Identification of acute kidney injury in an intensive care unit: parameters for clinical nursing evaluation

Detalhes bibliográficos
Autor(a) principal: Silva, Gabriela Fulan e
Data de Publicação: 2020
Outros Autores: Souza, André Luiz Thomaz de, Sousa, Bárbara de Oliveira Prado, Watanabe, Miriam, Fonseca, Cassiane Dezoti da, Vattimo, Maria de Fátima Fernandes
Tipo de documento: Artigo
Idioma: por
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/2451
Resumo: The aim of this study was to identify the prevalence of acute kidney injury in Intensive Care Unit patients by isolated assessment of serum creatinine elevation and clinical application of the renal dysfunction classification Acute Kidney Injury Network. This is a prospective cohort study carried out in the Intensive Care Unit of a hospital specializing in cardiology hospital. Information was obtained from clinical and laboratory records. For the definition of acute kidney, the criteria for elevation in serum creatinine values and Acute Kidney Injury classification criteria were adopted. The final sample involved 79 patients, with a mean age of 59.8 (SD = 13.5) years. The main comorbidities were systemic arterial hypertension, congestive heart failure, diabetes mellitus and chagas disease. The prevalence of acute kidney injury was 63.3% in the evaluation of isolated serum creatinine, while, according to the Acute Kidney Injury Network criteria, 77.2% were identified. It is concluded that the Acute Kidney Injury Network criterion presents better acute kidney injury stratification than creatinine alone and can serve as an evaluation instrument in critically ill patients. As it is a method composed by usual evaluation parameters in Intensive Care Unit, it can be incorporated by the nurse in his clinical evaluation.
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spelling Identification of acute kidney injury in an intensive care unit: parameters for clinical nursing evaluationIdentificación de la lesión renal aguda en una unidad de cuidados intensivos: parámetros para la evaluación clínica de enfermeiraIdentificação de lesão renal aguda em unidade de terapia intensiva: parâmetros para avaliação clínica de enfermagemInsuficiência renal agudaCreatininaUnidade de terapia intensivaEnfermagem.Insuficiencia renalCreatininaUnidades de cuidados intensivosEnfermería.Renal insufficiencyCreatinineIntensive care unitNursing.The aim of this study was to identify the prevalence of acute kidney injury in Intensive Care Unit patients by isolated assessment of serum creatinine elevation and clinical application of the renal dysfunction classification Acute Kidney Injury Network. This is a prospective cohort study carried out in the Intensive Care Unit of a hospital specializing in cardiology hospital. Information was obtained from clinical and laboratory records. For the definition of acute kidney, the criteria for elevation in serum creatinine values and Acute Kidney Injury classification criteria were adopted. The final sample involved 79 patients, with a mean age of 59.8 (SD = 13.5) years. The main comorbidities were systemic arterial hypertension, congestive heart failure, diabetes mellitus and chagas disease. The prevalence of acute kidney injury was 63.3% in the evaluation of isolated serum creatinine, while, according to the Acute Kidney Injury Network criteria, 77.2% were identified. It is concluded that the Acute Kidney Injury Network criterion presents better acute kidney injury stratification than creatinine alone and can serve as an evaluation instrument in critically ill patients. As it is a method composed by usual evaluation parameters in Intensive Care Unit, it can be incorporated by the nurse in his clinical evaluation.El objetivo de este estudio fue identificar la prevalencia de la lesión renal aguda  en pacientes de la Unidad de Cuidados Intensivos mediante una evaluación aislada de la elevación de la creatinina sérica y la aplicación clínica de la clasificación de disfunción renal Acute Kidney Injury Network.  Este es un estudio de cohorte prospectivo en la Unidad de Cuidados Intensivos de un hospital especializado en cardiología. La información se obtuvo de registros clínicos y de laboratorio. Para la definición de la lesión renal aguda, se adoptaron los criterios de elevación de los valores de creatinina sérica y los criterios de clasificación de Acute Kidney Injury Network.  La muestra final incluyó a 79 pacientes, con una edad media de 59,8 (DE = 13,5) años. Las principales comorbilidades fueron hipertensión arterial sistémica, insuficiencia cardíaca congestiva, diabetes mellitus y enfermedad de Chagas. La prevalencia de la lesión renal aguda fue del 63,3% en la evaluación de la creatinina sérica aislada, mientras que, según los criterios de Acute Kidney Injury Network, se identificaron el 77,2%. Se concluye que el criterio Acute Kidney Injury Network presenta una mejor estratificación de la lesión renal aguda  que  la creatinina sola y puede servir como un instrumento de evaluación en pacientes críticos. Como es un método compuesto por los parámetros habituales de evaluación de la Unidad de Cuidados Intensivos, las enfermeras pueden incorporarlo en su evaluación clínica.Este estudo teve como objetivo identificar a prevalência de lesão renal aguda em pacientes de unidade de terapia intensiva por meio da avaliação isolada da elevação da creatinina sérica e da aplicação clínica da classificação de disfunção renal Acute Kidney Injury Network. Trata-se de um estudo de coorte prospectivo realizado em unidade de terapia intensiva de um hospital especializado em cardiologia. Foram obtidas informações a partir dos registros de prontuário clínico e laboratorial. Para definição da lesão renal aguda foram adotados os critérios de elevação nos valores de creatinina sérica e critérios de classificação Acute Kidney Injury Network. A amostra final envolveu 79 pacientes, com média de idade de 59,8 (DP=13,5) anos, tendo como principais comorbidades hipertensão arterial