Bráður nýrnaskaði á Landspítala 2008-2011 og áhættuþættir og afdrif sjúklinga með alvarlegan skaða
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Authors
Þórir Einarsson LongMartin Ingi Sigurðsson
Ólafur Skúli Indriðason
Kristinn Sigvaldason
Gísli Heimir Sigurðsson
Issue Date
2013-11
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Epidemiology of acute kidney injury in a tertiary care university hospital according to the RIFLE criteria.Citation
Læknablaðið 2013, 99 (11):499-503Abstract
Bráður nýrnaskaði er algengt vandamál sem útheimtir kostnaðarsama og erfiða meðferð og hefur háa dánartíðni í för með sér. Tilgangur þessarar rannsóknar var að kanna faraldsfræði sjúkdómsins og áhættuþætti og afdrif sjúklinga sem fengu alvarlegan bráðan nýrnaskaða á Landspítala. Efniviður og aðferðir: Allir einstaklingar sem áttu kreatínínmælingu í gagnagrunni rannsóknarstofu Landspítala frá janúar 2008 til ársloka 2011 og grunngildi á undangengnum sex mánuðum voru flokkaðir með tilliti til bráðs nýrnaskaða samkvæmt RIFLE-skilmerkjum í stig 1 (risk), stig 2 (injury) og stig 3 (failure). Áhættuþættir, mögulegar orsakir og afdrif voru könnuð fyrir sjúklinga með skaðann á stigi 3. Niðurstöður: Alls fundust 349.320 kreatínínmælingar fyrir 74.960 fullorðna einstaklinga og áttu 17.693 þeirra grunngildi. Af þeim fengu 3686 (21%) bráðan skaða á tímabilinu, 2077 (12%) á stigi 1, á stigi 2 840 (5%)og 769 (4%) á stigi 3. Fleiri konur fengu stig 1 og 2 en fleiri karlar stig 3 (p<0,001). Mögulegar orsakir skaðans hjá sjúklingum á stigi 3 voru í 22% tilvika skurðaðgerð, 23% lost, 14% sýklasótt, 32% blóðþrýstingsfall tengt hjarta-og æðakerfi, 10% blæðingar, 27% öndunarbilun og 7% höfðu lent í slysi. 61% sjúklinga tók lyf sem jók áhættu á skaðanum. Alls fengu 11% blóðskilunarmeðferð, 5 sjúklingar (0,7%) þurftu blóðskilun í meira en 30 daga en enginn í meira en 90 daga. Eins árs lifun sjúklinga á stigi 3 var 52%. Ályktun: Bráður nýrnaskaði er algengt vandamál á Landspítala og horfur sjúklinga með alvarlegan skaða eru slæmar. Ef til vill mætti koma í veg fyrir skaðann í einhverjum tilvikum með því að skoða lyfjameðferð inniliggjandi sjúklinga.-------------------------------------------------------------------------------------------------------------------------------Acute kidney injury (AKI) is a common problem in hospitalized patients, requiring extensive treatment and carries a high mortality rate. This study was designed to assess the epidemiology of AKI, and risk factors and outcome of patients with severe AKI in a tertiary care university hospital in Iceland. Material and methods: All adult patients with measured serum creatinine (SCr) in Landspitali University Hospital from January 2008 to December 2011, who had a measured baseline SCr in the preceeding six months, were included. Patients were categorized according to the RIFLE-criteria into risk (stage 1), injury (stage 2) and failure (stage 3) groups based on their highest SCr, using the lowest SCr in the previous six months as baseline. Results: A total of 17,693 individuals (out of 74,960) had a baseline SCr and their data were used for analysis. AKI occured in 3,686 (21%) with 12%, 5% and 4% of stage 1, 2 and 3, respectively. There were more females in stage 1 and stage 2 and more males in stage 3 (p< 0.001). Contributing causes for AKI in patients with stage 3 AKI were surgery (22%), circulatory shock (23%), sepsis (14%), cardiovascular insult (32%), respiratory failure (27%), bleeding (10%), trauma (7%) and AKI associated drugs (61%). Dialysis was required in 11% and in 0.7% for longer than 30 days but none > 90 days. One year survival was 52%. Conclusions: Acute kidney injury is common in Iceland and the prognosis of those with severe AKI is dismal. Majority of those patients were taking drugs that increase risk of AKI, providing a target for preventive measures.
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Efst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinnAdditional Links
http://www.laeknabladid.ishttp://www.laeknabladid.is/media/tolublod/1618/PDF/f01.pdf
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