Tỷ lệ hiện mắc, các yếu tố nguy cơ và kết quả điều trị tổn thương thận cấp tại Khoa Hồi sức tích cực, Bệnh viện Đa khoa tỉnh Vĩnh Phúc=Prevalence, risk factors, and outcome of acute kidney injury in patients admitted to the Department of Intensive Care Unit, Vinh Phuc General Hospital

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Tác giả: Thị Nữ Chu, Anh Văn Đào, Hồng Trung Lê, Xuân Quý Lê, Trung Kiên Nguyễn, Anh Tuấn Trần, Trừ Văn Trưởng, Gia Huấn Vũ

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Nghiên cứu y học (Đại học Y Hà Nội), 2024

Mô tả vật lý: tr.19-26

Bộ sưu tập: Metadata

ID: 244684

Thêm vào giỏ

Acute Kidney Injury was a prevalent complication, increasing the mortality risk and developing CKD among patients in the Intensive Care Unit. Therefore, this study aims to report the prevalence, risk factors, and treatment outcomes of 438 patients admitted to the Department of Intensive Care Unit, Vinh Phuc General Hospital. A cross-sectional, prospective study was conducted on 438 patients admitted to the Department of Intensive Care Unit at Vinh Phuc General Hospital. The results showed that AKI was present in 28.1% of patients, with mainly in stage 1 (61.8%). Volume loss and sepsis were the primary causes of AKI (58.5% and 33.3%, respectively). Risk factors for AKI include advanced age, SOFA score, APACHE II at admission, and comorbidities (p <
0.05). The complete recovery of AKI patients is 50.4%. Treatment outcomes showed that 36.6% of AKI patients experienced adverse clinical outcomes (severe cases or death).Tổn thương thận cấp là một biến chứng thường gặp trên những bệnh nhân điều trị tại khoa Hồi sức tích cực, với nguy cơ tử vong và diễn biến sang bệnh thận mạn sau điều trị cao. Do đó, nghiên cứu này nhằm xác định tỷ lệ hiện mắc, các yếu tố nguy cơ và kết quả điều trị tổn thương thận cấp ở bệnh nhân điều trị tại Khoa Hồi sức tích cực, Bệnh viện Đa khoa tỉnh Vĩnh Phúc. Nghiên cứu mô tả tiến cứu được tiến hành trên 438 bệnh nhân điều trị tại khoa Hồi sức tích cực, Bệnh viện Đa khoa tỉnh Vĩnh Phúc. Kết quả cho thấy tổn thương thận cấp (AKI) gặp ở 28,1% bệnh nhân. Trong đó, AKI giai đoạn I chiếm tỷ lệ cao nhất (61,8%). Giảm khối lượng tuần hoàn và nhiễm khuẩn nặng/sốc nhiễm khuẩn được xác định là hai nguyên nhân chính gây AKI với tỷ lệ lần lượt 58,5% và 33,3%. Tuổi cao, điểm SOFA, APACHE II lúc nhập viện và nhóm có bệnh lý kèm theo (gan mật, tim mạch) là những yếu tố nguy cơ gây AKI (p <
0,05). Mức độ hồi phục hoàn toàn của bệnh nhân mắc AKI là 50,4%. Kết quả điều trị chung cho thấy 36,6% bệnh nhân AKI có kết cục lâm sàng xấu (nặng xin về hoặc tử vong).

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