Acute kidney injury in burns in the intensive care unit: A retrospective research
Küçük Resim Yok
Tarih
2023
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Turkish Association of Trauma and Emergency Surgery
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
BACKGROUND: Acute kidney injury (AKI) is one of the common complications, associated with high mortality and morbidity in patients with burn injuries. This study aimed to determine the frequency of AKI development, its affective factors, and mortality rates according to kidney disease improving global outcomes (KDIGO) criteria in the burn patients. METHODS: The study included patients who are hospitalized for at least 48 h and aged >18 years, whereas patients with a renal transplant, chronic renal failure, undergoing hemodialysis, <18 years of age, with a glomerular filtration rate of <15 on admission, and toxic epidermal necrolysis was excluded from the study. KDIGO criteria were used to evaluate the occurrence of AKI. Burn mech-anism, total body surface area, inhalation injury respiratory tract burn, fluid replacement at 72 h with Parkland Formula, mechanical ventilator support, inotrope/vasopressor support, intensive care unit, lenght of stay, mortality, abbreviated burn severity index (ABSI), acute physiology, and chronic health evaluation II (APACHE II) ve Sequential organ failure assessment (SOFA) were recorded. RESULTS: A total of 48 patients were included in our study, of which 26 (54.2%) developed AKI (+), whereas 22 (45.8%) did not (?). The mean total burn surface area was 47.30% in the AKI (+) group and 19.88% in the AKI (?) group. Mean scores of ABSI, II (APACHE II), and SOFA, the mechanical ventilation and inotrope/vasopressor support and the presence of sepsis were significantly higher in the AKI (+). No mortality was determined in the AKI (?) group, whereas 34.6% in the AKI (+) group which was significantly high. CONCLUSION: AKI was related to high morbidity and mortality in patients with burns. Using KDIGOs, classification in daily fol-low-up is useful in early diagnosis. © 2023, Turkish Association of Trauma and Emergency Surgery. All rights reserved.
Açıklama
Anahtar Kelimeler
Acute kidney injury, burns, kidney disease improving global outcomes, mortality, C reactive protein, creatinine, hypertensive factor, procalcitonin, acute kidney failure, adult, APACHE, Article, artificial ventilation, burn, chronic kidney failure, controlled study, diagnostic test accuracy study, female, glomerulus filtration rate, hemodialysis, hemodynamics, hospitalization, human, intensive care unit, kidney graft, major clinical study, male, middle aged, morbidity, mortality rate, retrospective study, sensitivity and specificity, sepsis, Sequential Organ Failure Assessment Score, urine volume, acute kidney failure, burn, complication, intensive care unit, kidney, lung burn, Acute Kidney Injury, Burns, Burns, Inhalation, Humans, Intensive Care Units, Kidney, Retrospective Studies
Kaynak
Ulusal Travma ve Acil Cerrahi Dergisi
WoS Q Değeri
Scopus Q Değeri
Q2
Cilt
29
Sayı
3
