Prevalence of renal dysfunction in patients with cirrhosis according to ADQI-IAC working party proposal
Clinical and Molecular Hepatology
; : 185-191, 2014.
Artículo
en Inglés
| WPRIM (Pacífico Occidental)
| ID: wpr-119485
Biblioteca responsable:
WPRO
ABSTRACT
BACKGROUND/AIMS:
A revised classification system for renal dysfunction in patients with cirrhosis was proposed by the Acute Dialysis Quality Initiative and the International Ascites Club Working Group in 2011. The aim of this study was to determine the prevalence of renal dysfunction according to the criteria in this proposal.METHODS:
The medical records of cirrhotic patients who were admitted to Konkuk University Hospital between 2006 and 2010 were reviewed retrospectively. The data obtained at first admission were collected. Acute kidney injury (AKI) and chronic kidney disease (CKD) were defined using the proposed diagnostic criteria of kidney dysfunction in cirrhosis.RESULTS:
Six hundred and forty-three patients were admitted, of whom 190 (29.5%), 273 (42.5%), and 180 (28.0%) were Child-Pugh class A, B, and C, respectively. Eighty-three patients (12.9%) were diagnosed with AKI, the most common cause for which was dehydration (30 patients). Three patients had hepatorenal syndrome type 1 and 26 patients had prerenal-type AKI caused by volume deficiency after variceal bleeding. In addition, 22 patients (3.4%) were diagnosed with CKD, 1 patient with hepatorenal syndrome type 2, and 3 patients (0.5%) with AKI on CKD.CONCLUSIONS:
Both AKI and CKD are common among hospitalized cirrhotic patients, and often occur simultaneously (16.8%). The most common type of renal dysfunction was AKI (12.9%). Diagnosis of type 2 hepatorenal syndrome remains difficult. A prospective cohort study is warranted to evaluate the clinical course in cirrhotic patients with renal dysfunction.
Texto completo:
Disponible
Contexto en salud:
ODS3 - Salud y Bienestar
/
ODS3 - Meta 3.4 Reducir las muertes prematuras por enfermedades no transmisibles
Problema de salud:
Meta 3.2: Evitar muertes en recién nacidos y niños menores de 5 años
/
Enfermedad Renal Crónica
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Cirrosis
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Enfermedades del Sistema Digestivo
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Neoplasias del Riñón, Pelvis Renal y Ureteral
Base de datos:
WPRIM (Pacífico Occidental)
Asunto principal:
Índice de Severidad de la Enfermedad
/
Prevalencia
/
Tasa de Supervivencia
/
Estudios Prospectivos
/
Estudios de Cohortes
/
Mortalidad Hospitalaria
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Lesión Renal Aguda
/
Fallo Renal Crónico
/
Cirrosis Hepática
Tipo de estudio:
Estudio de etiología
/
Estudio de incidencia
/
Estudio observacional
/
Estudio de prevalencia
/
Factores de riesgo
Límite:
Adulto
/
Anciano
/
Femenino
/
Humanos
/
Masculino
Idioma:
Inglés
Revista:
Clinical and Molecular Hepatology
Año:
2014
Tipo del documento:
Artículo