Acute kidney injury in the Intensive Care Unit of a hospital in the interior of the amazon region

• Autor(a) principal: Silva, Jamyle Balla da
• Data de Publicação: 2021
• Outros Autores: Melo, Cilene Aparecida de Souza, Barros, Thiago Gonçalves
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Research, Society and Development
• Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/19178
• topic: Unidad de cuidados intensivos; Insuficiencia renal; Enfermedad aguda.; Intensive care unit; Renal failure; Acute disease.; Unidade de terapia intensiva; Insuficiência Renal; Doença aguda.

Objective: To identify and analyze acute kidney injury in an intensive care unit of a hospital in the interior of the Amazon. Methodology: This is an observational, descriptive, prospective, cross-sectional study, with a quantitative approach of a sample of 30 individuals, carried out from Mai to June 2021 in a reference hospital outside the interior of the Amazon. Results: It was observed that the most prevalent sex was male (63%) and that 57% were over 55 years old. The length of stay of up to 7 days (70%) prevailed. The main admission diagnosis of TBI / polytrauma. It was confirmed that SAH and DM were the main risk factors and that more than 50% of the sample changed blood glucose and blood pressure during hospitalization. 70% of patients needed MV and 63.40% needed VAD. Stages 2 and 3 of KDIGO were present in 70% of the sample. The main therapeutic measure was intravenous hydration and there was 40% death at the end of this study. Conclusion: It was contacted that individuals who had some underlying chronic disease and who had unhealthy lifestyle habits had the worst score in the KDIGO classification and had an unfavorable outcome. Therefore, understanding the profile of individuals assisted in the service can favor better medical care, with faster diagnosis and allow therapeutic optimization, in order to reduce the impacts on morbidity and mortality induced by acute kidney injury in the intensive care unit.