Função renal na admissão do paciente com sepse em uma unidade de terapia intensiva / Renal function in admission of patients with sepsis in intensive care unit / La función renal en admisión del paciente sepsis en unidad de cuidados intensivos
Rev. Pesqui. (Univ. Fed. Estado Rio J., Online)
; 14: e-9417, 2022. tab
Article
in English, Portuguese
| LILACS, BDENF - Nursing
| ID: biblio-1382145
Responsible library:
BR1208.1
Localization: BR1208.1
RESUMO
Objetivo:
avaliar a função renal, a gravidade, o prognóstico na admissão e o desfecho dos pacientes com sepse internados em uma Unidade de Terapia Intensiva.Método:
estudo transversal e retrospectivo no qual foram levantadas as variáveis sociodemográficas, escores de gravidade e prognóstico. A função renal foi avaliada pelo escore RIFLE e pela estimativa da taxa de filtração glomerular.Resultados:
foram incluídos 96 pacientes, dos quais 42 (43,7%) apresentavam função renal normal, 13 (13,5%) risco, 19 (19,7%) lesão e 22 (22,9%) falência. Os escores de gravidade e prognóstico mostraram-se mais elevados nos pacientes com alteração da função renal, porém, sem diferença entre os pacientes com função renal normal e alterada em relação ao óbito.Conclusão:
a avaliação da função renal na admissão de pacientes com sepse na unidade intensiva mostrou que 56,2% apresentavam alguma alteração, além disso, pacientes com alteração da função renal se apresentaram mais graves e com pior prognósticoABSTRACT
Objective:
to evaluate renal function, severity, prognosis at admission and outcome of patients with sepsis admitted to an Intensive Care Unit.Method:
cross-sectional and retrospective study in which sociodemographic variables, severity scores and prognosis were raised. Renal function was assessed by the RIFLE score and the estimation of glomerular filtration rate.Results:
96 patients were included, of which 42 (43.7%) had normal renal function, 13 (13.5%) risk, 19 (19.7%) injury and 22 (22.9%) failure. Severity and prognostic scores were higher in patients with impaired renal function, but with no difference between patients with normal and altered renal function in relation to death.Conclusion:
the evaluation of renal function on admission of patients with sepsis in the unit care showed that 56.2% had some alteration. In addition, patients with altered renal function were more severe and had a worse prognosisSubject(s)
Full text:
Available
Collection:
International databases
Database:
BDENF - Nursing
/
LILACS
Main subject:
Sepsis
/
Acute Kidney Injury
/
Intensive Care Units
Type of study:
Observational study
/
Prevalence study
/
Prognostic study
/
Risk factors
Limits:
Adult
/
Aged
/
Aged, 80 and over
/
Female
/
Humans
/
Male
Language:
English
/
Portuguese
Journal:
Rev. Pesqui. (Univ. Fed. Estado Rio J., Online)
Journal subject:
Nursing
/
Delivery of Health Care
Year:
2022
Document type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade de São Paulo/BR