Intensive Care Units (ICU). Primary articles were included, without time or language limitations, that answered the question: “What is the incidence of acute kidney injuries in patients admitted to the ICU?” The bibliographic search took place in November 2023, using the LILACS, SciELO and PubMed databases. Search terms were used, such as “Acute Kidney Injury”, “Intensive Care Unit” and “Nephrology”, combined with the Boolean operators AND and OR, according to the particularities of each database. Results: The incidence of developing acute kidney injuries in patients admitted to Intensive Care Units (ICUs) varies considerably and can be affected by a series of factors, such as previous clinical conditions, severity of the underlying disease, presence of shock, sepsis or use of nephrotoxic medications. It is a common complication associated with unfavorable clinical outcomes, including increased mortality and prolonged hospital stay. Early identification and appropriate management of these kidney injuries are crucial to reduce the negative impact on the health of patients admitted to the ICU. Conclusion: The study of certain risk factors can contribute to the intervention and prevention of renal dysfunction and thus minimize possible complications in these patients. The main causes of AKI development in patients admitted to intensive care units include sepsis, septic shock, respiratory disease and cardiovascular disease. A insuficiência renal aguda (IRA) é a perda da função renal iniciada de forma súbita, independentemente da causa ou mecanismo, podendo causar a acumulação de substâncias nitrogenadas, podendo apresentar a diminuição da diurese. Os principais fatores de risco para o desenvolvimento de LRA na unidade de terapia intensiva abrangem eventos isquêmicos, nefrotóxicos, infecciosos e obstrutivos, hipotensão arterial, insuficiência cardiovascular, insuficiência hepática, insuficiência respiratória e neoplasia. Metodologia: Esta revisão integrativa teve como objetivo identificar a incidência de lesões renais agudas em pacientes hospitalizados em Unidades de Terapia Intensiva (UTI). Foram incluídos artigos primários, sem limitações de tempo ou idioma, que respondessem à pergunta: “Qual é a incidência de lesões renais agudas em pacientes internados nas UTIs?” A busca bibliográfica ocorreu em novembro de 2023, utilizando as bases de dados LILACS, SciELO e PubMed. Foram empregados termos de busca, como “Injúria Renal Aguda”, “Unidade de Terapia Intensiva” e “Nefrologia”, combinados com os operadores booleanos AND e OR, de acordo com as particularidades de cada base de dados. Resultados: A incidência do desenvolvimento de lesões renais agudas em pacientes internados em Unidades de Terapia Intensiva (UTIs) varia consideravelmente, podendo ser afetada por uma série de fatores, como condições clínicas prévias, gravidade da doença de base, presença de choque, sepse ou uso de medicamentos nefrotóxicos. Sendo uma complicação comum associada a desfechos clínicos desfavoráveis, incluindo aumento da mortalidade e prolongamento da internação hospitalar. A identificação precoce e o manejo adequado dessas lesões renais são cruciais para reduzir o impacto negativo sobre a saúde dos pacientes internados em UTI. Conclusão: O estudo de determinados fatores de risco pode contribuir para a intervenção e prevenção da disfunção renal e assim pode ser minimizado as possíveis complicações nesses pacientes. As principais causas do desenvolvimento de LRA em pacientes internados em unidades de terapia intensiva incluem sepse, choque séptico, doença respiratória e doenças cardiovascularesSpecialized Dentistry Group2023-11-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://bjihs.emnuvens.com.br/bjihs/article/view/99410.36557/2674-8169.2023v5n5p4299-4307Brazilian Journal of Implantology and Health Sciences ; Vol. 5 No. 5 (2023): BJIHS QUALIS B3; 