1 / 39

Injuria renal aguda Aspectos epidemiol gicos

Liao F, Pascua J and The Madrid Acute Renal Failure Study Group, Kidney Int 1996; 50: 8111-818. Incidencia: 209/milln/ao (748/4.227.837)Etiologa: -NTA 45% -Prerrenal 21% -IRC agudizada 13% -Obstructiva 10% Origen: Extrahospitalario: 49

maitland
Download Presentation

Injuria renal aguda Aspectos epidemiol gicos

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

    1. Injuria renal aguda Aspectos epidemiológicos Dr. Jordán Tenzi 9/7/07

    2. Liaño F, Pascua J and The Madrid Acute Renal Failure Study Group, Kidney Int 1996; 50: 8111-818 Incidencia: 209/millón/año (748/4.227.837) Etiología: -NTA 45% -Prerrenal 21% -IRC agudizada 13% -Obstructiva 10% Origen: Extrahospitalario: 49.7% Hospitalario: 50.3% -Medicina: 34% -UCI: 27% -Cirugía: 23% Sexo: predominio masculino Edad: incidencia aumenta con la misma

    3. Liaño F, Pascua J and The Madrid Acute Renal Failure Study Group, Kidney Int 1996; 50: 8111-818 Mortalidad: 45% NTA: 60% Prerenal: 35% IRC agudizada: 35% Obstructiva: 27% Nefritis intersiticial aguda: 13% Vasculitis: 45% Glomerulonefritis primaria: 9% Glomerulonefritis secundaria: 25%

    5. The epidemiology of acute renal failure: 1975 versus 2005

    11. AKI incidence of 5% (109 of 2216 medical and surgical patients). AKI was associated with decreased renal perfusion (42%), major surgery (18%), radiocontrast exposure (12%), and aminoglycoside administration (7%). Predictors of poor prognosis included oliguria and the severity of the renal dysfunction.

    14. Compared a cohort of 183 patients with radiocontrast-associated AKI and 174 patients who were matched for age and baseline SCr and underwent similar diagnostic procedures without developing AKI. The mortality rate was 34% in patients with AKI versus 7% in patients without AKI. Adjusting for differences in comorbidity, the odds of death were increased 5.5-fold in the AKI group.

    19. From this population, only patients who were treated with renal replacement therapy (RRT) other than for drug poisoning or who had at least 1 of the predefined criteria for ARF were included in the study. The criteria for ARF were oliguria defined as urine output of less than 200 mL in 12 hours and/or marked azotemia defined as a blood urea nitrogen level higher than 84 mg/dL

    29. Rialp G, Roglan A; Renal Failure 1996; 18: 667-675 Incidencia de IRA en UCI: 21.4% AP: HTA 34.2% inmunodepresión: 27.3% diabetes: 17.5% Mortalidad: con IRA 46.6% p= 0.0001 sin IRA 17.6%

    30. Injuria Renal Aguda en Medicina Intensiva Encuesta Multicéntrica Nacional J Tenzi, A Ferreiro, R Lombardi, E Schwedt, N Nin, M Cancela, F Gonzalez y colaboradores 2006

    31. Montevideo: 18 instituciones (25 UCI) Interior: 15 instituciones (15 UCI) Total UCI encuestadas: 40 (83%) % UCI Montevideo encuestadas: 100% % UCI Interior encuestadas: 65% Incidencia de IRA: 9.12% (66/723)

    37. Mortalidad pacientes con IRA: 32/66 (48.5%) -Montevideo 23/53 (43.4%) -Interior 9/13 (69.2%) Mortalidad pacientes sin IRA: 107/657 (16.2%) -Montevideo 88/518 (16.9%) -Interior 19/139 (13.6%)

    39. Sobreviven Fallecen Valor p DOM si 12 (35.3%) 22 (64.7%) < 0.05 DOM No 21 (67.7%) 10 (32.3%)

More Related