sistêmica, insuficiência cardíaca congestiva, diabetes mellitus e doença de chagas. A prevalência de lesão renal aguda foi de 63,3% na avaliação da creatinina sérica isolada, enquanto que, pelos critérios Acute Kidney Injury Network identificou-se 77,2%. Conclui-se que o critério Acute Kidney Injury Network apresenta melhor estratificação de lesão renal aguda do que a creatinina isolada e pode servir como instrumento de avaliação em pacientes críticos. Por se tratar de um método composto por parâmetros de avaliação usuais em unidade de terapia intensiva, o mesmo pode ser incorporado pelo enfermeiro em sua avaliação clínica.Research, Society and Development2020-02-19info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/245110.33448/rsd-v9i3.2451Research, Society and Development; Vol. 9 No. 3; e80932451Research, Society and Development; Vol. 9 Núm. 3; e80932451Research, Society and Development; v. 9 n. 3; e809324512525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/2451/1948Copyright (c) 2019 Gabriela Fulan e Silva, André Luiz Thomaz de Souza, Bárbara de Oliveira Prado Sousa, Miriam Watanabe, Cassiane Dezoti da Fonseca, Maria de Fátima Fernandes Vattimoinfo:eu-repo/semantics/openAccessSilva, Gabriela Fulan eSouza, André Luiz Thomaz deSousa, Bárbara de Oliveira PradoWatanabe, MiriamFonseca, Cassiane Dezoti daVattimo, Maria de Fátima Fernandes2020-08-20T18:07:57Zoai:ojs.pkp.sfu.ca:article/2451Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:27:03.783183Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Identification of acute kidney injury in an intensive care unit: parameters for clinical nursing evaluation
Identificación de la lesión renal aguda en una unidad de cuidados intensivos: parámetros para la evaluación clínica de enfermeira
Identificação de lesão renal aguda em unidade de terapia intensiva: parâmetros para avaliação clínica de enfermagem
title Identification of acute kidney injury in an intensive care unit: parameters for clinical nursing evaluation
spellingShingle Identification of acute kidney injury in an intensive care unit: parameters for clinical nursing evaluation
Silva, Gabriela Fulan e
Insuficiência renal aguda
Creatinina
Unidade de terapia intensiva
Enfermagem.
Insuficiencia renal
Creatinina
Unidades de cuidados intensivos
Enfermería.
Renal insufficiency
Creatinine
Intensive care unit
Nursing.
title_short Identification of acute kidney injury in an intensive care unit: parameters for clinical nursing evaluation
title_full Identification of acute kidney injury in an intensive care unit: parameters for clinical nursing evaluation
title_fullStr Identification of acute kidney injury in an intensive care unit: parameters for clinical nursing evaluation
title_full_unstemmed Identification of acute kidney injury in an intensive care unit: parameters for clinical nursing evaluation
title_sort Identification of acute kidney injury in an intensive care unit: parameters for clinical nursing evaluation
author Silva, Gabriela Fulan e
author_facet Silva, Gabriela Fulan e
Souza, André Luiz Thomaz de
Sousa, Bárbara de Oliveira Prado
Watanabe, Miriam
Fonseca, Cassiane Dezoti da
Vattimo, Maria de Fátima Fernandes
author_role author
author2 Souza, André Luiz Thomaz de
Sousa, Bárbara de Oliveira Prado
Watanabe, Miriam
Fonseca, Cassiane Dezoti da
Vattimo, Maria de Fátima Fernandes
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Silva, Gabriela Fulan e
Souza, André Luiz Thomaz de
Sousa, Bárbara de Oliveira Prado
Watanabe, Miriam
Fonseca, Cassiane Dezoti da
Vattimo, Maria de Fátima Fernandes
dc.subject.por.fl_str_mv Insuficiência renal aguda
Creatinina
Unidade de terapia intensiva
Enfermagem.
Insuficiencia renal
Creatinina
Unidades de cuidados intensivos
Enfermería.
Renal insufficiency
Creatinine
Intensive care unit
Nursing.
topic Insuficiência renal aguda
Creatinina
Unidade de terapia intensiva
Enfermagem.
Insuficiencia renal
Creatinina
Unidades de cuidados intensivos
Enfermería.
Renal insufficiency
Creatinine
Intensive care unit
Nursing.
description The aim of this study was to identify the prevalence of acute kidney injury in Intensive Care Unit patients by isolated assessment of serum creatinine elevation and clinical application of the renal dysfunction classification Acute Kidney Injury Network. This is a prospective cohort study carried out in the Intensive Care Unit of a hospital specializing in cardiology hospital. Information was obtained from clinical and laboratory records. For the definition of acute kidney, the criteria for elevation in serum creatinine values and Acute Kidney Injury classification criteria were adopted. The final sample involved 79 patients, with a mean age of 59.8 (SD = 13.5) years. The main comorbidities were systemic arterial hypertension, congestive heart failure, diabetes mellitus and chagas disease. The prevalence of acute kidney injury was 63.3% in the evaluation of isolated serum creatinine, while, according to the Acute Kidney Injury Network criteria, 77.2% were identified. It is concluded that the Acute Kidney Injury Network criterion presents better acute kidney injury stratification than creatinine alone and can serve as an evaluation instrument in critically ill patients. As it is a method composed by usual evaluation parameters in Intensive Care Unit, it can be incorporated by the nurse in his clinical evaluation.
publishDate 2020
dc.date.none.fl_str_mv 2020-02-19
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://rsdjournal.org/index.php/rsd/article/view/2451
10.33448/rsd-v9i3.2451
url https://rsdjournal.org/index.php/rsd/article/view/2451
identifier_str_mv 10.33448/rsd-v9i3.2451
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/2451/1948
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 9 No. 3; e80932451
Research, Society and Development; Vol. 9 Núm. 3; e80932451
Research, Society and Development; v. 9 n. 3; e80932451
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
_version_ 1797052646111051776

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