4299-4307Brazilian Journal of Implantology and Health Sciences ; Vol. 5 Núm. 5 (2023): BJIHS QUALIS B3; 4299-4307Brazilian Journal of Implantology and Health Sciences ; v. 5 n. 5 (2023): BJIHS QUALIS B3; 4299-43072674-8169reponame:Brazilian Journal of Implantology and Health Sciencesinstname:Grupo de Odontologia Especializada (GOE)instacron:GOEporhttps://bjihs.emnuvens.com.br/bjihs/article/view/994/1112Copyright (c) 2023 Ricardo Luiz Zanotto Filho, Hosana Maria Araújo Rêgo , Maria Eduarda de Sá Bonifácio Rocha , Sabrina Maria Araujo Sobreira , Raimundo Nogueira de Oliveira Júnior, Bianca Valandro , Ana Flávia Paludo Käfer , Laura Faleiros de Lima , Pedro Faleiros de Lima , Jaime Garcia Pereira Neto , Raquel Santos Berto de Farias , Luciana Ferreira Brasileiro https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessFilho, Ricardo Luiz ZanottoRêgo , Hosana Maria AraújoRocha , Maria Eduarda de Sá BonifácioSobreira , Sabrina Maria Araujo Júnior, Raimundo Nogueira de OliveiraValandro , BiancaKäfer , Ana Flávia PaludoLima , Laura Faleiros de Lima , Pedro Faleiros deNeto , Jaime Garcia PereiraFaria, Raquel Santos Berto deBrasileiro , Luciana Ferreira2023-12-01T12:33:00Zoai:ojs.bjihs.emnuvens.com.br:article/994Revistahttps://bjihs.emnuvens.com.br/bjihsONGhttps://bjihs.emnuvens.com.br/bjihs/oaijournal.bjihs@periodicosbrasil.com.br2674-81692674-8169opendoar:2023-12-01T12:33Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE)false |
dc.title.none.fl_str_mv |
INCIDENCE OF THE DEVELOPMENT OF ACUTE KIDNEY INJURIES IN PATIENTS ADMITTED TO THE ICU: INTEGRATIVE REVIEW INCIDÊNCIA DO DESENVOLVIMENTO DE LESÕES RENAIS AGUDAS EM PACIENTES INTERNADOS NA UTI: REVISÃO INTEGRATIVA |
title |
INCIDENCE OF THE DEVELOPMENT OF ACUTE KIDNEY INJURIES IN PATIENTS ADMITTED TO THE ICU: INTEGRATIVE REVIEW |
spellingShingle |
INCIDENCE OF THE DEVELOPMENT OF ACUTE KIDNEY INJURIES IN PATIENTS ADMITTED TO THE ICU: INTEGRATIVE REVIEW Filho, Ricardo Luiz Zanotto Insuficiência Renal. Lesão Renal Aguda. Fatores de Risco. Unidade de Tratamento Intensivo. Renal insufficiency. Acute Kidney Injury. Risk factors. ICU. |
title_short |
INCIDENCE OF THE DEVELOPMENT OF ACUTE KIDNEY INJURIES IN PATIENTS ADMITTED TO THE ICU: INTEGRATIVE REVIEW |
title_full |
INCIDENCE OF THE DEVELOPMENT OF ACUTE KIDNEY INJURIES IN PATIENTS ADMITTED TO THE ICU: INTEGRATIVE REVIEW |
title_fullStr |
INCIDENCE OF THE DEVELOPMENT OF ACUTE KIDNEY INJURIES IN PATIENTS ADMITTED TO THE ICU: INTEGRATIVE REVIEW |
title_full_unstemmed |
INCIDENCE OF THE DEVELOPMENT OF ACUTE KIDNEY INJURIES IN PATIENTS ADMITTED TO THE ICU: INTEGRATIVE REVIEW |
title_sort |
INCIDENCE OF THE DEVELOPMENT OF ACUTE KIDNEY INJURIES IN PATIENTS ADMITTED TO THE ICU: INTEGRATIVE REVIEW |
author |
Filho, Ricardo Luiz Zanotto |
author_facet |
Filho, Ricardo Luiz Zanotto Rêgo , Hosana Maria Araújo Rocha , Maria Eduarda de Sá Bonifácio Sobreira , Sabrina Maria Araujo Júnior, Raimundo Nogueira de Oliveira Valandro , Bianca Käfer , Ana Flávia Paludo Lima , Laura Faleiros de Lima , Pedro Faleiros de Neto , Jaime Garcia Pereira Faria, Raquel Santos Berto de Brasileiro , Luciana Ferreira |
author_role |
author |
author2 |
Rêgo , Hosana Maria Araújo Rocha , Maria Eduarda de Sá Bonifácio Sobreira , Sabrina Maria Araujo Júnior, Raimundo Nogueira de Oliveira Valandro , Bianca Käfer , Ana Flávia Paludo Lima , Laura Faleiros de Lima , Pedro Faleiros de Neto , Jaime Garcia Pereira Faria, Raquel Santos Berto de Brasileiro , Luciana Ferreira |
author2_role |
author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Filho, Ricardo Luiz Zanotto Rêgo , Hosana Maria Araújo Rocha , Maria Eduarda de Sá Bonifácio Sobreira , Sabrina Maria Araujo Júnior, Raimundo Nogueira de Oliveira Valandro , Bianca Käfer , Ana Flávia Paludo Lima , Laura Faleiros de Lima , Pedro Faleiros de Neto , Jaime Garcia Pereira Faria, Raquel Santos Berto de Brasileiro , Luciana Ferreira |
