Đánh giá mối liên quan giữa tổn thương thận cấp với một số yếu tố nguy cơ ở người bệnh điều trị tại khoa hồi sức tích cực bệnh viện đa khoa tỉnh Phú Thọ

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Thị Thu Hà Bùi, Thái Dũng Phạm

Ngôn ngữ: vie

Ký hiệu phân loại: 611.61 Kidneys and ureters

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2022

Mô tả vật lý: 186-190

Bộ sưu tập: Metadata

ID: 500264

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Chủ đề

Đánh giá mối liên quan giữa tổn thương thận cấp với một số yếu tố nguy cơ ở người bệnh điều trị tại khoa hồi sức tích cực. Đối tượng và phương pháp nghiên cứu: Nghiên cứu trên 273 bệnh nhân điều trị tại Khoa Hồi sức tích cực - Chống độc Bệnh viện đa khoa tỉnh Phú Thọ từ tháng 10/2021 đến tháng 6/2022. Kết quả nghiên cứu: Tuổi trung bình của bệnh nhân có tổn thương thận cấp cao hơn bệnh nhân không có tổn thương thận cấp (58,61 ± 17,88 so với 52,28 ± 18,37, p<
0,05). Yếu tố nguy cơ làm xuất hiện tổn thương thận cấp là: Tuổi cao ≥ 65 tuổi
SOFA nhập viện >
15, Tiêu cơ vân, Huyết áp trung bình nhập viện <
65 mmHg, CVP thấp <
8 cm H2O với OR(CI 95%) lần lượt là 18,28 (3,09 - 52,77), 8,49 (0,98 - 97,61), 2,10 (1,12-3,91), 8,23 (3,56 - 39,01), 5,49 (1,98 - 24,19), p<
0,05. Kết luận: Các yếu tố nguy cơ có khả năng làm tăng nguy cơ mắc TTTC và tăng tỷ lệ tử vong ở người bệnh điều trị tại khoa HSTC gồm: Tuổi ≥ 65 tuổi, điểm SOFA Nhập viện >
15 điểm, có tiêu cơ vân, sốc, HATB <
65 mmHg, CVP nhập viện thấp dưới 8cm H2O, lượng HST <
90g/L. Các yếu tố nguy cơ này có giá trị trong việc tiên lượng tử vong ở bệnh nhân điều trị tại khoa Hồi sức tích cực.Evaluation of the relationship between acute kidney injury and some risk factors in patients treated in the intensive care unit. Subjects and methods: A prospective, descriptive, longitudinal study on 273 patients treated at the ICU of Phu Tho Provincial General Hospital from October 2021 to June 2022. Results: The mean age of patients with acute kidney injury was higher than that of patients without acute kidney injury (58.61 ± 17.88 versus 52.28 ± 18.37, p<
0.05). Elderly patients ≥ 65 years old had a 10.34 times higher risk of developing acute kidney injury compared with patients under 65 years old (95% confidence interval: 1.98 - 39.22 with p <
0. 05). Patients with SOFA scores above 15 at the time of admission have a higher risk of acute kidney injury than patients with SOFA scores below 15, which is 7.87 times (p <
0.05). Patients with rhabdomyolysis have a 2.45 times higher risk of acute kidney injury than patients without rhabdomyolysis (p<
0.05)., Patients with shock, MAP <
65 mmHg, CVP <
8 cm H2O at the time. hospitalized have a higher risk of acute kidney injury than the rest of the subjects, respectively, 4.41
5.01 and 8.27 times, the difference is statistically significant (p <
0.05).Patients with hemoglobin less than 90 g/L at the time of admission have a higher risk of acute kidney injury. patients with HST ≥ 90g/L 7.02 times (p <
0.05). Patients with acute kidney injury have a 4.14 times higher risk of death than patients without acute kidney injury (95% CI: 1.38 - 16.2 with p <
0.05). Conclusion: Risk factors that made increase the risk of morbidity and prevalence are: Age ≥ 65 years, SOFA score >
15 points, rhabdomyolysis, SBP <
65 mmHg, CVP less than 8cm H2O, HST amount <
90g/L is valuable for predicting mortality in patients treated in ICU.

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