Severity of the non-critical patient with hospital acquired acute kidney injury
DOI:
https://doi.org/10.33448/rsd-v11i15.36634Keywords:
Acute Kidney Injury; Patient Acuity; Hospitalization; Severity of Illness Index; Risk factors.Abstract
Objective: To assess the severity of non-critical patients with hospital-acquired acute kidney injury. Method: Prospective cohort study carried out in a public hospital in the Federal District, between 2017 and 2018. A structured questionnaire was used for data collection and the sample consisted of 75 patients with hospital-acquired acute kidney injury. A p-value≤0.05 was considered significant. Results: Patients' severity was evidenced by the Charlson Comorbidity Index>3 in 33 (44%) patients and was associated with heart disease (p=0.006) and hypernatremia (p=0.007). Patients with respiratory disorders (p=0.03) and hypernatremia (p<0.0001) had greater renal impairment (KDIGO 2 and 3), which contributed to intra-hospital and post-discharge mortality (p=0.01; p=0.005). Conclusions: The high severity by Charlson showed an independent association with heart disease and electrolyte disturbance, such as hypernatremia. From this perspective, the group with impaired renal function (KDIGO 2 and 3) had a higher mortality rate, associated with hypoxemia and hypernatremia.
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