dc.subject.por.fl_str_mv |
Insuficiência Renal. Lesão Renal Aguda. Fatores de Risco. Unidade de Tratamento Intensivo. Renal insufficiency. Acute Kidney Injury. Risk factors. ICU. |
topic |
Insuficiência Renal. Lesão Renal Aguda. Fatores de Risco. Unidade de Tratamento Intensivo. Renal insufficiency. Acute Kidney Injury. Risk factors. ICU. |
description |
Acute renal failure (ARF) is the loss of kidney function that begins suddenly, regardless of the cause or mechanism, which can cause the accumulation of nitrogenous substances and may lead to a decrease in diuresis. The main risk factors for the development of AKI in the intensive care unit include ischemic, nephrotoxic, infectious and obstructive events, arterial hypotension, cardiovascular failure, liver failure, respiratory failure and neoplasia. Methodology: This integrative review aimed to identify the incidence of acute kidney injuries in patients hospitalized in Intensive Care Units (ICU). Primary articles were included, without time or language limitations, that answered the question: “What is the incidence of acute kidney injuries in patients admitted to the ICU?” The bibliographic search took place in November 2023, using the LILACS, SciELO and PubMed databases. Search terms were used, such as “Acute Kidney Injury”, “Intensive Care Unit” and “Nephrology”, combined with the Boolean operators AND and OR, according to the particularities of each database. Results: The incidence of developing acute kidney injuries in patients admitted to Intensive Care Units (ICUs) varies considerably and can be affected by a series of factors, such as previous clinical conditions, severity of the underlying disease, presence of shock, sepsis or use of nephrotoxic medications. It is a common complication associated with unfavorable clinical outcomes, including increased mortality and prolonged hospital stay. Early identification and appropriate management of these kidney injuries are crucial to reduce the negative impact on the health of patients admitted to the ICU. Conclusion: The study of certain risk factors can contribute to the intervention and prevention of renal dysfunction and thus minimize possible complications in these patients. The main causes of AKI development in patients admitted to intensive care units include sepsis, septic shock, respiratory disease and cardiovascular disease. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-11-30 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://bjihs.emnuvens.com.br/bjihs/article/view/994 10.36557/2674-8169.2023v5n5p4299-4307 |
url |
https://bjihs.emnuvens.com.br/bjihs/article/view/994 |
identifier_str_mv |
10.36557/2674-8169.2023v5n5p4299-4307 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://bjihs.emnuvens.com.br/bjihs/article/view/994/1112 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Specialized Dentistry Group |
publisher.none.fl_str_mv |
Specialized Dentistry Group |
dc.source.none.fl_str_mv |
Brazilian Journal of Implantology and Health Sciences ; Vol. 5 No. 5 (2023): BJIHS QUALIS B3; 4299-4307 Brazilian Journal of Implantology and Health Sciences ; Vol. 5 Núm. 5 (2023): BJIHS QUALIS B3; 4299-4307 Brazilian Journal of Implantology and Health Sciences ; v. 5 n. 5 (2023): BJIHS QUALIS B3; 4299-4307 2674-8169 reponame:Brazilian Journal of Implantology and Health Sciences instname:Grupo de Odontologia Especializada (GOE) instacron:GOE |
instname_str |
Grupo de Odontologia Especializada (GOE) |
instacron_str |
GOE |
institution |
GOE |
reponame_str |
Brazilian Journal of Implantology and Health Sciences |
collection |
Brazilian Journal of Implantology and Health Sciences |
repository.name.fl_str_mv |
Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE) |
repository.mail.fl_str_mv |
journal.bjihs@periodicosbrasil.com.br |
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1796798441715662848 |